16 research outputs found
Design and implementation of monitoring and evaluation of health care system: The paradigm of primary health care services users in Greece
No full textAttitudes of the General Population Regarding Patient Information for a Chronic and Life-Threatening Disease: A Cross-Sectional Study
No full textBackground: The form of communication developed between the physician and the patient and between the physician and the patient’s close relatives builds the foundation for the process of announcing unpleasant news, which is related to the diagnosis of chronic disease. The aim of this study was to investigate the attitudes of the general population regarding the information of patients for a chronic and life-threatening disease. Methods: It is a cross-sectional study. An anonymous questionnaire was used on a sample of 350 people. Results: The 95.1% of participants considered that patients have the right to be fully informed about their health status and that the physician has the right to be informed. The 90.3% of the respondents argued that patients differ in their preferences. Totally, 60.3% of participants agreed that all patients would like to know the bad news about their health, while 44.5% argued that patients do not want to hear bad news about their health, and 32.3% believed that patients should be protected from the announcement of bad news. The majority of respondents (95.6%) were informed by the physician about their or their relevant chronic disease. Conclusions: The general population is of the opinion that patients should be informed about their health status. Due to the fact that each patient responds differently to the announcement of the unpleasant news, the respondents replied that the announcement of the unpleasant news should be personalized and carried out by the physician. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG
Assessing the quality of life and depression among patients with heart failure and heart attack
Get PDFBackgroundHealth-related quality and of life and depression are major issues among patients with heart diseases. The aim of the current study was to assess the levels of quality of life and depression among patients with heart failure and heart attack as well as the correlation between these domains and the differences in both categories.Participants and procedureIn this cross-sectional study the following tools were used: a) the Missoula-VITAS Quality of Life Index (MVQoLI-15), which examines 5 domains of quality of life, and b) the Center for Epidemiological Studies Depression Scale (CES-D), which measures depression among patients. Finally, a questionnaire about sociodemographic elements was completed by the patients. Data were analyzed through IBM Statistics SPSS 20.0. The statistical level was set at 0.05%.ResultsThe mean value of CES-D Total and MVQoLI-15 were higher for the patients suffering from heart failure than those suffering from a heart attack. However, the dimensions of MVQoLI-15 Interpersonal Relationships, Well-Being and Transcendence were lower for heart failure patients compared to the levels of the patients suffering from a heart attack. According to the Pearson r test, there was a statistically significant negative correlation between the quality of life and depression (p = .001) in the overall sample.ConclusionsPatients with heart failure experience more depression and lower quality of life than heart attack patients.BackgroundHealth-related quality and of life and depression are major issues among patients with heart diseases. The aim of the current study was to assess the levels of quality of life and depression among patients with heart failure and heart attack as well as the correlation between these domains and the differences in both categories.Participants and procedureIn this cross-sectional study the following tools were used: a) the Missoula-VITAS Quality of Life Index (MVQoLI-15), which examines 5 domains of quality of life, and b) the Center for Epidemiological Studies Depression Scale (CES-D), which measures depression among patients. Finally, a questionnaire about sociodemographic elements was completed by the patients. Data were analyzed through IBM Statistics SPSS 20.0. The statistical level was set at 0.05%.ResultsThe mean value of CES-D Total and MVQoLI-15 were higher for the patients suffering from heart failure than those suffering from a heart attack. However, the dimensions of MVQoLI-15 Interpersonal Relationships, Well-Being and Transcendence were lower for heart failure patients compared to the levels of the patients suffering from a heart attack. According to the Pearson r test, there was a statistically significant negative correlation between the quality of life and depression (p = .001) in the overall sample.ConclusionsPatients with heart failure experience more depression and lower quality of life than heart attack patients
Underutilized Vegetable Crops in the Mediterranean Region: A Literature Review of Their Requirements and the Ecosystem Services Provided
No full textBy 2050, the increasing demand for food will put additional pressure on natural resources. Underutilized crops, such as wild vegetables, are an essential component of the Mediterranean diet and are widely correlated with the traditional cuisine of Mediterranean countries. They could be widely associated with resistance to abiotic stress and enhanced genetic diversity, and could provide various ecosystem services. Their cultivation could support the Sustainable Development Goals (SDGs) established by the UN and the current EU policies related to environmentally friendly agriculture. Based on an extensive literature review, the aim of this paper is to summarize the environmental and ecological requirements of specific Mediterranean underutilized vegetables, the provisioning and regulating ecosystem services that could be derived from their cultivation, and their potential use. It is concluded that thorough planning of underutilized crop cultivation could enhance the provisioning and regulating ecosystem services that positively affect Mediterranean agriculture. However, further research should be carried out regarding their environmental and economic impact in order to assess the environmental and socio-economic effects of underutilized crops cultivation. This could lead to designing future policies that support underutilized crop cultivation and consumption
Catalytic and structural diversity of the fluazifop-inducible glutathione transferases from Phaseolus vulgaris
Get PDFPlant glutathione transferases (GSTs) comprise a large family of inducible enzymes that play important roles in stress tolerance and herbicide detoxification. Treatment of Phaseolus vulgaris leaves with the aryloxyphenoxypropionic herbicide fluazifop-p-butyl resulted in induction of GST activities. Three inducible GST isoenzymes were identified and separated by affinity chromatography. Their full-length cDNAs with complete open reading frame were isolated using RACE-RT and information from N-terminal amino acid sequences. Analysis of the cDNA clones showed that the deduced amino acid sequences share high homology with GSTs that belong to phi and tau classes. The three isoenzymes were expressed in E. coli and their substrate specificity was determined towards 20 different substrates. The results showed that the fluazifop-inducible glutathione transferases from P. vulgaris (PvGSTs) catalyze a broad range of reactions and exhibit quite varied substrate specificity. Molecular modeling and structural analysis was used to identify key structural characteristics and to provide insights into the substrate specificity and the catalytic mechanism of these enzymes. These results provide new insights into catalytic and structural diversity of GSTs and the detoxifying mechanism used by P. vulgaris
The University of Utah College of Law Introduces Its 1964 Graduating Class
No full textPhotographs and profiles of 55 graduates: Joel M. Allred, M. Matt Bijanic, Maurice R. Barnes Jr., David R. Bowen, Wendell E. Bennett, Clark O. Bray, Joseph P. Biafore Jr., Lynn R. Brown, Robert E. Clark, Jeanette C. Douglas, Alan Coombs, Kent C. Dugmore, Robert John Derby [sic, Robert John DeBry], Glen J. Ellis, Edgar M. Denny, James R. Gillespie, Howard C. Hall, George E. Holt, Morgan D. Harris, John H. Laub, V. Devoe Heaton, Kay M. Lewis, M. Blaine Hofeling, John Henry McDonald, Earl S. Maeser, C. Blaine Morley, Carl E. Malouf, Monte J. Morris, O. Robert Meredith, Douglas D. Moscrip, Robert D. Merrill, Hans M. Morrow, Robert W. Mullen, Robert F. Orton, Alvin G. Nash, Douglas Wayne Owens, Robert H. Nelson, Don R. Petersen, Carl J. Nemelka, Delbert Phillips, Tom G. Platis, Keneth W. Smith, Stuart L. Poelman, Don A. Stringham, Richard K. Sager, Stanton M. Taylor, Thomas J. Shreeve, Karl Giles Topham, Frank S. Warner, Randon W. Wilson, Gary Alfred Weston, Noall T. Wooton, Bill White, Leon J. Zanoni, J. Clare Williams. Author of handwritten notes unknown
Isolation of GST isoenzymes from Phaseolus vulgaris L. and characterization of detoxifying mechanism under biotic and abiotic stress
Get PDFThree Glutathione transferase (GSTs) isoenzymes have been isolated from P. vulgaris leaves after in vivo treatment with 1/250 fluazifop-p-butyl herbicide. The inducible GST isoenzymes were identified and separated by affinity chromatography. They found to belong to phi and tau classes. Moreover, the fluazifop-inducible glutathione transferases from P. vulgaris (PvGSTs, termed PvGSTU2-2, PvGSTF1-1 and PvGSTU3-3) were found to catalyze a broad range of reactions and exhibit quite varied substrate specificity. Another GST isoenzyme was isolated from P. vulgaris (PvGST, termed PvGSTU3-3), after its induction with biotic stress treatment (Uromyces appendiculatus infection). PvGSTU3-3 shares high homology the tau class plant and catalyzes several different reactions and exhibits wide substrate specificity. Of particular importance are the high antioxidant catalytic function and hydroperoxidase, thioltransferase, and dehydroascorbate reductase action of Pv-GSTU3-3. Transgenic tobacco plants over-expressing PvGSTU2-2 isoenzyme have
been developed via Agrobacteriun tumefaciens in order to study their in planta potential to confer biotic and abiotic resistance as a means of plant breeding. Our results provide new insights into catalytic and structural diversity of GSTs and the detoxifying mechanism used by P. vulgaris. Moreover, highlight the functional and catalytic diversity of plant GSTs and demonstrate their pivotal role for addressing biotic stresses in P. vulgaris
Energy Analysis, and Carbon and Water Footprint for Environmentally Friendly Farming Practices in Agroecosystems and Agroforestry
No full textAgriculture accounts for 5% of the entire energy used worldwide. Most of it is not in a renewable form, so it can be linked to greenhouse gas emissions. According to the Paris Agreement, on climate change, one of its major targets is the reduction of greenhouse gas emissions. Therefore, the agricultural production process must drastically change. Currently, the sustainable use of water is critical for any agricultural development. Agricultural production effects water quality and sufficiency, as well as, freshwater wetlands. Energy balance, carbon, and water footprint are crucial for sustainable agricultural production. Agroforestry systems are important in reducing high inputs of non-renewable energy and greenhouse gas emissions, along with better water use, leading to the most minimal influence on climate change. Energy analysis, carbon, and water footprint can be applied to agroforestry systems’ production. An outline could be applied by adopting a modified—for agricultural production—life cycle assessment methodology to assess energy use, greenhouse gas emissions, and water consumption in agroforestry ecosystems
Investigating Nursing Leadership in Intensive Care Units of Hospitals of Northern Greece and Its Relationship to the Working Environment
No full textIntroduction: The relationship between leadership and the work environment has been studied by many authors at the organization level, but not specifically in intensive care units (ICUs). The aim of this study was to investigate the possible relationship between the work environment and nursing leadership in intensive care units. Methodology: This is a correlation study. The study population consisted of nurses and nursing assistants with at least 6 months of experience in ICUs of Northern Greece hospitals. Data were collected using the Greek version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Multifactor Leadership Questionnaire (MLQ). Statistical analysis of data was done with IBM SPSS v. 22.0. Results: A total of 64 nurses aged 43.6 ± 6.4 years were included. In the work environment, the dimensions of nursing staff competence (2.4 ± 0.6) and relationships between nursing staff and physicians (2.4 ± 0.6) were higher, and the dimensions of nursing staff involvement in decision-making in hospital (2.3 ± 0.6), nursing authorities on the quality of healthcare (2.2 ± 0.6), and supervisor abilities and support to nursing staff (2.2 ± 0.6) had the lowest score. The highest scores on the leadership questionnaire were personalized interest (2.6 ± 0.8), and exceptional management (passive) (2.6 ± 0.9). Conclusions: The work environment was not related to nursing leadership. Nurses need individual development plans that include the type of knowledge, skills, attitudes, and values required for leadership. In this context, continuing training centers play an important role because they are responsible for training and developing leaders who are fit for work in intensive care. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG
Health-Related Quality of Life and Living Costs of HIV-Infected Patients
No full textAim: The aim of this study was the evaluation of health-related quality of life (HRQoL) of HIV-infected patients and the effect of their illness in their living costs. Material and Method: This is a cross-sectional study and the study sample, which was a sample of convenience, included 98 HIV-infected patients from March to May 2019 at the General Oncology hospital “Oi Agioi Anargyroi” in Greece. The main tools of the survey were the Greek version of the MOS-HIV and a questionnaire used for measuring rehabilitation costs in trauma patients adjusted for the needs of the this study. Results: A total of 98 patients were inducted in our study aged 49.3 ± 11.3 years, most of them males (68.3%). HRQoL was assessed in 11 individual dimensions. The highest score was found in the dimensions of role functioning (73.47 ± 36.93), physical functioning (72.53 ± 26.65), and social functioning (71.63 ± 32.3). Regarding the patients’ living costs over the last month due to their illness, the highest burden comes from other expenses (152.4 ± 179.5), services provided by a psychologist (142.8 ± 170.6) and medical visits (142.8 ± 170.6). Conclusions: As the HIV infection is characterized as a chronic disease, the economic cost due to the illness needs to be studied as it affects the extent to which an HIV-infected patient can access medical care and meet emerging needs. Therefore, future research should focus in the economic dimension of the illness in relation with the quality of life of these patients and their relatives, so that new health policies may arise. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG
