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Thishandbook aims to provide an overview of theIntegrated Ocean Management(IOM) topic and its state of implementation in the Mediterranean, through anecosystem approachand targeted communication strategies. To complement the knowledge and understanding of IOM, a series ofgood practicesrelevant to the subject are presented. Severalcase studieshave been collected from research and environmental conservation organizations, to provide a comprehensive overview of different approaches that can be adapted and replicated in different geographical contexts.

COVID-19 pandemic has led to an increase in certain types of litter, many of which are expected to end up in the marine environment. The present study aimed to monitor the pandemic-related litter pollution along the Greek coastal environment. Overall, 59 beach and 83 underwater clean-ups were conducted. Litter was categorized as: PPE (face masks and gloves), COVID-19-related, single-use plastic (SUP) and takeaway items. PPE, dominated by face masks (86.21 %), accounted for 0.29 % of all litter. The average PPE density was 3.1 × 10

This study investigates the knowledge and attitudes of the Greek public towards marine plastic pollution and the EU Single-Use Plastics Directive by interpreting the results of a questionnaire. In Greece, the issue of marine plastic pollution has been highlighted by scientists. Public consultation processes about the implementation of the Directive into the national law have been also carried out. However, the results of our study showed that participants were not informed about the issue of marine plastic pollution nor the EU Single-Use Plastics Directive. Nevertheless, they expressed positive attitudes towards it including their willingness to pay and act in order to reduce their plastic waste. Thereby, it is recommended that more initiatives should support the publicity of the Directive so that the Greek public would be able to participating in the decision-making process and support its implementation. In addition, the current study suggests that the topic of microplastics should be integrated into the context of formal education.

Citizens around the world can act like scientists by providing important information about biodiversity that can help scientists’ research. The same applies to species that expand from their areas of origin to other places, often creating problems for the native species. Nowadays, there are plenty of projects that involve citizen scientists in the monitoring of alien species and biodiversity. The European Alien Species Information Network (EASIN) of the European Commission gathers data from several projects and has developed its own app that enables people to report observations of invasive alien species. So, are you ready to become a citizen scientist?

In Greece, research about Environmental Education in elementary schools is scarce and geographically limited. A total of 1,157 questionnaires focused on the marine environment and, especial...

Introduction Rising rates of caesarean section (CS) is an issue of particular concern. Recently, there has been research supporting Vaginal Births After Caesarean (VBAC), which is controversial. In Greece, over half of births in the country are by CS, placing Greece among countries with the highest CS rates. The aim of this study was to investigate the prevalence and the factors associated with VBACs and to compare the maternal/neonatal outcomes with a 'non-caesarean' control group. Methods The data were evaluated and retrospectively gathered on archived singleton births, from medical records of a midwifery-led team, between May 2006 and May 2013. The target group of the study included mothers with a previous CS, who had a second birth. The sample consisted of 71 VBAC women and 583 who had normal spontaneous vaginal delivery (NSVD) as the 'non-caesarean' control group. Results The duration of labour was longer for the VBACs compared with first-time mothers who gave birth naturally (for duration 481-720 min, 27% vs 10.3%, respectively), episiotomy was more common for VBAC (20.7% vs 7.9%), and epidural analgesia was more often for VBAC (68.4% vs 10%). The percentage of 1-min Apgar score in the range 0-7 in the VBAC group was 5%, and there was no significant difference in women who had NSVD (3.6%). The Apgar score in the 5th minute was always above 8 for both groups. Conclusions Severe maternal and neonatal complications are infrequent, and therefore the necessity arises for further continuous studies to ascertain the safety of VBAC.

Introduction This paper is a report of a systematic review to identify and analyze studies of the measurement of empathy in midwives and other health professionals. Empathy has been recognized as an important factor in patient care, with positive outcomes for both patients and health professionals. There is a debate on the definition of empathy, on its measurement and on the possibility of improvement. Methods Searches were made of the CINAHL, SCOPUS, PubMed and PsychINFO databases using the terms empathy, clinical, midwifery, nursing, medical students, measurement, and health professionals, singly or in combination, to identify literature published in English between 2002-2015. The included papers were critically reviewed and a narrative synthesis was conducted. Results In all, 22 papers met the inclusion criteria by studies that were conducted to measure the levels of empathy in a variety of health professionals and students. Their scores were analyzed in correlation with their sociodemographic factors. Conclusions Despite numerous studies, many correlations but also differences exist, indicating the complexity of empathy and the need to further study it.

In recent years, a growing number of studies report on the importance of empathy to women’s care. The Midwifery Empathy Scale (M.E.S) was developed in order to study and record the levels of empathy of professional and student midwives. The purpose of our study was to validate this instrument and determine the factor structure and reliability. The study sample (n = 242) consisted of professional (n = 114) and student midwives (n = 128) of 3 Maternity Hospitals (public and private) of Athens. The exploratory factor analysis on the 25 item of Midwifery Empathy Scale (MES) revealed seven orthogonal factors (KMO Measure of Sample Adequacy = 0.817 and Bartlett’s test of sphericity = 1508.169, df = 300, p