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4. Addressing Thalassaemia Management from Patients' Perspectives: An International Collaborative Assessment.

Author

Economidou, Eleftheria C., Angastiniotis, Michael, Avraam, Demetris, Soteriades, Elpidoforos S., and Eleftheriou, Androulla

Subjects
PATIENTS' attitudes, THALASSEMIA, DISEASE management, PART-time employment, BLOOD transfusion
Abstract

Background and Objectives: The effective management of chronic diseases, particularly hereditary and rare diseases and thalassaemia, is an important indicator of the quality of healthcare systems. We aimed to assess healthcare services in different countries for thalassaemia patients by using publicly available health indicators and by surveying thalassaemia patients and their caregivers. Materials and Methods: We reviewed official worldwide databases from the WHO, World Bank, and scientific resources, and we used a structured patient-tailored self-completed questionnaire to survey thalassaemia patients and their caregivers in 2023. Results: A total of 2082 participants were surveyed (mean age, 27 years; males, 42%). About 1 in 4 respondents did not complete high-school education, while 24% had a bachelor's degree. About a third of respondents were married and were in either full- or part-time employment. The vast majority (~80%) had initiated transfusion therapy between 1 and 4 years of age. Only 42% reported no delays in receiving blood transfusion, while 47% reported occasional delays and 8% serious delays. About half of patients reported being very satisfied (11%) or satisfied (38%) with the quality of services provided, while 1 in 3 patients reported being unsatisfied or very unsatisfied, and that their access to treatment was difficult or very difficult due to traveling expenses and the high cost of treatment. Conclusions: Important improvements in the care of thalassaemia patients have been documented during the past few decades. Nevertheless, additional focus is required through national healthcare systems to effectively address the many unmet needs revealed by our recent survey, as well as to achieve satisfactory patient outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Cardiovascular Risks of Firefighting

Author

Lightfoot, Nancy, Soteriades, Elpidoforos S., Kales, Stefanos N., Linkov, Igor, Series editor, Keisler, Jeffrey, Series editor, Lambert, James H., Series editor, Morton, Alec, Series editor, and Guidotti, Tee L., editor

Published
2016
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26. Leadership and Intention to Leave Among Public Health Sector Physicians in Cyprus: A National Cross-Sectional Study.

Author

GREGORIOU, Ioanna, ECONOMIDOU, Eleftheria Ch., AVRAAM, Demetris, SOTERIADES, Elpidoforos S., PAPASTAVROU, Evridiki, CHARALAMBOUS, Andreas, STYLIANIDES, Antonis, and MERKOURIS, Anastasios

Abstract

Physician shortage is a major concern in many health care systems globally, while healthcare leadership constitutes one of the most vital factors within human resource management. Our study examined the relationship between managers’ leadership styles and physicians’ intent to leave their current position. In this cross-sectional national survey, questionnaires were distributed to all physicians working in the public health sector of Cyprus. Most demographic characteristics evaluated by chi-square or Mann-Whitney test, were statistically significantly different between those who intended to leave their job and those who did not. The results of our study demonstrated that transformational leadership has a positive influence on retention of physicians in public hospitals, while non leadership infers a negative influence. Developing leadership skills in physician supervisors is of a great importance for organizations to make a large impact on health professionals’ retention and overall performance. [ABSTRACT FROM AUTHOR]

Published
2023
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32. TIF Standards for Haemoglobinopathy Reference Centres.

Author

Angastiniotis, Michael, Eleftheriou, Androulla, Naveed, Mohammed, Assaf, Ali Al, Polynikis, Andreas, Soteriades, Elpidoforos S., and Farmakis, Dimitrios

Subjects
THALASSEMIA, SICKLE cell anemia, INTERNATIONAL organization, QUALITY standards
Abstract

Haemoglobin disorders are hereditary, lifelong and characterised by the need for multi-faceted management. The question of quality in meeting standards of care that are likely to bring the best possible outcomes for patients is a necessary consideration. The concept of reference centres supporting peripheral treatment centres in a formal networking relationship is a response to the real needs of patients and a practical solution in public health terms. In this report, a team of advisors of Thalassaemia International Federation (TIF) attempts to suggest a set of standards for haemoglobinopathy reference centres, also based on the founding principles of TIF, aiming to act as a guideline for its member associations and professional collaborators. The standards described herein can form the basis of an accreditation process and also serve as a guide for those who would advocate for quality improvement for thalassaemia services. [ABSTRACT FROM AUTHOR]

Published
2023
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33. Ofeleein i mi Vlaptin—Volume II: Immunity Following Infection or mRNA Vaccination, Drug Therapies and Non-Pharmacological Management at Post-Two Years SARS-CoV-2 Pandemic

Author

Kountouras, Jannis, primary, Gialamprinou, Dimitra, additional, Kotronis, Georgios, additional, Papaefthymiou, Apostolis, additional, Economidou, Eleftheria, additional, Soteriades, Elpidoforos S., additional, Vardaka, Elisabeth, additional, Chatzopoulos, Dimitrios, additional, Tzitiridou-Chatzopoulou, Maria, additional, Papazoglou, Dimitrios David, additional, and Doulberis, Michael, additional

Published
2022
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43. Role of chest radiograph in MERS-Cov pneumonia: a single tertiary referral center experience in the United Arab Emirates

Author

Das, Karuna M., primary, Alkoteesh, Jamal Aldeen, additional, Sheek-Hussein, Mohamud, additional, Alzadjali, Samira Ali, additional, Alafeefi, Mariam Tareq, additional, Singh, Rajvir, additional, Statsenko, Yauhen, additional, Soteriades, Elpidoforos S., additional, Singh, Vishwajeet, additional, and Van Gorkom, Klaus, additional

Published
2021
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45. Does COVID-19 Vaccination Warrant the Classical Principle “ofelein i mi vlaptin”?

Author

Doulberis, Michael, primary, Papaefthymiou, Apostolis, additional, Kotronis, Georgios, additional, Gialamprinou, Dimitra, additional, Soteriades, Elpidoforos S., additional, Kyriakopoulos, Anthony, additional, Chatzimichael, Eleftherios, additional, Kafafyllidou, Kyriaki, additional, Liatsos, Christos, additional, Chatzistefanou, Ioannis, additional, Anagnostis, Paul, additional, Semenin, Vitalii, additional, Ntona, Smaragda, additional, Gkolia, Ioanna, additional, Papazoglou, Dimitrios David, additional, Tsinonis, Nikolaos, additional, Papamichos, Spyros, additional, Kirbas, Hristos, additional, Zikos, Petros, additional, Niafas, Dionisios, additional, and Kountouras, Jannis, additional

Published
2021
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46. Nicotine Dependence and Loss of Autonomy among Greek Adolescent Smokers: A Countrywide Cross-Sectional Study

Author

Soteriades, Soteris Basagiannis, Athanasios Soteriades, Elpidoforos S. Barbouni, Anastasia Mouchtouri, Varvara and Rachiotis, George Hadjichristodoulou, Christos

Subjects
parasitic diseases
Abstract

Nicotine dependence is one of the main reasons for the continuation of smoking among adolescents. Loss of autonomy (LOA) is a measure of dependence. This study is the first to investigate LOA and its determinants among Greek adolescents. In 2013, 13-to-15-year-old middle-school students were selected by multi-stage clustered sampling. LOA was evaluated with the Hooked-on-Nicotine Checklist (HONC). Multiple univariate analysis was used to assess the association between adolescent demographics, smoking habits, and loss of autonomy. Three-hundred thirty-nine current smokers responded to the questionnaire (response rate: 82.3%). Of these respondents, 51.2% were male and 88.8% reported at least one LOA symptom. The mean HONC score was 4.13/10 (95% CI: 3.82-4.45). Higher scores were negatively associated with lower smoking frequency (cumulative odds ratio (cOR): 0.240, 95% CI: 0.144-0.400) and positively associated with lower age at first cigarette (cOR: 2.29, 95% CI: 1.38-3.82). Female gender was significantly associated with the prevalence but not the degree of LOA. Overall, the prevalence and the degree of nicotine dependence among adolescent smokers in Greece is similar to other countries. Frequent smoking and initiation of smoking at a younger age are linked to nicotine dependence, although it was not possible to make causal inferences. The relationship between nicotine dependence and gender remains unclear.

Published
2020

47. Emergency duties and deaths from heart disease among firefighters in the United States

Author

Kales, Stefanos N., Soteriades, Elpidoforos S., Christophi, Costas A., and Christiani, David C.

Subjects
Market trend/market analysis, Heart diseases -- Risk factors, Fire fighters -- Health aspects, Mortality -- United States, Mortality -- Forecasts and trends
Abstract

A study examined duty-specific risks of death from coronary heart disease among on-duty U.S. firefighters between 1994 and 2004. Results showed that certain emergency firefighting duties, particularly fire suppression, were associated with a risk of death from coronary heart disease that was significantly higher than the risk from non-emergency duties.

Published
2007

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