Education Program for Carers in Facilities with Neuro Disabled Subjects EPoCFiNDS

The prevalence of chronic illness and the disabilities they cause are strongly associated with age. According tothe United Nations, in most countries around the world, 8-10% of the population has some form of disability.Carers are helping subjects who have severe or profound core activity limitations in the community and hospicefacilities. The skills acquired by carers in their caring role are relevant to the competencies required for occupationsand qualifications in community, aged care, health, youth, housing and disability support services. With the agingpopulation the number of subjects with neurological lesions living in hospices and long-term care facilities isincreased. It makes a strong case to educate carers to help these subjects. There is a lack of evidence on howto design and implement mechanisms such as foundation skills courses and programs to best meet the needsof carers. The goal of Education Program for Carers in Facilities with Neuro Disabled Subjects (EPoCFiNDS), isto create training programs for carers in neurodisabled subjects living in various facilities. In Europe we need todevelop educational programs, aimed at volunteers, relatives or any other group of people so that they betterorganize benefits care for neurodisabled subjects

How breast cancer treatments affect the quality of life of women with non-metastatic breast cancer one year after surgical treatment: a cross-sectional study in Greece

Background: The continuously increasing survivorship of female breast cancer makes the monitoring and improvement of patients' quality of life ever so important. While globally there is a growing body of research on health-related quality of life 1 year after surgical treatment for non-metastatic breast cancer, up-to-date information regarding Greek patients is scarce. Objective: To measure the level of QoL of non-metastatic BC survivors in Greece 1 year after surgery. Methods: A sample of 200 female breast cancer survivors aged 18 to 75, who followed up as outpatients in five public hospitals were included in this cross-sectional study. All recruited patients agreed to participate in the study (100% response rate). Quality of life data were collected through the EORTC QLQ-C30 as well as BR23 questionnaires. Results: Cronbach's alpha for all scales of the two questionnaires was from 0.551 to 0.936 indicating very good reliability. According to the Multiple Linear Regression, older patients showed a lower future perspective (p =.031), with those living in rural areas, which was associated with more financial difficulties (p =.001). Women with tertiary education and those who had been hospitalized in a university hospital recorded better on global health status (p =.003 and.000 respectively). Patients who underwent chemotherapy reported better scores in the emotional function sub-scale (p =.025). Women with reconstruction and at least one complication appeared to have significantly better scores in future perspective and social function (p =.005,.002 respectively). Conclusions: Breast cancer survivors were found to have an overall good quality of life, functioning/symptoms scores and were satisfied with the provided care

Percutaneous tracheostomy-beware of the thyroidea-ima artery

Percutaneous tracheostomy is a minimally invasive operation performed in patients, in order to provide an air passage through the windpipe. A rare cause of severe bleeding during such operation is the injury of the thyroidea-ima artery. This case report presents a patient with hemorrhage after thyroidea-ima injury during percutaneous dilatational tracheostomy. Surgeons should always be aware of such anatomic variation, in order to prevent urgent sternotomy

Prevalence of HPV infection among Greek women attending a gynecological outpatient clinic

Background: Human papillomavirus (HPV) infection is a causative factor for cervical cancer. Early detection of high risk HPV types might help to identify women at high risk of cervical cancer. The aim of the present study was to examine the HPV prevalence and distribution in cervical smears in a sample of Greek women attending a gynecological outpatient clinic and to explore the determinants of the infection.Methods: A total of 225 women were studied. All women underwent a regular gynecological control. 35 HPV types were studied; 6, 11, 16, 18, 26, 31, 33, 35, 39, 40, 42, 43, 44, 45, 51, 52, 53, 54, 56, 58, 59, 61, 62, 66, 68, 70, 71, 72, 73, 81, 82, 83, 84, 85 and 89. Also, basic demographic information, sociodemographic characteristics and sexual behavior were recorded.Results: HPV was detected in 22.7% of the study population. The percentage of the newly diagnosed women with HPV infection was 17.3%. HPV-16 was the most common type detected (5.3%) followed by HPV-53 (4.9%). 66.2% of the study participants had a Pap test during the last year without any abnormalities. HPV infection was related positively with alcohol consumption (OR: 2.19, 95% CI: 1.04-4.63, P = 0.04) and number of sexual partners (OR: 2.16, 95% CI: 1.44-3.25, P < 0.001), and negatively with age (OR: 0.93, 95% CI: 0.87-0.99, P = 0.03), and monthly income (OR: 0.63, 95% CI: 0.44-0.89, P = 0.01).Conclusion: The prevalence of HPV in women attending an outpatient clinic is high. Number of sexual partners and alcohol consumption were the most significant risk factors for HPV infection, followed by young age and lower income