Medical Errors in Cyprus: The 2005 Eurobarometer Survey

Background: Medical errors have been highlighted in recent years by different agencies, scientific bodies and research teams alike. We sought to explore the issue of medical errors in Cyprus using data from the Eurobarometer survey.Methods: Data from the special Eurobarometer survey conducted in 2005 across all European Union countries (EU-25) and the acceding countries were obtained from the corresponding EU office. Statisticalanalyses including logistic regression models were performed using SPSS.Results: A total of 502 individuals participated in the Cyprus survey. About 90% reported that they had often or sometimes heard about medical errors, while 22% reported that a family member or they had suffered a serious medical error in a local hospital. In addition, 9.4% reported a serious problem from a prescribed medicine. We also found statistically significant differences across different ages and gender and in rural versus urban residents. Finally, using multivariable-adjusted logistic regression models, wefound that residents in rural areas were more likely to have suffered a serious medical error in a local hospital or from a prescribed medicine.Conclusion: Our study shows that the vast majority of residents in Cyprus in parallel with the other Europeans worry about medical errors and a significant percentage report having suffered a serious medical error at a local hospital or from a prescribed medicine. The results of our study could help the medical community in Cyprus and the society at large to enhance its vigilance with respect to medical errors in order to improve medical care

A Bibliometric Analysis in the Fields of Preventive Medicine, Occupational and Environmental Medicine, Epidemiology, and Public Health

Background: Research in the fields of Preventive Medicine, Occupational/Environmental Medicine, Epidemiology and Public Health play an important role in the advancement of knowledge. In order to map the research production around the world we performed a bibliometric analysis in the above fields. Methods: All articles published by different world regions in the above mentioned scientific fields and cited in the Journal Citation Reports (JCR) database of the Institute for Scientific Information (ISI) during the period 1995 and 2003, were evaluated. The research production of different world regions was adjusted for: a) the gross domestic product in 1995 US dollars, and b) the population size of each region. Results: A total of 48,861 articles were retrieved and categorized. The USA led the research production in all three subcategories. The percentage of articles published by USA researchers was 43%, 44% and 61% in the Preventive Medicine, Epidemiology, and Public Health subcategories, respectively. Canada and Western Europe shared the second position in the first two subcategories, while Oceania researchers ranked second in the field of Public Health. Conclusion: USA researchers maintain a leadership position in the production of scientific articles in the fields of Preventive Medicine, Occupational/Environmental Medicine and Epidemiology, at a level similar to other scientific disciplines, while USA contribution to science in the field of Public Health is by all means outstanding. Less developed regions would need to support their researchers in the above fields in order to improve scientific production and advancement of knowledge in their countries

Promoting tourism destinations: A strategic marketing approach

This paper provides an outline of principal marketing strategy issues and their application in promoting tourism destinations. It provides an overview of a report prepared for the Tourism Promotion Committee (T.P.C.) of Heraklion District, Crete. In the context of the tourist industry, the ‘product’ is an experience achieved through the combination of a diverse range of products and services. Nowadays tourism destinations face new and increasing marketing challenges arising from changing tourist behaviour and environmental conditions. Strategies are needed to suit the changing and more demanding competitive environment. In the first section of this paper, the context of tourism destination promotion is outlined. The second section addresses the imperative for careful environment analysis and assessment, highlights the main aspects of strategy formulation and implementation, and provides a brief overview of the appropriate approach to electronic marketing, an issue of special interest in strategic marketing. In the next section a critical evaluation of the strategic planning model is performed, highlighting its merits, weaknesses and limitations. Recommendations contributing to the effective implementation of marketing strategy in destination marketing are presented in the last section

Clusters y redes empresariales en el contexto del turismo rural: la experiencia griega

Cette intervention vise principalement à examiner les facteurs déterminant le succès de clusters et réseaux entrepris dans le domaine du tourisme rural. La bibliographie scientifique internationale suggère que les clusters et réseaux constituent des outils efficaces de gestion et de marketing.  Une étude de cas a été effectuée afin d’analyser et de mettre en évidence les facteurs contribuant à la formation et au fonctionnement de trois projets réalisés en matière de tourisme rural. Différents aspects et dimensions de gestion et de marketing ont été examinés. Le résultat final consiste à déterminer les facteurs qui sont cruciaux pour la réussite et à formuler certaines recommandations/ suggestions en matière d’alliances en tourisme rural auprès de planificateurs et de gestionnaires de destination.This paper aims to examine the determinants of successful clusters and business networks in rural tourism. International scientific literature suggests that clusters and networks are effective tools for management and marketing. We performed a case study with the aim to analyze and highlight the factors that have contributed to the formation and operation of three projects of rural tourism. Different aspects and dimensions of management and marketing have been examined. The end result to determine the factors that have been crucial to the success and make some recommendations / suggestions in regard to partnerships as rural tourism planners and managers of tourist destinations.Este trabajo tiene por objeto examinar los factores determinantes del éxito de los clusters y redes de empresas en el turismo rural. La literatura científica internacional sugiere que los clusters y redes constituyen herramientas eficaces de gestión y de marketing. Se ha realizado un estudio de caso con el ánimo de analizar y destacar los factores que han contribuido a la formación y el funcionamiento de tres proyectos de turismo rural. Diferentes aspectos y dimensiones de gestión y de marketing han sido examinados. El resultado final permite determinar los factores que han sido cruciales para el éxito, así como formular ciertas recomendaciones/sugerencias en lo que respecta a las alianzas en turismo rural según los planificadores y gestores de destinos turísticos

Attitudes towards euthanasia in severely ill and dementia patients and cremation in Cyprus: a population-based survey

Background: Population studies on end-of-life decisions have not been conducted in Cyprus. Our study aim was to evaluate the beliefs and attitudes of Greek Cypriots towards end-of-life issues regarding euthanasia and cremation. Methods: A population-based telephone survey was conducted in Cyprus. One thousand randomly selected individuals from the population of Cyprus age 20 years or older were invited to participate. Beliefs and attitudes on end-of-life decisions were collected using an anonymous and validated questionnaire. Statistical analyses included cross-tabulations, Pearson’s chi-square tests and multivariable-adjusted logistic regression models. Results: A total of 308 males and 689 females participated in the survey. About 70% of the respondents did not support euthanasia for people with incurable illness and/or elders with dementia when requested by them and 77% did not support euthanasia for people with incurable illness and/or elders with dementia when requested by relatives. Regarding cremation, 78% were against and only 14% reported being in favor. Further statistical analyses showed that male gender, being single and having reached higher educational level were factors positively associated with support for euthanasia in a statistically significant fashion. On the contrary, the more religiosity expressed by study participants, the less support they reported for euthanasia or cremation. Conclusions: The vast majority of Greek Cypriots does not support euthanasia for people with incurable illness and/or elders with dementia and also do not support cremation. Certain demographic characteristics such as age and education have a positive influence towards attitudes for euthanasia and cremation, while religiosity exerts a strong negative influence on the above. Family bonding as well as social and cultural traditions may also play a role although not comprehensively evaluated in the current study

The Impact of Migrations on the Health Services for Rare Diseases in Europe: The Example of Haemoglobin Disorders

Migration from different parts of the world to several European countries leads to the introduction of haemoglobinopathy genes into the population, which creates several demanding needs for prevention and treatment services for Hb disorders. In this paper we examined the degree to which European health services have responded to such challenges and in particular to health services necessary to address the needs of patients with thalassaemia and sickle cell disease (SCD). Information on available services was obtained from international organizations, collaborated European project, and the Thalassaemia International Federation (TIF) Databases, which include information from published surveys, registries, field trips, and delegation visits to countries and regions by expert advisors, local associations, and other collaborators' reports. Results show that countries with traditional strong prevention and treatment programs are well prepared to face the above challenges, while others are urgently needed to address these problems in a systematic way. The Thalassaemia International Federation (TIF) is committed to monitor the progress, raise awareness, and support the promotion of more immigrant-oriented health policies to ensure their integration in society and their access to appropriate, adequate, and timely health services

Identifying and prioritizing opportunities for improving efficiency on the farm: holistic metrics and benchmarking with Data Envelopment Analysis

Efficiency benchmarking is a well-established way of measuring and improving farm performance. An increasingly popular efficiency benchmarking tool within agricultural research is Data Envelopment Analysis (DEA). However, the literature currently lacks sufficient demonstration of how DEA could be tuned to the needs of the farm advisor/extension officer, rather than of the researcher. Also, the literature is flooded with DEA terminology that may discourage the non-academic practitioner from adopting DEA. This paper aims at making DEA more accessible to farm consultants/extension officers by explaining the method step-by-step, visually and with minimal use of specialised terminology and mathematics. Then, DEA’s potential for identifying cost-reducing and profit-making opportunities for farmers is demonstrated with a series of examples drawn from commercial UK dairy farm data. Finally, three DEA methods for studying efficiency change and trends over time are also presented. Main challenges are discussed (e.g. data availability), as well as ideas for extending DEA’s applicability in the agricultural industry, such as the use of carbon footprints and other farm sustainability indicators in DEA analyses

Iron deposits in the knee joints of a thalassemic patient

The overall prognosis for patients with β-thalassemia has improved considerably during the past decades mainly due to regular blood transfusions, improvements in chelation therapy, and enhanced surveillance with imaging studies examining iron overload and other clinical complications. However, the prolonged survival of these patients leads to the development of other health problems including degenerative diseases such as arthropathies, which require further attention since they have a significant impact on the quality of life. In the current case report, we present a 45-year-old white man with β-thalassemia complaining of non-traumatic pain and restriction in the range of motion of both knees. Magnetic resonance imaging (MRI) revealed a tear in the medial meniscus of the left knee as well as iron deposits in both knees. Histological findings confirmed the presence of hemosiderin in both joints. To our knowledge, this is the first reported case of macroscopically documented iron deposits in the knee joints of a patient with β-thalassemia using MRI

Firefighters and on-duty deaths from coronary heart disease: a case control study

BACKGROUND: Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death. METHODS: We performed a case-control study, selecting 52 male firefighters whose CHD deaths were investigated by the National Institute for Occupational Safety and Health. We selected two control populations: 51 male firefighters who died of on-duty trauma; and 310 male firefighters examined in 1996/1997, whose vital status and continued professional activity were re-documented in 1998. RESULTS: The circadian pattern of CHD deaths was associated with emergency response calls: 77% of CHD deaths and 61% of emergency dispatches occurred between noon and midnight. Compared to non-emergency duties, fire suppression (OR = 64.1, 95% CI 7.4–556); training (OR = 7.6, 95% CI 1.8–31.3) and alarm response (OR = 5.6, 95% CI 1.1–28.8) carried significantly higher relative risks of CHD death. Compared to the active firefighters, the CHD victims had a significantly higher prevalence of cardiovascular risk factors in multivariate regression models: age ≥ 45 years (OR 6.5, 95% CI 2.6–15.9), current smoking (OR 7.0, 95% CI 2.8–17.4), hypertension (OR 4.7, 95% CI 2.0–11.1), and a prior diagnosis of arterial-occlusive disease (OR 15.6, 95% CI 3.5–68.6). CONCLUSIONS: Our findings strongly support that most on-duty CHD fatalities are work-precipitated and occur in firefighters with underlying CHD. Improved fitness promotion, medical screening and medical management could prevent many of these premature deaths