Non-pharmacological interventions for Covid-19: How to improve adherence

Non pharmacological interventions (NPIs) have been widely recommended in the battle against Covid-19. Numerous NPIs, including personal protection, social distancing, and environment and travel measures, have been implemented globally to reduce Covid-19 incidence and mortality. Adherence to these measures is crucial in determining their effectiveness. This article discusses some important barriers and facilitators to adherence, based on existing knowledge and mainly recent literature in the area. We propose three ways in which adherence may be improved, including: (i) targeting individual-level barriers; (ii) addressing structural and societal factors; and (iii) facilitating healthy social norms/social emotions. Collectively, these highlight the important role of individual behavior (and adherence) in containing, and mitigating the impact of, Covid-19 now and into the future

A Comparative Quality Evaluation of PBSMT and NMT using Professional Translators

This paper reports on a comparative evaluation of phrase-based statistical machine translation (PBSMT) and neural machine translation (NMT) for four language pairs, using the PET interface to compare educational domain output from both systems using a variety of metrics, including automatic evaluation as well as human rankings of adequacy and fluency, error-type markup, and post-editing (technical and temporal) effort, performed by professional translators. Our results show a preference for NMT in side-by-side ranking for all language pairs, texts, and segment lengths. In addition, perceived fluency is improved and annotated errors are fewer in the NMT output. Results are mixed for perceived adequacy and for errors of omission, addition, and mistranslation. Despite far fewer segments requiring post-editing, document-level post-editing performance was not found to have significantly improved in NMT compared to PBSMT. This evaluation was conducted as part of the TraMOOC project, which aims to create a replicable semi-automated methodology for high-quality machine translation of educational data

"More Alike Than Unalike?" A Personal Reflection on Working to Support the Mental Health and Wellbeing of Unaccompanied Refugee Minors in Greece

In late 2018, motivated (and intrigued) by the scale of one of the largest and long-standing humanitarian crises in history, we embarked on two separate but related journeys to the island of Lesvos to work with unaccompanied refugee and asylum-seeking minors and to link in with NGOs working in the region. Peering through the prism of the current pandemic, the aim of this paper is to reflect on this life changing experience to share the on-the-ground reality and the true stories of war, violence and displacement as narrated by the children/young people with whom we worked and whom we met. In particular, we suggest that the integration of culturally appropriate and creative mental health and psychosocial support interventions in schools/educational settings might provide one way of supporting these children, as suggested by several authors in the international literature, but also in the context of a number of key learning based on our own experiences

The implementation process of the Workload Indicators Staffing Need (WISN) method by WHO in determining midwifery staff requirements in Greek Hospitals

Introduction One of the greatest challenges in the healthcare field is planning the health workforce under limited financial resources while being fully capable of responding to an affordable, fair and efficient healthcare system. This study aimed to demonstrate the implementation process of the health workforce planning tool ‘Workload Indicators of Staffing Needs’ introduced by the World Health Organization. Methods A descriptive and cross-sectional study was carried out at four (two public and two private) hospitals in Greece, to estimate midwifery staff requirements at ward level during 2015–2016, using the WISN software tool. Focus group discussions, structured interviews and annual service statistics from the hospitals’ records were used to obtain data. Results Results for both private hospitals showed a shortage in the number of midwives. However, after combining the interpretation of the results, as indicated by the WISN methodology and the structured interviews, current and required staffing is in balance in both. On the other hand, both public hospitals indicate a surplus of midwives (1.83 and 1.33 ratios for the General hospitals in Korinthos and Kalamata, respectively). Conclusions This study demonstrated the implementation process of the WISN methodology through its application in midwifery staff at four hospitals in Greece and confirmed its usefulness in estimating staffing requirements. The application of the WISN methodology should be viewed as a vital tool in assessing overstaffing and understaffing through the estimation of workload pressure among different categories of health staff, thus providing the basis for effective health workforce redistribution in Greece

Depressive symptoms among adolescent students in Greek high schools

Depressive symptoms in adolescence have been a subject of considerable controversy in terms of their nature, severity and identification. Therefore, the objective of this study was to examine the presence of depressive symptoms in Greek adolescent high school students and to explore the relationship between depressive symptoms and sociodemographic characteristics. For that purpose, a cross-sectional study design was conducted in two public schools in Megalopolis, Greece, from April 2012 to July 2012, using a self-administered questionnaire based on DSM-IV. The target population involved 222 high school students and the response rate was 74.75%. Data was analyzed using trend x2 test, student’s t-test and bivariate analysis. The analysis of survey data was conducted using the SPSS (19.0). Main findings demonstrate that 3.6% had symptoms of major depressive episode. Furthermore, depressive symptoms were significantly higher in girls, while statistically significant relationships were found between students’ physical(P<0.01) and mental health (P<0.008), students’ experiences in school (P<0.02), students’ experiences with friends (P<0.008) and the frequency of depressive symptoms. Overall, the study results reveal that depressive symptoms can occur in adolescents. Early diagnosis, as well as the need for psychological care at adolescence is necessary for the prevention of major depressive disorders