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Psychosocial issues in elderly

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Third age is the period in which the person is withdrawn from the daily activities, such as workplace, resulting in the different psycho-social problems, such as dementia, agitation, anxiety, loneliness and social exclusion. These problems lead to people's psychological depression with its subsequent effects on their health. Exploring the psycho-social problems is of great importance, as this age is characterized by feelings of loneliness, fear, depression and isolation from themselves, unpleasant thoughts but it is also dominated by negative feelings.
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Introduction: Anorexia nervosa is a food intake disorder characterized by acute weight loss that it could cause severe psychosomatic problems. Purpose: To present the data and information as well as the treatment related to Anorexia nervosa. Materials and methods: The study material consisted of reviewed articles on the topic found in Greek and globally accepted electronic databases, Pubmed, Scopus, Medline, Google Scholar, regarding the effects of Anorexia nervosa on health and its treatment. Results: Initial symptoms of Anorexia nervosa and Bulimia Nervosa may be characterised by body-related negative interpretation bias, distorted body image and pronounced body dissatisfaction. Anorexic patients refuse to eat with their family or in public places. They lose weight by drastically reducing their total food intake, with a disproportionate reduction in the amount of meals containing carbohydrates and fats. The term Anorexia is unfortunate, because a decrease in appetite does not occur. Patients are constantly hungry and they are constantly thinking about food, but they refuse it. An indication of their way of thinking is that they often collect recipes or prepare complex meals for others. Conclusions: Anorexia nervosa is a disease that connects the physical with the mental dimension of health. A person's disharmonious relationship with oneself, which may have its roots in a dysfunctional family context or in a demanding and competitive social environment, finds the way to be manifested through the individual's reflection on food.
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Introduction: The clinical examiner's communication with the patient is essential for successful relationship. It covers all forms of the doctor-patient relationship, and its quality affects the outcome of the disease. Purpose:The discussion and critical evaluation of the communication’s importance in therapeutic practice through a critical review of the existing literature. Material and Methods: A literature search was performed in Medline, Pubmed, Cinahl, Google Scholar databases and the Greek database Iatrotek, conducted during the period 1988 – 2012, with keywords relevant to the subject of this review. Results: The communication between medical and nursing staff and patient must follow certain rules. As the time spent by the physician in the examination and updating of the patient increases, so does the satisfaction of the second, it is appropriate to develop policies aimed at detailed information on the progress of the disease and its treatment. Furthermore, it is worth mentioning the physician’s comfort when he is dealing with giving news, especially bad news and the maintenance of patient’s hope during making decisions for his health and his life. The mistakes during the communication between the examiners and the patients are usually out of ignorance or negligence not only by early-stage investigators, but also poorly trained examiners older, and neglect systematically during the physical examination of patients. Conclusion: There is a growing need for informed patient and involved in the therapeutic process, so there is a great need for the therapist have communication skills.
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Introduction: Aging is accompanied by several physiological and psychological changes in the organism of an individual (e.g., decreased sense of taste and smell, disruption of satiety, depression), which affect the nutritional intake. Purpose: The purpose of this retrospective study is to highlight the nutritional habits of elderly people. Materials and methods: Extensive review of the recent literature in electronic databases (Pub med, Google scholar) and journals. Exclusion criterion for the articles was the language than the Greek and English. Results: The increase life expectancy is important to be accompanied by physical and mental health, quality of life and, where possible, from participation in social, economic, cultural and spiritual life. Adopting healthy dietary patterns, combined with daily physical activity, and factors such as avoiding smoking, could help considerably in reaching these goals. The physical and psychological changes occurring during aging may adversely affect nutritional status. Instead, a proper diet can positively influence the physical and emotional state of elderly people. Conclusions: Diet and generally nutrition habits of the elderly play an important role in their health.
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Introduction: Ulcerative colitis is one of the most interesting nosological entities of gastroenterology and internal medicine. This chronic autoimmune disorder of the digestive system, along with Crohn's disease, is a type of idiopathic inflammatory bowel disease. It mainly affects people during their peak reproductive age, i.e., 15 to 30 years old. It is characterized by diffuse mucosal inflammation of the large intestine, which is limited to the colon and shows alternating periods of exacerbations and remissions. Purpose: To review the world literature regarding the impact of the disease on fertility, the course of pregnancy, and consecutively, the outcome of pregnancy.Materials and methods: An extensive review of the recent national and international literature in electronic databases (Pubmed, Google Scholar) and in scientific journals was accomplished through the use of appropriate keywords. Results: The majority of women will have a chance of conceiving. For about 25% of them, conception will be achieved in the course of the disease and it will progress normally, resulting in a healthy fetal outcome. Infertility only occurs among men while they are taking medicines, whereas among women it occurs after surgery for ileoanal anastomosis. During periods of flare-ups, there is a possibility of spontaneous abortion, premature labor and birth of an infant with low birth weight. The majority of pharmaceutical formulations can be used safely both before and after pregnancy without causing any birth defects.
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History reminds us that the care in Byzantium constitutes a unique example for all of human history and civilization. The Byzantine period is specifically of interest for its approach to social welfare and organized care for the sick, the elderly, mothers, and children. Byzantine hospitals were so well organized that they may be compared with contemporary ones. Nursing care was administered mostly by nuns and monks as a form of prayer and as an expression of love and worship of God. On this basis, nursing developed into a calling and a sacred service. During the Byzantine period, knowledge spread across the world, the social position of nursing was elevated, and the spiritual aspect of healing was emphasized.
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Introduction: The Peritoneal Dialysis (PD) is a preferable treatment option of the renal replacement in patients with chronic renal failure (CRF) end stage. Purpose: The purpose of this study was to review of articles published related to the contribution of nutrition to health promotion of patients undergoing haemodialysis.Materials and methods: A review of the Greek and international literature on the subject was Performed through the electronic databases Medline, Google Scholar, Scopus and the Association of Greek Academic Libraries Link (Heal-Link), using as key words the following terms:haemodialysis, renal failure, peritoneal dialysis, nutrition.Most of the articles used in this literature review were recently published. Only few old - dated articles were included in the study and the reason was their significant contribution to the field. The exclusion criteria for the articles were the languages except from English and Greek.Results:Patient’s diet must contain 1.3 g of protein per kilogram of body weight per day. Consumption of foods rich in carbohydrates should be limited. Patients should consume foods with the adequate quantity of phosphorus and potassium. Finally, they should have their sodium levels and fluid intake checked because sodium causes severe thirst that can lead to excessive fluid intake. As a result, the patient experiences swelling, shortness of breath and high blood pressure.Conclusion: Patients who undergo peritoneal dialysis must be checked regularly and pay special attention to their diets.
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Medical causes are also concerned to be causes of divorce in Christian Byzantium. These diseases included leprosy, madness and impotence of male, and they are studied in the present short historical article. In the cause of divorce for Madness, whilst the wife has to wait five years to seek divorce, the husband has to wait only three years. In the cause of divorce for Impotence of the male, the wife should wait for three years in case of recovery. In the cause of Leprosy, it seems that the disease was a cause of divorce only if it concerned the wife. With these laws, therefore, the Byzantine leaders protected not only the health of people but also society’s health in general.
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Purpose: To examine the effects of child abuse and the measures taken to protect children at various levels of prevention and intervention. Material and methods: A literature search was performed in the databases of Medline, PubMed, CINAHL, and Google Scholar and in the Greek database Iatrotek based on the years 1992 to 2013. A classic literature search for scientific publications and studies from libraries was also conducted. From a total of 58 studies, only 30 were selected. The criteria for selecting studies were as follows: a) articles written in Greek and English, and b) articles that referred to the subject of this review using the terms child abuse, consequences, prevention, and treatment. Results: Reference is made to the types of child abuse, their impacts, and risk factors that may have a positive or negative role in the occurrence of the phenomenon. Furthermore, the problem of child abuse is approached in terms of the changes and improvements needed at the legislative, social, research, and therapeutic levels in order to provide protection to child victims of abuse. The large number of negative effects on children’s development, which are not limited to childhood but also leave mental and emotional scars into adulthood, underlines the need for stronger measures to reduce the incidence of child abuse. Furthermore, due to the complexity of the phenomenon, it requires a concerted effort and a single plan of action, not only at the regional and national levels but also at the international level. Conclusions: Child abuse has multifactorial causes and requires a concerted effort and a single plan of action, not only at regional and national levels but also at the international level, in order to deal with it. Therefore, at this point, professionals who come into regular contact with children should be alert to possible signs of physical abuse in the children they serve as well as signs of abuse that are less visible, such as behavioral or psychological signs, and these professionals should act in ancillary roles.
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AIDS and nutrition in patients

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Introduction: AIDS is a viral infection that particularly affects the nutritional status of patients by complicating the absorption of nutrients and their metabolism. Purpose: The purpose of this retrospective study is to highlight the contribution of nutrition to the wellness of people with HIV in all stages of the disease. Review Methods: The methodology used to select the information used in this study includes review studies and research in leading databases such as PUBMED, MEDLINE, and IATROTEK. The selection criterion of the articles was the Greek and English language.Results: The real goal of the nutritional assessment of patients with AIDS is to improve their ability to consume a sufficient quantity and variety of foods in order to meet their nutritional needs. The evaluation of dietary intake assesses the adequacy of food and nutrients consumed. It includes assessing the dietary patterns, frequency of meals, and the factors that affect food choice. Conclusions: Maintaining a good nutritional status has a significant impact on the functioning of the immune system and the overall health of people living with HIV / AIDS.
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Introduction: A vision problem is a condition which involves not only visual difficulty but also blindness. Purpose: The purpose of this short review study is the early recognition of vision problems in children, the proper treatment as well as their prevention. Materials and methods: The material of the study has been recent articles on the subject that have been found mainly in the electronic database Medline, (HEAL-Link), with the following keywords: children, vision impairment, blindness, treatment, prevention. Review: A high risk group of individuals that frequently presents ophthalmic severe lesions leading to blindness consists of children with prenatal and perinatal adverse effects. Conclusions: Education gives the opportunity of co-existence between the blind and people who are able to see. This is the path to social inclusion of individuals with vision problems. Moreover, it is estimated these two groups would have more points in common than differences between them through this experience.
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Introduction: Continuing nursing education and the practice of newly acquired skills in clinical practice consist of increasingly important tools for improving patients’ care in today's health environment. Purpose: The purpose of this review study is to delve into the evaluation of continuing nursing education and its outcomes along with the educator’s role and obligations. Materials and Methods: A review of Greek and international literature was carried out, focusing on views regarding continuing nursing education and lifelong learning. The material of the study consisted of articles on the topic, found in Greek and international databases such as: Google Scholar, Mednet, Pubmed, Medline and the Hellenic Academic Libraries Association (HEAL-Link). Results: Evaluation of continuing nursing education is an integral part of improving the quality of educational activities. This assessment designates whether nurses meet the desired learning outcomes and provides feedback on ways to improve educational experiences that ultimately improve patient care. Conclusions: The final results of continuing nursing education activities should be aimed at improving nursing professional practice, and therefore, the care provided to patients by nurses.
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