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Anastasiou F, Antonopoulou M, Tsiligianni I, Lionis C. Long term impact of the economic crisis on health care in the Greek setting: The Pandora box? Health Policy 2016; 120:860. [PMID: 27263062 DOI: 10.1016/j.healthpol.2016.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Accepted: 05/11/2016] [Indexed: 10/21/2022]
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Vlastos D, Antonopoulou M, Konstantinou I. Evaluation of toxicity and genotoxicity of 2-chlorophenol on bacteria, fish and human cells. THE SCIENCE OF THE TOTAL ENVIRONMENT 2016; 551-552:649-655. [PMID: 26897408 DOI: 10.1016/j.scitotenv.2016.02.043] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Revised: 02/06/2016] [Accepted: 02/06/2016] [Indexed: 06/05/2023]
Abstract
Due to the extensive use of chlorophenols (CPs) in anthropogenic activities, 2-Chlorophenol (2-CP), among other CPs, can enter aquatic ecosystems and can be harmful to a variety of organisms, including bacteria, fish and humans, that are exposed directly and/or indirectly to such contaminated environments. Based on the existing knowledge and in order to move a step forward, the purpose of this study is to investigate the toxic and mainly the genotoxic effects of 2-CP using a combination of bioassays. The tests include the marine bacterium Vibrio fischeri and micronuclei induction in the erythrocytes of Carassius auratus as well as in cultured human lymphocytes. The results obtained reveal that 2-CP is able to induce dose-dependent toxic and genotoxic effects on the selected tested concentrations under the specific experimental conditions.
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Tantis I, Antonopoulou M, Konstantinou I, Lianos P. Coupling of electrochemical and photocatalytic technologies for accelerating degradation of organic pollutants. J Photochem Photobiol A Chem 2016. [DOI: 10.1016/j.jphotochem.2015.11.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Petala A, Frontistis Z, Antonopoulou M, Konstantinou I, Kondarides DI, Mantzavinos D. Kinetics of ethyl paraben degradation by simulated solar radiation in the presence of N-doped TiO2 catalysts. WATER RESEARCH 2015; 81:157-66. [PMID: 26057263 DOI: 10.1016/j.watres.2015.05.056] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Revised: 05/20/2015] [Accepted: 05/28/2015] [Indexed: 05/22/2023]
Abstract
Ethyl paraben (EP), an emerging micro-pollutant representative of the parabens family, has been subject to photocatalytic degradation under simulated solar radiation at a photon flux of 1.3·10(-4) E/(m(2) s). Six nitrogen-doped titania catalysts synthesized by annealing a sol-gel derived TiO2 powder under ammonia flow and their un-doped counterparts, calcined in air at different temperatures in the range 450-800 °C, were compared under solar and visible light and the most active one (N-doped TiO2 calcined at 600 °C) was used for further tests. Experiments were performed at EP concentrations between 150 and 900 μg/L, catalyst loadings between 100 and 1000 mg/L, pH between 3 and 9, different matrices (ultrapure water, water spiked with humic acids or bicarbonates, drinking water and secondary treated wastewater) and hydrogen peroxide between 10 and 100 mg/L. For EP concentrations up to 300 μg/L, the degradation rate can be approached by first order kinetics but then shifts to lower order as the concentration increases. The rate increases linearly with catalyst loading up to 750 mg/L and hydrogen peroxide up to 100 mg/L. Near-neutral (pH = 6.5-7.5) and alkaline conditions (pH = 9) do not affect degradation, which is reduced at acidic pH. The presence of humic acids at 10-20 mg/L impedes degradation due to the competition with EP for the oxidizing species and this is more pronounced in actual wastewater matrices. UPLC-ESI-HRMS and HPLC-DAD were employed to follow EP concentration changes, as well as identify and quantify transformation by-products during the early stages of the reaction. Five such products were successfully detected and, based on their concentration-time profiles, a reaction network for the degradation of EP is proposed. Hydroxyl radical reactions appear to prevail during the initial steps as evidenced by the rapid formation of hydroxylated and dealkylated intermediates.
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Tantis I, Bousiakou L, Frontistis Z, Mantzavinos D, Konstantinou I, Antonopoulou M, Karikas GA, Lianos P. Photocatalytic and photoelectrocatalytic degradation of the drug omeprazole on nanocrystalline titania films in alkaline media: Effect of applied electrical bias on degradation and transformation products. JOURNAL OF HAZARDOUS MATERIALS 2015; 294:57-63. [PMID: 25855613 DOI: 10.1016/j.jhazmat.2015.03.042] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Revised: 03/19/2015] [Accepted: 03/21/2015] [Indexed: 06/04/2023]
Abstract
Photocatalytic and photoelectrocatalytic degradation of the drug omeprazole has been studied in the presence of nanocrystalline titania films supported on glass slides or transparent FTO electrodes in alkaline environment. Its photocatalytic degradation rate was assessed by its UV absorbance and by HPLC, while its transformation products were analyzed by HR-LC-MS. Based on UV absorbance, omeprazole can be photocatalytically degraded at an average rate of 6.7×10(-4)min(-1) under low intensity UVA irradiation of 1.5mWcm(-2) in the presence of a nanoparticulate titania film. This corresponds to degradation of 1.4mg of omeprazole per gram of the photocatalyst per liter of solution per hour. The photodegradation rate can be accelerated in a photoelectrochemical cell by applying a forward bias. In this case, the maximum rate reached under the present conditions was 11.6×10(-4)min(-1) by applying a forward bias of +0.6V vs. Ag/AgCl. Four major transformation products were successfully identified and their profiles were followed by HR-LC-MS. The major degradation path includes the scission of the sulfoxide bridge into the corresponding pyridine and benzimidazole ring derivates and this is accompanied by the release of sulfate anions in the reaction mixture.
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Charalampous N, Kindou A, Vlastos D, Tsarpali V, Antonopoulou M, Konstantinou I, Dailianis S. A Multidisciplinary Assessment of River Surface Water Quality in Areas Heavily Influenced by Human Activities. ARCHIVES OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY 2015; 69:208-222. [PMID: 25832760 DOI: 10.1007/s00244-015-0152-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Accepted: 03/13/2015] [Indexed: 06/04/2023]
Abstract
The present study could serve as a multidisciplinary approach for the assessment of river surface water quality with the use of chemical and biological methods. Specifically, physicochemical parameters, heavy metals, and pesticides were measured in water samples from three different stations (sampling station S1, S2, and S3) along Asopos River (Greece). In parallel, algal species (primary producers)-such as Scenedesmus rubescens and Chlorococcum sp.; consumer invertebrate species, such as the fairy shrimp Thamnocephalus platyurus and the rotifer Brachionus calyciflorus; as well as human lymphocytes-were exposed to those samples for assessing their toxic and genotoxic/mutagenic effects. According to the results, although the values of almost all of the physicochemical parameters tested, heavy metals (zinc, cadmium, lead, and mercury) and pesticides were lower than or within the respective environmental quality standards, thus offering no clear evidence for their natural or anthropogenic origin. Values recorded for nickel, chromium, hexavalent chromium, and malathion represent a typical case of mixed influence from natural and anthropogenic enrichments. In contrast, the algal growth arrest, the acute toxic effects on the freshwater invertebrates, and the increased micronuclei frequencies observed in human lymphocytes showed the presence of human-derived hazardous substances, which were hardly determinable with the use of conventional chemical methods. Given that the presence of priority pollutants in river surface waters, heavily burdened by anthropogenic activities, could give no clear evidence for their biological risk, the results of the present study showed that chemical and biological assays should be applied in parallel, thus serving as a reliable tool for the assessment of river water quality.
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Antonopoulou M, Konstantinou I. Photocatalytic degradation of pentachlorophenol by visible light Ν-F-TiO₂ in the presence of oxalate ions: optimization, modeling, and scavenging studies. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2015; 22:9438-9448. [PMID: 25604561 DOI: 10.1007/s11356-014-4053-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 12/26/2014] [Indexed: 06/04/2023]
Abstract
The efficiency of heterogeneous photocatalysis using N-F-TiO2 as photocatalyst to degrade a priority pollutant, pentachlorophenol (PCP), in the presence of oxalates (OA) was investigated in detail. Response surface methodology was used to optimize the effect of three variables (catalyst concentration, OA/PCP ratio, and pH) on the photocatalytic degradation of pentachlorophenol. A quadratic model was established as a functional relationship between three independent variables and the degradation efficiency of PCP. The results of model fitting and statistical analysis demonstrated that the pH played a key role in the degradation of PCP. Within the studied experimental ranges, the optimum conditions for maximum PCP degradation efficiency (97.5 %) were: catalyst concentration 600 mg L(-1), OA/PCP ratio 2, and pH 10. The contribution of HO(·), O2 (·-), and e(-) produced during the photocatalytic treatment was investigated with the addition of scavengers. The photocatalytic degradation was essentially proceeded through an oxidative mechanism at both acid and alkaline pH values by HO(.) and O2 (·-) radicals attack. It was found that O2 (·-) were the major reactive species involved in PCP degradation in pH 4 and HO(·) in pH 10.
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Antonopoulou M, Vlastos D, Konstantinou I. Photocatalytic degradation of pentachlorophenol by N–F–TiO2: identification of intermediates, mechanism involved, genotoxicity and ecotoxicity evaluation. Photochem Photobiol Sci 2015; 14:520-7. [DOI: 10.1039/c4pp00254g] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Heterogeneous photocatalysis using N–F codoped TiO2 was successfully applied for degradation, mineralization as well as for genotoxicity and ecotoxicity elimination of PCP in the aqueous phase.
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Antonopoulou M, Konstantinou I. Photocatalytic treatment of metribuzin herbicide over TiO2 aqueous suspensions: Removal efficiency, identification of transformation products, reaction pathways and ecotoxicity evaluation. J Photochem Photobiol A Chem 2014. [DOI: 10.1016/j.jphotochem.2014.08.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Antonopoulou M, Evgenidou E, Lambropoulou D, Konstantinou I. A review on advanced oxidation processes for the removal of taste and odor compounds from aqueous media. WATER RESEARCH 2014; 53:215-234. [PMID: 24525070 DOI: 10.1016/j.watres.2014.01.028] [Citation(s) in RCA: 174] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Revised: 12/16/2013] [Accepted: 01/12/2014] [Indexed: 06/03/2023]
Abstract
In view of the global concern about the occurrence of taste and odor (T&O) compounds in waters for drinking water supply and the necessity for the development of more innovative and efficient technologies for water treatment and depuration, the focus of this study is to provide a state of the art overview on current knowledge for the application of advanced oxidation technologies for the treatment of T&O compounds in aquatic media. The most representative and newly emerging compounds belonging to the major groups of T&O compounds, such as geosmin, methylisoborneol, benzothiazoles, mercaptans and sulfides as well as aromatic and other miscellaneous T&O compounds, are included in the systematic overview. The current data has been compiled and extensively discussed in terms of the degree of degradation, reaction kinetics, effect of operational parameters and water quality, identity of intermediate and final products and possible transformation pathways.
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Anagnostopoulou S, Venieratos D, Antonopoulou M. Temporomandibular Joint and Correlated Fissures: Anatomical and Clinical Consideration. Cranio 2014; 26:88-95. [DOI: 10.1179/crn.2008.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Tsiligianni I, Anastasiou F, Antonopoulou M, Chliveros K, Dimitrakopoulos S, Duijker G, Kounalakis D, Makri K, Petraki C, Prokopiadou D, Stefanaki I, Symvoulakis E, Tsakountakis N, Vasilopoulos T, Vittorakis C, Lionis C. Greek rural GPs' opinions on how financial crisis influences health, quality of care and health equity. Rural Remote Health 2013; 13:2528. [PMID: 23527486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
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Antonopoulou M, Iatrou I, Paraschos A, Anagnostopoulou S. Variations of the attachment of the superior head of human lateral pterygoid muscle. J Craniomaxillofac Surg 2012; 41:e91-7. [PMID: 23265808 DOI: 10.1016/j.jcms.2012.11.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Revised: 11/09/2012] [Accepted: 11/12/2012] [Indexed: 10/27/2022] Open
Abstract
INTRODUCTION The superior head of the lateral pterygoid muscle (LPM), is closely related to the temporomandibular joint (TMJ) and plays a role in the aetiology of temporomandibular disorders. Increased activity of this muscle has been implicated in the anterior displacement of the TMJ disc. However, there is uncertainty about the manner of the LPM attachment to the disc-condyle complex. AIM The aim of this study was to investigate the exact anatomy of the attachment of the superior head of the LPM (SLPM) to the disc-condyle complex of the TMJ. MATERIAL AND METHODS Thirty-six TMJs were examined - both sides of 18 Greek cadavers (eight males and 10 females, mean age 79.6 years). Examination of the attachment of the SLPM was undertaken viewed under the dissecting microscope. RESULTS Variation in the attachment of the SLPM was categorized into three types: in type I, the SLPM inserted into the condyle and the disc-capsule complex (55.5%). In type II, the SLPM only inserted into the condyle (27.8%). In type III, the SLPM inserted purely into the disc-capsule complex (16.7%). CONCLUSIONS This study demonstrates that there are three different attachment types of the SLPM to the disc-condyle complex. The type III variation could be involved in the TMJ pathology. The knowledge of the variations of the SLPM attachment could be useful for precise surgical and pharmaceutical approaches.
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Tyrovolas S, Psaltopoulou T, Pounis G, Papairakleous N, Bountziouka V, Zeimbekis A, Gotsis E, Antonopoulou M, Metallinos G, Polychronopoulos E, Lionis C, Panagiotakos DB. Nutrient intake in relation to central and overall obesity status among elderly people living in the Mediterranean islands: the MEDIS study. Nutr Metab Cardiovasc Dis 2011; 21:438-445. [PMID: 20153615 DOI: 10.1016/j.numecd.2009.10.012] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2009] [Revised: 09/02/2009] [Accepted: 10/26/2009] [Indexed: 01/02/2023]
Abstract
BACKGROUND AND AIM The aim of the present work was to evaluate the relationship between energy-generating nutrients and the presence of central and overall obesity after correcting for socio-demographic, lifestyle and clinical characteristics, among healthy elders. METHODS AND RESULTS During 2005-2007, 553 elderly men and 637 elderly women (mean age 74±7years) from eight Mediterranean islands in Greece and Cyprus, were enrolled. The retrieved information included demographic, bio-clinical and dietary characteristics. MedDietScore assessed adherence to the Mediterranean dietary pattern. The prevalence of obesity was 27% in males and 39% in females (p<0.001), while 73% of males and 87% of females had central obesity. The prevalence of diabetes, hypercholesterolemia and hypertension was higher in the obese than in the non-obese participants (p<0.01). After adjusting for various confounders, a 1% increase in carbohydrate consumption was associated with a 12% (95% CI 0.78-0.99) lower likelihood of having central obesity, while a 1% increase in carbohydrate and protein consumption was associated with a 14% (95% CI 0.78-0.95) and 16% (95% CI 0.72-0.97) lower likelihood of being obese, respectively. Vegetable protein was found to be associated with a 15% (95% CI 0.77-0.93) lower likelihood of being obese while, only low glycemic index carbohydrates seem to be associated with a 6% (95% CI 0.90-0.98) lower likelihood of having central obesity. CONCLUSIONS The presented findings suggest that a diet high in carbohydrates and vegetable protein is associated with a lower likelihood of being obese and may help elderly people to preserve normal weight.
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Tyrovolas S, Polychronopoulos E, Papairakleous N, Zeimbekis A, Gotsis E, Antonopoulou M, Metallinos G, Lionis C, Panagiotakos DB. Daily Walking Activities Are Positively Associated With Hypertriglyceridemia In Older Adults Living On Mediterranean Islands. Med Sci Sports Exerc 2011. [DOI: 10.1249/01.mss.0000402182.31927.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Pounis GD, Tyrovolas S, Antonopoulou M, Zeimbekis A, Anastasiou F, Bountztiouka V, Metallinos G, Gotsis E, Lioliou E, Polychronopoulos E, Lionis C, Panagiotakos DB. Long-term animal-protein consumption is associated with an increased prevalence of diabetes among the elderly: the Mediterranean Islands (MEDIS) study. DIABETES & METABOLISM 2011; 36:484-90. [PMID: 20888279 DOI: 10.1016/j.diabet.2010.06.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2010] [Revised: 06/27/2010] [Accepted: 06/28/2010] [Indexed: 01/08/2023]
Abstract
AIM The role of animal-protein consumption on the prevalence of diabetes is not yet fully understood. For this reason, this study investigated the relationship between long-term animal-protein intake and diabetes in elderly individuals with no known cardiovascular disease. METHODS During 2005-2007, 1190 men and women, aged 65-100 years, from Cyprus, Mitilini, Samothraki, Cephalonia, Crete, Lemnos, Corfu and Zakynthos were enrolled into the study. Diabetes was defined as fasting blood glucose ≥ 125 mg/dL or the use of antidiabetic medication. All participants were asked about their dietary habits through a semiquantitative food-frequency questionnaire. Assessment of protein and energy intakes was performed using food-composition tables. RESULTS After adjusting for age, gender, obesity, history of hypertension, hypercholesterolaemia and dietary habits, a 5% increase in protein intake from meat and meat products was associated with a 34% (OR=1.338, 95% CI: 1.02-1.76) greater likelihood of diabetes, while a 5% increase in total protein intake was associated with a 29% (OR=1.288, 95% CI: 1.00-1.69) greater likelihood of diabetes. No significant associations between diabetes and protein intakes from vegetables and cereals were observed. CONCLUSION Animal-protein consumption was associated with a higher prevalence of diabetes among the elderly, whereas protein intakes, especially from plant sources, within the recommended range appear to confer considerable protection. This suggests that reducing or controlling the burden of diabetes through dietary means in the elderly should include monitoring their daily protein intake.
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Yannakoulia M, Tyrovolas S, Bountziouka V, Papairakleous N, Zeimbekis A, Antonopoulou M, Gotsis E, Metallinos G, Polychronopoulos E, Lionis C, Panagiotakos D. THE MEDIATING EFFECT OF PHYSICAL ACTIVITY AND SMOKING ON THE RELATIONSHIP BETWEEN COFFEE DRINKING AND BODY WEIGHT IN ELDERLY INDIVIDUALS: THE MEDITERRANEAN ISLANDS STUDY. J Am Geriatr Soc 2010; 58:1208-10. [DOI: 10.1111/j.1532-5415.2010.02893.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Grammatikopoulos IA, Sinoff G, Alegakis A, Kounalakis D, Antonopoulou M, Lionis C. The Short Anxiety Screening Test in Greek: translation and validation. Ann Gen Psychiatry 2010; 9:1. [PMID: 20051118 PMCID: PMC2819236 DOI: 10.1186/1744-859x-9-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2009] [Accepted: 01/05/2010] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of the current study was to assess the reliability and validity of the Greek translation of the Short Anxiety Screening Test (SAST), for use in primary care settings. The scale consists of 10 items and is a brief clinician rating scale for the detection of anxiety disorder in older people, particularly, in the presence of depression. METHODS The study was performed in two rural primary care settings in Crete. The sample consisted of 99 older (76 +/- 6.3 years old) people, who fulfilled the participating criteria. The translation and cultural adaptation of the questionnaire was performed according to international standards. Internal consistency using the Cronbach alpha coefficient and test-retest reliability using the intraclass correlation coefficient (ICC) was used to assess the reliability of the tool. An exploratory factor analysis using Varimax with Kaiser normalisation (rotation method) was used to examine the structure of the instrument, and for the correlation of the items interitem correlation matrix was applied and assessed with Cronbach alpha. RESULTS Translation and backtranslation did not reveal any specific problems. The psychometric properties of the Greek version of the SAST scale in primary care were good. Internal consistency of the instrument was good, the Cronbach alpha was found to be 0.763 (P <0.001) and ICC (95% CI) for reproducibility was found to be 0.763 (0.686 to 0.827). Factor analysis revealed three factors with eigenvalues >1.0 accounting for 60% of variance, while the Cronbach alpha was >0.7 for every item. CONCLUSIONS The Greek translation of the SAST questionnaire is comparable with that of the original version in terms of reliability, and can be used in primary healthcare research. Its use in clinical practice should be primarily as a screening tool only at this stage, with a follow-up consisting of a detailed interview with the patient, in order to confirm the diagnosis.
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Antonopoulou M, Antonakis N, Hadjipavlou A, Lionis C. Patterns of pain and consulting behaviour in patients with musculoskeletal disorders in rural Crete, Greece. Fam Pract 2007; 24:209-16. [PMID: 17504775 DOI: 10.1093/fampra/cmm012] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Musculoskeletal disorders (MSDs) account as a reason for frequent consultations in primary care. However, the magnitude of the problem at the GP's clinic, the patterns of pain and the consulting behaviour has not been sufficiently explored. OBJECTIVES The aim of this study was to report on patterns of pain relevant to MSDs and explore the co-morbidities and consulting behaviour in rural primary care settings in Crete. METHODS Three primary care centres (PCCs) of Crete were selected for a study period of 2 weeks. Every visitor, aged 20-75 years, regardless of the reason for visiting the facility was invited to participate. The Greek version of the general Nordic questionnaire for the analysis of musculoskeletal disorders (NMQ) was used for data collection. RESULTS A total of 455 subjects answered the NMQ. Three hundred and seventy-six (82.6%) of the study population reported having one or more symptoms during the previous year. Low back (56.9%), neck (34.1%), shoulder (29.9%) and knee (27.9%) were the commonest sites of pain. In almost half cases (48.6%), the complaints about pain were accompanied by activity restrictions. Multivariate statistical analysis showed significant correlations with increasing age and female gender (P < 0.05). Common chronic conditions were associated with co-morbidities from the musculoskeletal system. Only one-third of those who reported MSDs had consulted their GPs for the same problems within the previous year. CONCLUSIONS MSDs are highly prevalent among rural population in Crete but fewer patients seek care than those who report symptoms.
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Lionis C, Thireos E, Antonopoulou M, Rovithis E, Philalithis A, Trell E. Assessing university students' health needs: lessons learnt from Crete, Greece. Eur J Public Health 2006; 16:112. [PMID: 16431867 DOI: 10.1093/eurpub/cki225] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Antonopoulou M, Ekdahl C, Sgantzos M, Antonakis N, Lionis C. Translation and standardisation into Greek of the standardised general Nordic questionnaire for the musculoskeletal symptoms. Eur J Gen Pract 2004; 10:33-4. [PMID: 15060481 DOI: 10.3109/13814780409094226] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
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Lionis C, Antonopoulou M, Volitaki K, Thireos E. Coronary risk assessment of university students in Crete with premature parental coronary heart disease. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2004; 52:237-238. [PMID: 15029946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
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Kechagiadakis G, Antonopoulou M. G.B. Morgagni: the father and founder of contemporary pathology. FORUM (GENOA, ITALY) 2001; 4:485-7. [PMID: 11640021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
Giovanni Morgagni (1682-1771) who lived in the 18th century was the greatest pathologist that ever existed. His fame extended beyond his country, Italy, and his name became universally known, being the Father of Contemporary Pathology. He set the basis for the creation of a new medical specialisation, pathology, which was unknown at the time. His brilliant mind made a big step in the formation of a new type of clinical thought in every day medicine. He managed to make the clinician, physician and surgeon think and act in a different scientific manner; to think in an anatomo-clinical way. In other words, by correlating the symptoms of a certain disease with the corresponding pathological alterations, he also discovered many new diseases and wrote many books which were unique for their wisdom.
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