Sexual abuse and mental health in children and adolescents
Gerasimos Kolaitis
012
RESEARCH STUDY
Hospital waste management during the COVID-19 pandemic
Αlexios Mavroudis
018
REVIEW ARTICLES
Nutritional management of Rett syndrome in children
Rougeri Irini, Koutsikou Niki
026
The position of day care units in Greek reality
Αlexios Mavroudis
President A. Constantopoulos
Editorial board
Editor- in- Chief
S. Antoniadis
Members
S. Andronikou
E. Galanakis
A. Evangeliou
L. Thomaidou
M. Kanariou
A. Kapogiannis
S. Kitsiou-Tzeli
E. Mantadakis
P. Panagiotopoulou-Gartagani
A. Papadopoulou
V. Papaevagelou
A. Papathanassiou
A. Siamopoulou-Mavridou
A. Syrigou-Papavasiliou
Manuscript submission
e-mail: grammateia@e-child.gr
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032
FROM THE HISTORY OF MEDICINE
Stefanos Kartoulis (1852-1920). A prominent doctor from Chios in Alexandria, Egypt
Aristidis G. Diamantis
042
BETWEEN COLLEAGUES
Stelios Antoniadis
044
BOOK PRESENTATION
Stelios Antoniadis
046 RECENT PUBLICATIONS
048 INSTRUCTIONS TO AUTHORS
: Delay (investigating), Deny (responsibility), Distort (the facts), Disparage (the victim), and Devalue (the victim’s right to an equal education),
κατάθλιψη με αυτοκτονικότητα (διπλάσιες απόπειρες σε θύματα βιασμού),
μειωμένο έλεγχο παρορμήσεων, επιθετικότητα, χρήση
2. Allen B., Wamser R, Ferrer-Pistone L, Campbell CL. Problematic Sexual Behavior Among Children: A Meta-Analysis of Demographic and Clinical Correlates. Res Child Adolesc Psychopathol 2025.
doi: 10.1007/s10802-025-01300-6.
3. Belivanaki, M., Ropi, S., Kanari, N., Tsiantis, J., & Kolaitis, G. Trauma and post-traumatic stress disorder among psychiatric inpatient children and adolescents. European Journal of Psychotraumatology 2017: 8. doi:10.1080/20008198.2017.1351161
4. Hashim M. et al. Association of Childhood Sexual Abuse with Adolescent's Psychopathology: A Systematic Review and Meta-Analysis. Trauma Violence Abuse 2024: 25. doi: 10.1177/15248380241281365.
5. Hu MH et al. Clinical characteristics and risk factors of recurrent sexual abuse and delayed reported sexual abuse in childhood. Medicine 2018: 97:14. doi.org/10.1097/ MD.0000000000010236.
6. Lowe GE, Taylor EM. Exploring healthcare professionals' knowledge of how to identify and respond to child sexual abuse. Nurs Child Young People 2024. doi: 10.7748/ncyp.2024. e1525.
7. Luo Z, Chen Y, Epstein RA. Risk factors for child abuse and neglect: Systematic review and meta-analysis. Public Health. 2025, 16:241:89-98. doi: 10.1016/j.puhe.2025.01.028.
8. Monnat SM, Chandler F. Long Term Physical Health Consequences of Adverse Childhood Experiences. Sociol Q. 2015, 56(4): 723–752. doi:10.1111/tsq.12107.
9. Serafini G et al. The Relationship between Childhood Maltreatment and Non-Suicidal Self-injury: A Systematic Review. Front Psychiatry 2017:8:149. doi: 10.3389/fpsyt.2017.00149.
10. Sanders J. PTSD symptoms mediate the relationship between sexual abuse and substance use risk in juvenile justice involved youth. Child Maltreatment 2018: 23(3): 226–233. doi:10.1177/1077559517745154.
e-mail:
Αλέξιος
Correspondence
Alexios Mavroudis
Erithrou stavrou terma
c.p 22131, Tripoli Arcadia, Greece
T. 6978699611
e-mail: alexis.mavroudis@ yahoo.gr
Αlexios Mavroudis
Peadiatric department
General Hospital of Evangelistria
RESEARCH STUDY
Hospital waste management during the COVID-19 pandemic
Alexios Mavroudis
Summary
Introduction: Hospital waste management is defined as the method of collecting waste from the production site and transporting it for disposal or recycling and reuse.
Purpose: Study of the financial impact on the logistics of hospitals during the Covid-19 pandemic in terms of waste management.
Material: The criteria for collecting information include the hospital, the number and date of the contract or practice with the company, the contract duration, the contracting company, the type of waste, the management method, the unit of measurement, the quantity, the unit price including VAT (Value Added Tax), the total budget and a brief description of the terms of the contract.
Method: Recording of information from the collection of contracts and evaluation of the relationship between the date of execution of the project and the amount of waste the company undertakes to treat, as well as the correlation of the work performed according to the global budget of nursing units and the cost of payment. Waste management treatment is classified chronologically before and during the Covid-19 era.
Results: The period of the Covid-19 pandemic increased the amount of waste in the two years 2020-2022. Hospitals’ finance departments change the annual budget and cost for hiring licensed companies to perform the waste treatment work.
Conclusions: The development of new health care facilities is causing an increase in waste. Hospital administrations increase the budget and the cost of hiring companies to ensure high quality service delivery.
Keywords: waste, cost, Covid-19, budget, economy
•
•
(11).
Βιβλιογραφία
1. Roshanak Rezaei Kalantary, Arsalan Jamshidi, Mohammad Mehdi Golbini Mofrad. Effect Of Covid-19 pandemic on medical waste management: a case study. Journal of environmental science and engineering 2021;19:831-836.
2. Shivani, Syed Khursheed Ahmad, Saurabh Kumar Garg, Pintu Kumar. Hospital Waste management-a case study. International research journal of engineering and technology. 2020;07:1143-1148.
3. Zambrano-Monserrate MA, Ruano MA, Sanchez-Alcale L. Indirect effects of Covid-19 on the environment. Sci Total Environ. 2020;728:138813.
4. Δρ. Τσάκνη
e-journal of science and technology 2018;13(1):47-60.
5. Dr.Asima Banu, Dr.Shamsundar, B.V. And Dr. Manasa S.Bharadwaj. Challenges of hospital solid waste management; case study in a tertiary case hospital.International journal of current research. 2015;7(01):12099-12101.
6. Saleh HN, Valipoor S, Zarei A, Yousefi M et al. Assessment of groundwater quality around municipal solid waste landfill by using Water Quality Index for groundwater resources and multivariate statistical technique; a case study of the landfill site, Qaem Shahr City, Iran. Environ Geochem Health.2020:42(5):1305-19.
7. PasaliH, Nabizadeh R, Mahvi AH, Yaghmaecian K, Charrahi Z. Landfill site selection using a hybrid system of AHP-Fuzzy in GIS environment: A case study in Shiraz city, Iran. MethodsX. 2019;6:1454-66.
8. Asante OB, Yanful E (Prof), Yaokumah EB. Healthcare Waste Management; Its Impact: A case study Of the greater Accra Region, Ghana. International Journal of scientific and technology research volume 3, issue 3, March 2014.
9. Dr Raheelah Amin, Dr Rubina Gul, Miss Amina Mehrab. Hospital waste management; practices in different hospitals of Distt. Peshawar. Professional Med.J. 2013;20(6):988-994.
10. S.Altin, A.Altin, B.Elevli, O.Cerit. Determination οf hospital waste Composition and disposal methods: a case study. Polish journal of environmental studies 2003;12(2):251-255.
11. Παναγιώτης Ε. Πετράκης,
(foresight).
T.
M.
email: diaitologos@paidonpentelis.gr
Correspondence
Koutsikou Niki
8 Ippokratous str. , Penteli, 15236
T. 2132052527
M. 6970086753
email: diaitologos@paidonpentelis.gr
Rougeri Irini
Koutsikou Niki
Department of Nutrition, Penteli’s General
Childrens’ Hospital
REVIEW ARTICLES
Nutritional management of Rett syndrome in children
Rougeri Irini, Koutsikou Niki
Abstract
Rett syndrome is a rare neurodevelopmental disorder resulting from a mutation in the X chromosome and, therefore, primarily affects the female sex, with an incidence of 1 in 10,000–15,000 female births. The symptoms of the disease do not appear until after the first 6-18 months of life and include manifestations in various systems that require multidisciplinary treatment. Nutritional intervention is of utmost importance in the management of manifestations and symptoms, such as dysphagia, gastrointestinal manifestations and low weight. The nutritional plan must be individualized, sufficient in energy and nutrients, with an emphasis on components that are in short supply. Also, a diet of appropriate texture should be chosen, depending on the level of dysphagia of each child, as well as, in case that the energy needs are not met, alternative feeding routes must be considered. In recent years, more and more studies support that the ketogenic diet can help with the management of epilepsy, which affects 60-80% of patients with Rett syndrome. Furthermore, a number of studies support the possible benefits of supplements with antioxidants, such as omega-3 fatty acids. However, more studies are needed to safely administer nutritional supplements and/or special diets to children with Rett syndrome. This article aims to provide a comprehensive guide in Greek language to the dietary management of the syndrome. The data was retrieved from the online libraries pubmed and ncbi, the journal Nature and the science direct database.
Key words: Rett syndrome, children, nutritional management
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e-mail: alexis.mavroudis@
Correspondence
Alexios Mavroudis MD,Msc.
Erithrou stavrou terma
c.p 22131, Tripoli Arcadia, Greece
T. +306978699611
e-mail: alexis.mavroudis@ yahoo.gr
The position of day care units in Greek reality
Alexios Mavroudis
Summary
Introduction: Day care units are special health units that aim to limit hospital costs and provide health services to the patient as quickly as possible.
Objective: Understanding the principles and core values of their operation, according to the standards of a defined health policy reform intervention .
Methods: Review of bibliography and scientific articles with internet search tools (pub med), without any restrictions. At the same time, personal experience is also recorded in the context of shaping a modern health network with innovation in the medical, administrative and technological approach to the patient.
Results: Day care units are a dynamic prospect in the health sector, since preventive and therapeutic examinations are implemented in a limited period of time. Medical practices are carried out with absolute success in patients with a healthy history, avoiding hospital stays and at the same time achieving the need to protect the psyche of patients and prevent nosocomial infections in combination with low financial cost, without however precisely determining the provision of quality health care. The question is whether there is a benefit for the health system, because their operation is based on speed and cost. However, a necessary condition for their sustainability is universal health coverage for all citizens in accordance with the principles of equality and income criteria.
Conclusions: Evaluating immediate outcomes is not feasible, while a systematic effort to identify and record expected benefits and corresponding costs can significantly assist in identifying potential outcomes and achieving goals for a healthcare organization.
Keywords: Day Care Units, childhood, cost, benefit, medical environment.
Αlexios Mavroudis
Peadiatric department
General Hospital of Evangelistria, Tripoli, Greece
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(Joseph Lister, 1827-1912)
τούτο λοιπόν αμέσως απ’ αρχής έτιενον αι έρευναί του, γενόμεναι επί
επιστημονικώναποστολώνοημέτερος,κ.Καρτούλης,ιχνηλατώνδιάτουμικροσκοπίουεντω αίματιτωνπρώτωνεντωνΕλληνικώνοσοκομείωαποθανόντωνχολερικών,καιεξέλαβεταύτα καιαυτόςπροςμικρόνωςτοαναζητούμενονμικρόβιοντηςχολέρας∙επελθώνόμωςκατόπιν ο κ. Κώχ διεσκέδασε την πλάνην».
Στις αρχές Σεπτεμβρίου του 1883, ο Καρτούλης απέστειλε επιστολή προς τον εκδότη του διεθνούς
τα τελευταία ιατρικά περιοδικά και
έντυπα
είχα ανακαλύψει βακίλους στο αίμα ασθενών με χολέρα. Προφανώς,
Παθολογία (Specielle Pathologie und Therapie)
Hermann Nothnagel (1841-1905). Εκτός από
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Zeitschrift für Hygiene und Infektionskrankheiten.
(Zur aetiologie der aegyptischen katarrhalischen conjunctivitis)
Centralblatt für Bakteriologie und Parasitenkunde.
εκτομήςτουπάσχοντοςεντέρου» «Ίασιςεπιθηλιώματοςτουάνωχείλουςτουστόματος» και «Περίαμοιβαδογενούςοστεομυελίτιδοςτηςκάτωγνάθου». Δημοσίευσε επίσης στην Ιατρική Πρόοδο τις εργασίες του «Περίδυσεντερίαςενγένεικαιπερίτωνδιαφόρωνδυσεντεροειδών παθήσεων» το 1901 και «ΠερίτουικτερώδουςτύφουτηςΑλεξανδρείας» το 1909. Στον Γαληνό προηγήθηκε το 1884 η δημοσίευση της εργασίας του «Περί του ικτερώδους τύφου της Αλεξανδρείας.ΑπάντησιςειςτηνμελέτηντουΔιαμαντόπουλουπερίτουικτερώδουςτύφουτης Σμύρνηςμετάικανούαριθμούνεκροψιών,τρειςεκτωνοποίωνενήργησαμετάτουδιασήμου
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φύλλα, άτινα πάλινεκπολλώνάλλωνγραμμηδόνκαιστενώςαλλήλοιςσυμπεφυκότωνλεπτώνφυλλαρίων, αισθητικών νηματίων, συνίστανται. Προσβαλλόμενα τα λεπτά ταύτα φυλλάρια υπό των ακτίνωντουηλίουανορθούνται,διίστανταιαλλήλωνκαιπαρακολουθούσιπιστώςτηνπορείαν τουηλίου∙μόλιςδ’αυτούδύοντοςπεριπτύσσονταικαιυποκλίνουσιπάλινωςπρότερον,όπως τηνεπιούσανμετάνέωνδυνάμεωνκατάτηνανατολήντουηλίουανεγερθώσι.Προςδετούτοις καιδιαρκούσηςτηςημέραςαπλήπρόσαψιςαναγκάζειαυτάνασυσταλθώσιν,ωσείκαιταύτα ζωϊκάνεύραείχον,εφ’ωνοιεξωτερικοίερεθισμοίομοίωςεπιδρώσιν.Αλλάκαιενταύθαάμα
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ΣΥΝΑΔΕΛΦΙΚΑ
1.
2.
3. Βραβευμένες
4. Ερευνητικές μελέτες
5.
6.
7. Επίκαιρα θέματα
8. Θέματα εκπαίδευσης και οργάνωσης υγείας
9. Ενδιαφέρουσες περιπτώσεις
10. Σύντομα νέα
11. Βραχείες δημοσιεύσεις
12. Επιστολές προς τη σύνταξη
13.
14.
15.
•
•
International Committee of Medical Journal Editors/ Uniform Requirements for Manuscripts Submitted to Biomedical Journals, (www.icmje.org και www.icmje.org/icmje.pdf).
Cumulated Index Medicus [List of Journals Indexed in Index Medicus (www.nlm.nih.goν/bsd/ uniform_requirements.html)].
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Proesmans W. Bartter syndrome and its neonatal νariant. Eur J Pediatr 1997;156:669-679.
Flyvbjerg Α. Role of growth hormone, insulin-like growth factors (IGFs) and IGF-binding proteins in the renal complications of diabetes. Kidney Ιnt 1997;52 (60 Suppl):S12-S19. Χωρίς
National Institutes of Health Consensus Deνelopment Conference. Neurofibromatosis conference statement. Arch Neurol1988;45:575-578.
Προσδιορισμός τύπου άρθρου:
Schreiner GF, Lange L. Ethanol modulation of macrophage influx in glomerulonephritis [Abstract]. J Am Soc Nephrol 1991;2:562.
Should antileukotriene therapies be used instead of inhaled corticosteroids in asthma? [Editorial]. Am J Respir Crit Care Med 1998;158:1697-1701.
Clark AG, Barratt ΤΜ. Steroid-responsiνe nephrotic syndrome. Ιn: Barratt ΤΜ, Arner ED, Harmon WE, editors. Pediatric Nephrology. 4th ed. Baltimore: Lippincott William Wilkins; 1999. p. 742.
Σύγγραμμα ή μονογραφία:
Gorlin RJ, Cohen ΜΜ, Leνin LS. Syndromes of the head and neck. 3rd ed. New York: Oxford Uniνersity Press; 1990.
Δημοσίευση
Bauer ΑW. The two definitions of bacterial resistance. In: Smith AJ, Rogers CA, eds. Proceedings of the Third International Congress of Chemotherapy; 1962 May 29-31; New York: International Society of Chemotherapy; 1963. p. 484-500.
Διδακτορική
Αθηνών; 1979.
Kaplan SJ. Post hospital home health care: the elderly’s access and utilization [dissertation]. St. Louis (Μο): Washington Univ.;1995.
III. CD-ROM
Andersoη SC, Poulsen ΚΒ. Anderson’s electronic atlas of hematology [CD-ROM]. Philadelphia: Lippincott Williams & Wilkins; 2002.
IV. ΣΤΟ ΔΙΑΔΙΚΤΥΟ Άρθρο σε περιοδικό: Abood S. Quality improνement initiatiνe in nursiηg homes: the ΑΝΑ acts in an adνisory role. Am J Nurs [Internet]. 2002 Jun:
Μονογραφία: Foley ΚΜ, Gelbaηd Η, editors. Improving palliative care for cancer [Monograph, Internet]. Washington: National Academy Press; 2001.
Webpage: http://www.nap.edu/books/0309074029/html Ιστοσελίδες: Cancer-Pain.org [Webpage, Internet]. New York: Association of Cancer Online Resources, Ιnc.; 2002: http://www.cancer-pain.org/
