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  • 1
    Online Resource
    Online Resource
    Cognitive disorders in patients with chronic kidney disease: specificities of clinical assessment
    Oxford University Press (OUP) ; 2021
    In:  Nephrology Dialysis Transplantation Vol. 37, No. Supplement_2 ( 2021-12-28), p. ii23-ii32
    Details
    In: Nephrology Dialysis Transplantation, Oxford University Press (OUP), Vol. 37, No. Supplement_2 ( 2021-12-28), p. ii23-ii32
    Abstract: Neurocognitive disorders are frequent among chronic kidney disease (CKD) patients. Identifying and characterizing cognitive impairment (CI) can help to assess the ability of adherence to CKD risk reduction strategy, identify potentially reversible causes of cognitive decline, modify pharmacotherapy, educate the patient and caregiver and provide appropriate patient and caregiver support. Numerous factors are associated with the development and progression of CI in CKD patients and various conditions can influence the results of cognitive assessment in these patients. Here we review clinical warning signs that should lead to cognitive screening; conditions frequent in CKD at risk to interfere with cognitive testing or performance, including specificities of cognitive assessment in dialysis patients or after kidney transplantation; and available tests for screening and observed cognitive patterns in CKD patients.
    Type of Medium: Online Resource
    ISSN: 0931-0509 , 1460-2385
    URL: Article
    DOI: 10.1093/ndt/gfab262
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1465709-0
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  • 2
    Online Resource
    Online Resource
    Brain dysfunction in tubular and tubulointerstitial kidney diseases
    Oxford University Press (OUP) ; 2021
    In:  Nephrology Dialysis Transplantation Vol. 37, No. Supplement_2 ( 2021-12-28), p. ii46-ii55
    Details
    In: Nephrology Dialysis Transplantation, Oxford University Press (OUP), Vol. 37, No. Supplement_2 ( 2021-12-28), p. ii46-ii55
    Abstract: Kidney function has two important elements: glomerular filtration and tubular function (secretion and reabsorption). A persistent decrease in glomerular filtration rate (GFR), with or without proteinuria, is diagnostic of chronic kidney disease (CKD). While glomerular injury or disease is a major cause of CKD and usually associated with proteinuria, predominant tubular injury, with or without tubulointerstitial disease, is typically non-proteinuric. CKD has been linked with cognitive impairment, but it is unclear how much this depends on a decreased GFR, altered tubular function or the presence of proteinuria. Since CKD is often accompanied by tubular and interstitial dysfunction, we explore here for the first time the potential role of the tubular and tubulointerstitial compartments in cognitive dysfunction. To help address this issue we selected a group of primary tubular diseases with preserved GFR in which to review the evidence for any association with brain dysfunction. Cognition, mood, neurosensory and motor disturbances are not well characterized in tubular diseases, possibly because they are subclinical and less prominent than other clinical manifestations. The available literature suggests that brain dysfunction in tubular and tubulointerstitial diseases is usually mild and is more often seen in disorders of water handling. Brain dysfunction may occur when severe electrolyte and water disorders in young children persist over a long period of time before the diagnosis is made. We have chosen Bartter and Gitelman syndromes and nephrogenic diabetes insipidus as examples to highlight this topic. We discuss current published findings, some unanswered questions and propose topics for future research.
    Type of Medium: Online Resource
    ISSN: 0931-0509 , 1460-2385
    URL: Article
    DOI: 10.1093/ndt/gfab276
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1465709-0
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  • 3
    Online Resource
    Online Resource
    A Scoping Review on Coping Strategies and Quality of Life of Stroke Caregivers: Often Underestimated Variables in Stroke Recovery Process?
    MDPI AG ; 2023
    In:  BioMed Vol. 3, No. 3 ( 2023-07-18), p. 349-368
    Details
    In: BioMed, MDPI AG, Vol. 3, No. 3 ( 2023-07-18), p. 349-368
    Abstract: The purpose of the present study was to review all available work published within the last decade focusing on coping strategies in stroke caregivers and their impact on quality of Life (QoL) and psycho-emotional status. A literature search of two databases (MEDLINE, Scopus) was conducted to identify all relevant full-text English studies published between 2013–2023. Sixteen articles were traced and were finally included. Cognitive and behavioral coping strategies were beneficial for stroke caregivers’ and survivors’ QoL. The level of mutuality in the caregiver-survivor relationship was associated with the impact of depressive symptoms on caregivers’ QoL and the protective effect of mutuality on survivors’ QoL over time. The level and quality of social support were positively associated with QoL for stroke caregivers and survivors. Caregivers’ preparedness was a moderator for the impact of depression on both caregivers’ and survivors’ QoL. High levels of spirituality had a significant role in ameliorating the negative impact of depressive symptoms on the psychological and physical QoL of stroke caregivers and survivors. In conclusion, the study of coping strategies can be used as a psychological reserve in the process of stroke rehabilitation and actively contribute to improving the QoL of both caregivers and stroke survivors.
    Type of Medium: Online Resource
    ISSN: 2673-8430
    URL: Article
    DOI: 10.3390/biomed3030029
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 3136488-3
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  • 4
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    Online Resource
    The Lifestyle Profile of Individuals with Cardiovascular and Endocrine Diseases in Cyprus: A Hierarchical, Classification Analysis
    MDPI AG ; 2022
    In:  Nutrients Vol. 14, No. 8 ( 2022-04-08), p. 1559-
    Details
    In: Nutrients, MDPI AG, Vol. 14, No. 8 ( 2022-04-08), p. 1559-
    Abstract: The study aims to explore the lifestyle profile of adult individuals with cardiovascular and endocrine diseases in Cyprus. Age and sex-specific analyses were applied. A representative sample of the general adult population was recruited during 2018–2019 using stratified sampling among the five government-controlled municipalities of the Republic of Cyprus. Data on Mediterranean diet adherence, quality of sleep, smoking status, physical activity, Body Mass Index, and the presence of cardiovascular and endocrine diseases were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, Tenth Revision (ICD-10). A total of 1140 men and women over 18 years old (range: 18–94) participated in the study. The prevalence of cardiovascular and endocrine diseases among the adult general population of Cyprus was 24.8% and 17.2%, respectively, with a higher prevalence of cardiovascular diseases in men, and a higher prevalence of endocrine diseases in women. Among individuals with cardiovascular disease, 23.3% were aged between 18–44 years old, while the corresponding percentage among endocrine disease individuals was 48%. The prevalence of smoking, physical activity, a low adherence to the Mediterranean diet, poor quality of sleep and obesity among the study population was 35.5%, 48.0%, 32.9%, 39.0% and 13.6%, respectively. Individuals with cardiovascular and endocrine diseases were characterized by poor quality of sleep, inadequate physical activity, and a higher BMI. This is the first study in Cyprus exploring the profile of individuals with cardiovascular and endocrine diseases in Cyprus. Health promotion and educational programs focusing on the importance of sleep quality, healthier dietary habits, physical activity, and lower BMIs among people with cardiovascular and endocrine diseases should be developed.
    Type of Medium: Online Resource
    ISSN: 2072-6643
    URL: Article
    DOI: 10.3390/nu14081559
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2518386-2
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  • 5
    Online Resource
    Online Resource
    Prevalence and sociodemographic determinants of selected noncommunicable diseases among the general population of Cyprus: A large population‐based cross‐sectional study
    Wiley ; 2023
    In:  Chronic Diseases and Translational Medicine Vol. 9, No. 3 ( 2023-09), p. 222-237
    Details
    In: Chronic Diseases and Translational Medicine, Wiley, Vol. 9, No. 3 ( 2023-09), p. 222-237
    Abstract: There were 1140 people in total who took part in the study, with 51.7% having at least one noncommunicable disease (NCD). Hyperlipidemia, hypertension, and thyroid diseases were the most common NCDs among the population of Cyprus. Hypertension affects more men than women, and thyroid disorders affect more women than men. Those who had hypertension and hyperlipidemia were more likely to be married, have a higher education, and have a high annual income.
    Type of Medium: Online Resource
    ISSN: 2589-0514 , 2589-0514
    URL: Issue
    URL: Article
    DOI: 10.1002/cdt3.v9.3
    DOI: 10.1002/cdt3.70
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2831148-6
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  • 6
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    Quantitative experimental L2 acquisition MALL studies: A critical evaluation of research quality
    Cambridge University Press (CUP) ; 2023
    In:  ReCALL
    Details
    In: ReCALL, Cambridge University Press (CUP)
    Abstract: With more than 1,200 publications over the past two decades, experimental mobile-assisted language learning (MALL) studies targeting second/foreign language (L2) acquisition outcomes are certainly not lacking in quantity. Their research quality, on the other hand, has often been brought into question, most notably with regard to the adequacy of their assessment instruments and statistical analyses. Yet limiting the determination of research quality to the evaluation of testing procedures, and the statistical analysis of the results they produce, ignores the critical relevance of the underlying research parameters that generate the results in the first place. A comprehensive evaluation of quantitative experimental L2 acquisition MALL research quality, encompassing design as well as assessment instruments and statistical analysis, thus remains to be undertaken. The present investigation endeavors to do so based on an extensive compilation of 737 MALL studies published between 2000 and 2021. The research quality of these publications is evaluated according to four main parameters: language acquisition moderators, treatment intervention conditions, assessment instruments, and statistical analysis. These are applied according to a modified version of the Checklist for the Rigor of Education-Experiment Designs (CREED), which classifies research design quality into five levels: low, medium-low, medium, medium-high, high. With over three quarters of all studies falling within the low category, the result leaves much to be desired. Since the modified CREED algorithm developed here can equally be applied to studies from their inception, it offers a way forward to improve the research quality of future experimental MALL studies.
    Type of Medium: Online Resource
    ISSN: 0958-3440 , 1474-0109
    URL: Article
    DOI: 10.1017/S0958344023000149
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2037807-5
    SSG: 7,11
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  • 7
    Online Resource
    Online Resource
    Associations between Socio-Demographic Characteristics and Maternal Attitudes towards Childhood Vaccination in Cyprus—A Cross-Sectional Survey
    MDPI AG ; 2023
    In:  COVID Vol. 3, No. 7 ( 2023-07-21), p. 1042-1051
    Details
    In: COVID, MDPI AG, Vol. 3, No. 7 ( 2023-07-21), p. 1042-1051
    Abstract: Background: As vaccination acceptance is dynamic, the current COVID-19 pandemic may have changed maternal perceptions towards childhood vaccination and influenced their decision to vaccinate their children. This study aimed to examine the associations between socio-demographic characteristics and maternal attitudes towards childhood vaccination at the beginning of the COVID-19 pandemic in Cyprus. Methods: A web-based cross-sectional study was conducted between April and June 2020 using a self-administered survey. Adult mothers with at least one child under the age of 18 were included in this study. Results: Overall, 703 mothers were included, with the majority of them strongly agreeing or agreeing that all vaccinations included in the National Vaccination Program should be available to children (89.3%), recognizing the usefulness of vaccines (91.4%) and their ability to provide protection (90%), acknowledging that the benefits of vaccination outweigh potential risks (86.6%), and being aware that some vaccines may cause adverse reactions (84.1%). Socio-demographic factors, particularly marital status, single-parent status, and employment status, have a significant impact on maternal attitudes and perceptions regarding childhood vaccination. Conclusions: Public health policies should be designed to overcome structural and healthcare system barriers specifically related to socio-demographic factors, ensuring effective and comprehensive strategies to improve childhood vaccination uptake.
    Type of Medium: Online Resource
    ISSN: 2673-8112
    URL: Article
    DOI: 10.3390/covid3070076
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 3056217-X
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  • 8
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    Demographic forecasting of population aging in Greece and Cyprus: one big challenge for the Mediterranean health and social system long-term sustainability
    Springer Science and Business Media LLC ; 2021
    In:  Health Research Policy and Systems Vol. 19, No. 1 ( 2021-12)
    Details
    In: Health Research Policy and Systems, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2021-12)
    Abstract: With an increasing aging population and a lower ratio between the active and the dependent population, population aging is considered a global social and health challenge, associated with increased demand in health care needs and social pension. This study projects the Greek and Cypriot population to guide future planning of social and health policies and services. Methods The total population by sex and age groups, Total Fertility Rate (TFR), life-expectancies at birth and Potential Support Ratio PSR (persons aged 20–64 years per person 65+ years) are projected probabilistically by the year 2100 using Bayesian hierarchical models and United Nations’ population data for Greece and Cyprus from the period of 1950 to 2015. Results The TFR is projected to be around 1.5 children per woman in 2050 and around 1.75 in 2100 for both countries, with all values of prediction intervals being around or below the Replacement level fertility. PSR is expected to decrease remarkably and be 2.5 in 2050 and 1.6 in 2100 for Cyprus while for Greece it will be around 1.5 for both years 2050 and 2100. Life-expectancy is expected to increase to 84 years for men and 87 years for women in 2050 and 90 years for men and 94 years for women in 2100 for both countries. The share of the population aged 65 years and over is projected to increase in both countries and be the one third of the population by 2100. Conclusions Greece and Cyprus will acquire the characteristics of an aging population, putting a significance pressure on the social and health systems of both countries. Both countries should reform their social and health policy agenda to confront population aging and its consequence. They should adopt fertility incentives and family policies to increase fertility and migrants’ inclusiveness policies to improve the demographic structure and the economic activity. The national health systems should promote prevention strategies at the primary health sector and promote healthy aging while health research policy should aim to promote research in innovative technologies and digital health to create assistive technology for self-care and greater independence of older people.
    Type of Medium: Online Resource
    ISSN: 1478-4505
    URL: Article
    DOI: 10.1186/s12961-020-00666-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2101196-5
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  • 9
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    Online Resource
    Greek-Cypriot students’ knowledge, attitudes, and actions regarding consumption of added sugar: A cross-sectional study
    IOS Press ; 2023
    In:  Mediterranean Journal of Nutrition and Metabolism Vol. 16, No. 3 ( 2023-09-14), p. 201-212
    Details
    In: Mediterranean Journal of Nutrition and Metabolism, IOS Press, Vol. 16, No. 3 ( 2023-09-14), p. 201-212
    Abstract: OBJECTIVE: To assess the knowledge, attitudes and practices toward added sugar intake among Cypriot university students. METHODS: This cross- sectional study was conducted among 200 students enrolled in public and private universities in Cyprus. Knowledge, attitudes and practices toward added sugar consumption was evaluated using self-administered questionnaire. RESULTS: Only 8.5% of the students were able to accurately report the recommended values of sugar consumption. Most of the participants (76%) were aware of the health consequences of excessive sugar consumption, whereas 63.5% were aware of the existence of hidden sources of sugar and 88% of students stated that they read the nutrition declaration of the products that they are considering consuming. About 67% of students stated that they are actively trying to reduce their sugar consumption and the majority consume sugary beverages less than 1 day per week. CONCLUSIONS: Results support that although students read the nutrition facts label there is a limited awareness of sugar intake recommendations. Tailored-made strategies targeting students in order to improve sugar-related knowledge could be warranted.
    Type of Medium: Online Resource
    ISSN: 1973-798X , 1973-7998
    URL: Article
    DOI: 10.3233/MNM-230032
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2023
    detail.hit.zdb_id: 2438895-6
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  • 10
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    Methodological challenges and biases in the field of cognitive function among patients with chronic kidney disease
    Frontiers Media SA ; 2023
    In:  Frontiers in Medicine Vol. 10 ( 2023-8-9)
    Details
    In: Frontiers in Medicine, Frontiers Media SA, Vol. 10 ( 2023-8-9)
    Abstract: Chronic kidney disease (CKD) affects approximately 850 million people globally and is associated with an increased risk of cognitive impairment. The prevalence of cognitive impairment among CKD patients ranges from 30 to 60%, and the link between CKD and cognitive impairment is partially understood. Methodological challenges and biases in studying cognitive function in CKD patients need to be addressed to improve diagnosis, treatment, and management of cognitive impairment in this population. Here, we review the methodological challenges and study design issues, including observational studies’ limitations, internal validity, and different types of bias that can impact the validity of research findings. Understanding the unique challenges and biases associated with studying cognitive function in CKD patients can help to identify potential sources of error and improve the quality of future research, leading to more accurate diagnoses and better treatment plans for CKD patients.
    Type of Medium: Online Resource
    ISSN: 2296-858X
    URL: Article
    DOI: 10.3389/fmed.2023.1215583
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2775999-4
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