Rostrum of Asclepius Vol 14, No. 3 (2015): July - September 2015

The Greek society ought to secure the future of autistic children. It would be desirable that the diversity which they anyway undergo in the modern pluralistic society would not only be accepted, but moreover respected and safeguarded. The nurse's role, as a member of the health care team, is of major importance to the implementation of autistic children and their families' claims, functioning as a bridge among them and the recipients of their claims. It is important the emergence of the health professionals' role in the formation of health services for optimal service of autistic children and their families. As well, health services can provide the necessary conditions for the support of the vulnerable population of autistic children. The nurse's and the health professionals' role is holistic, providing support for the child and its family, in a physical, a psychological and a social level

Keywords: Autistic child, nursing intervention, family, developmental disorder

The Renal Dialysis Unit (RDU) is an essential part of the National Health Care System and aims at providing high quality care in renal patients. The organization of the Dialysis Unit depends on the architecture of the unit and the human dynamic. The Head nurse and nurses of the unit have a very important role. The staffing of RDU requires specialized (in nephrology) human resources, scientific expertise and knowledge related to new technology and handling of dialyses machines. Adequate staffing of RDU contributes to better patient outcomes as there are less possibilities of an error to occur during nursing care, appearance of less adverse events and transmission of infectious diseases. The main goal of organizing a RDU is to secure the high quality of patients care, patients' safety and personnel's satisfaction from its job

Keywords: Renal dialysis unit, organization, staffing

Interpersonal relationships are being developed between people who are in a community. The problem of interpersonal relations is not as setting targets and allocating financial resources, as the implementation of decisions. Aim: The aim of the present study was to -investigate whether communication, interpersonal relations and sociodemographic characteristics affect the cooperation of nurses,- and their performance. Method and Material: The studied population consisted of 202 nurses of Technological and University educational level who were asked to fill in a specially modified questionnaire based on the literature. The research took place in public and private hospitals of Attica. The duration of the study was from May 2009 to May 2010. Statistical analysis was performed by using the statistical package SPSS ver.13. Results: 67% (n=136) of the studied population were women. As regards working hours, the majority of nurses claimed that followed the rotating shift, at a percentage of 74% (n=148). The level of communication between nurses working in constant time is higher than that of nurses working in rotating shifts (p = 0.007). Also, the happier state nurses from their work, the more it seems to be a high level of communication (p <0.001). And finally, it appears that the level of cooperation of the nurses with their colleagues seem to be higher when the relationship between the nurses (p<0.001) was better. Conclusions: The high wages, opportunities for continuing education and socio-economic status was found to affect too much or interpersonal relationships, but to a lesser extent than the previous two factors

Keywords: Interpersonal relations, communication, nurse, intensive care units

In recent decades, the cornerstone of modern treatment of acute myocardial infarction is an emergency reperfusion of the myocardium with primary angioplasty. Aim: The aim of the present study was to evaluate the characteristics of the selection criteria, treatment with primary angioplasty and outcome of patients after acute myocardial infarction. Material and Method: The studied sample consisted of 209 patients who underwent primary angioplasty after acute myocardial infarction. For data collection a special form was used which was modeled on the needs of the study. Statistical analysis was performed using the statistical package SPSS ver.19. Results: The studied population consisted of 209 patients, of which 82.8% (n = 173) were men. The mean age of study population was 58.8 years with a standard deviation of ± 13.1. The initial diagnostic criteria which lead to the call of the catheterization laboratory and the performance of the primary angioplasty refered on the main symptoms in 76.1% (n = 159) of patients a precordial pain and dyspnea in 23.9%. Relative to the introductory diagnostic electrocardiographic criteria related to the 41.6% (n = 87) was STEMI, the 41.6% (n = 87) lower STEMI, the 7.7% (n = 16) lateral STEMI, 2.4% (n = 5) and posterior STEMI with repolarization abnormalities featured in 6,7% (n = 14). Shock developed 4.3% (n = 9) of the sample. According to the criteria, upon the detection of the biochemical heart indicators there was a significant increase on the prices of the sample checked during its admittance on the ED. The prices kept on rising even on samples which were taken 4h later. No statistically significant difference between patients who attended the ED on "operating hours" to those who proceed in "out of hours", in terms of outcome. A statistical significance was found between patients who were in shock in relation to those who were stable as far as their outcome is concerned. Conclusions: For proper and early diagnosis of acute myocardial infarction, clinical, electrocardiographic and biochemical criteria are essential. The specific criteria contribute to the rapid activation of the hemodynamic laboratory and as a result the achievement of the primary angioplasty and it seems that 24 hour availability of hospitals is an important factor for patients' health outcome

Keywords: Acute myocardial infarction, catheterization laboratory, primary angioplasty, outcome

Nowadays, there are many methods of analgesia for pain relief during labour. The most prevalent is considered to be the use of epidural analgesia. Aim: To investigate the effects of epidural analgesia on the duration of the 1st and 2nd stage of labor, the progress of labor and the relation with demographic and other factors on a sample of nulliparous women. Methology: Retrospective study with data collection from medical records of women who gave birth in Hippocrateion General Hospital of Thessaloniki from 1-1-2013 to 30-9-2013. Data concerned 110 nulliparous women without the use of analgesia during labor (control group) and 143 nulliparous women who used epidural analgesia. SPSS 19.0 Program and Microsoft Excel were used for the statistical analysis. Results: Older women chose to undergo epidural analgesia in labour more often than younger (29.04± 5.3years vs 25.24± 5.7 years, p=0.000). The mean duration of the first and second stage of labour and the use of oxytocin was statistically increased in the epidural group (p<0.05). The frequency of episiotomies was higher in the control group, (95% vs 70% for epidural group, p=0.000). There were no significant differences in Apgar Score of newborns in both groups. Conclusions: Epidural analgesia significantly prolongs the duration of the 1st and 2nd stage of labor in nulliparous women, but without significant negative effect on the outcome of labor or the state of the newborn

Keywords: Εpidural analgesia, labour, nulliparous women