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Xanthopoulou</title> <meta name="description" content="Search results for: Styliani Xanthopoulou"> <meta name="keywords" content="Styliani Xanthopoulou"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block 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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="Styliani Xanthopoulou"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 7</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: Styliani Xanthopoulou</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">7</span> Reconceptualizing “Best Practices” in Public Sector</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Eftychia%20Kessopoulou">Eftychia Kessopoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Xanthopoulou"> Styliani Xanthopoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Ypatia%20Theodorakioglou"> Ypatia Theodorakioglou</a>, <a href="https://publications.waset.org/abstracts/search?q=George%20Tsiotras"> George Tsiotras</a>, <a href="https://publications.waset.org/abstracts/search?q=Katerina%20Gotzamani"> Katerina Gotzamani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Public sector managers frequently herald that implementing best practices as a set of standards, may lead to superior organizational performance. However, recent research questions the objectification of best practices, highlighting: a) the inability of public sector organizations to develop innovative administrative practices, as well as b) the adoption of stereotypical renowned practices inculcated in the public sector by international governance bodies. The process through which organizations construe what a best practice is, still remains a black box that is yet to be investigated, given the trend of continuous changes in public sector performance, as well as the burgeoning interest of sharing popular administrative practices put forward by international bodies. This study aims to describe and understand how organizational best practices are constructed by public sector performance management teams, like benchmarkers, during the benchmarking-mediated performance improvement process and what mechanisms enable this construction. A critical realist action research methodology is employed, starting from a description of various approaches on best practice nature when a benchmarking-mediated performance improvement initiative, such as the Common Assessment Framework, is applied. Firstly, we observed the benchmarker’s management process of best practices in a public organization, so as to map their theories-in-use. As a second step we contextualized best administrative practices by reflecting the different perspectives emerged from the previous stage on the design and implementation of an interview protocol. We used this protocol to conduct 30 semi-structured interviews with “best practice” process owners, in order to examine their experiences and performance needs. Previous research on best practices has shown that needs and intentions of benchmarkers cannot be detached from the causal mechanisms of the various contexts in which they work. Such causal mechanisms can be found in: a) process owner capabilities, b) the structural context of the organization, and c) state regulations. Therefore, we developed an interview protocol theoretically informed in the first part to spot causal mechanisms suggested by previous research studies and supplemented it with questions regarding the provision of best practice support from the government. Findings of this work include: a) a causal account of the nature of best administrative practices in the Greek public sector that shed light on explaining their management, b) a description of the various contexts affecting best practice conceptualization, and c) a description of how their interplay changed the organization’s best practice management. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=benchmarking" title="benchmarking">benchmarking</a>, <a href="https://publications.waset.org/abstracts/search?q=action%20research" title=" action research"> action research</a>, <a href="https://publications.waset.org/abstracts/search?q=critical%20realism" title=" critical realism"> critical realism</a>, <a href="https://publications.waset.org/abstracts/search?q=best%20practices" title=" best practices"> best practices</a>, <a href="https://publications.waset.org/abstracts/search?q=public%20sector" title=" public sector"> public sector</a> </p> <a href="https://publications.waset.org/abstracts/125011/reconceptualizing-best-practices-in-public-sector" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/125011.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">127</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">6</span> Nurses' and Patients’ Perception about Care: A Comparative Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Evangelia%20Kotrotsiou">Evangelia Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Mairy%20Gouva"> Mairy Gouva</a>, <a href="https://publications.waset.org/abstracts/search?q=Theodosios%20Paralikas"> Theodosios Paralikas</a>, <a href="https://publications.waset.org/abstracts/search?q=Maria%20Fiaka"> Maria Fiaka</a>, <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Kotrotsiou"> Styliani Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Maria%20Malliarou"> Maria Malliarou</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The purpose of this research is to investigate the way nurses perceive the care provided in comparison to the way patients perceive it, taking into account existing literature. As far as the sample of research is concerned, it has come from the population of nurses working in the General Hospital of Thessaloniki, St. Paul and the patients of its surgical clinic. In the present study, the sample consists of 100 nurses and 88 patients. The questionnaire used was the Caring Nurse-Patient Interactions Scale: 23-Item Version, created by Cossette et al. (2006). In the case of both patients and nurses, a high score was observed in relational care in the case of the frequency of nursing care in daily practice, as well as the satisfaction of providing nursing care. Overall, patients rated higher clinical care in the case of the frequency of nursing care in daily practice, as well as the satisfaction of the clinical care they were given. On the other hand, nurses rated higher comfort care in the case of the frequency of nursing care in everyday practice, as well as relational care in the area of the importance of nursing care in everyday practice. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=nursing%20care" title="nursing care">nursing care</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20needs" title=" patient needs"> patient needs</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20satisfaction" title=" patient satisfaction"> patient satisfaction</a>, <a href="https://publications.waset.org/abstracts/search?q=care%20giving" title=" care giving"> care giving</a> </p> <a href="https://publications.waset.org/abstracts/95232/nurses-and-patients-perception-about-care-a-comparative-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/95232.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">395</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">5</span> Quality of Life of Women with Breast Cancer and Its Correlation with Depression and Anxiety</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maria%20Malliarou">Maria Malliarou</a>, <a href="https://publications.waset.org/abstracts/search?q=Efrossini%20Lyraraki"> Efrossini Lyraraki</a>, <a href="https://publications.waset.org/abstracts/search?q=Pavlos%20Sarafis"> Pavlos Sarafis</a>, <a href="https://publications.waset.org/abstracts/search?q=Theodosios%20Paralikas"> Theodosios Paralikas</a>, <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Kotrotsiou"> Styliani Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Evangelia%20Kotrotsiou"> Evangelia Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Mairy%20Gouva"> Mairy Gouva</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Women with breast cancer have to adapt to physical malformations, side effects of chemotherapy, emotional insecurity, and changes in social roles. Inability to recognize the co-morbidity of psychiatric conditions can have an aggravating effect on patient compliance in therapeutic interventions, resulting in treatment delays and an impact on overall survival. The purpose of this study was to identify the quality of life of breast cancer patients undergoing external radiation therapy and to correlate it with depression and anxiety. Patients were asked to respond to an anonymous questionnaire with general demographic and clinical questions, followed by the EORTCQLQ-C30 questionnaire for assessing the quality of life of patients with breast cancer. Hospital Anxiety and Depression Scale (HADS) as well as the Depression, Anxiety and Stress Scale (DASS-21) was also administered. The statistical analysis of the data was done in IBM SPSS. Results indicated that the incidence of anxiety and depression in breast cancer patients is high both in HADS (37.5 % with mild to moderate depression and 62.5 % with significant to severe depression) and DASS - 21 (39.2 % mild to moderate depression and 60.8 % significant to severe) scales. The correlation of anxiety and depression with life quality was negative for HADS (r = -, 810, p = .000) as well as for DASS-21 (r = -, 682, p = .000). The psychological impact of breast cancer on patients is important. Its correlation with the quality of life may lead to better tolerance to treatment and better effectiveness of the therapeutic approach. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anxiety" title="anxiety">anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=breast%20cancer" title=" breast cancer"> breast cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=depression" title=" depression"> depression</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a> </p> <a href="https://publications.waset.org/abstracts/95015/quality-of-life-of-women-with-breast-cancer-and-its-correlation-with-depression-and-anxiety" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/95015.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">267</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4</span> Chemically Modified Chitosan Derivatives with Ameliorated Properties Appropriate for Drug Delivery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Georgia%20M.%20Michailidou">Georgia M. Michailidou</a>, <a href="https://publications.waset.org/abstracts/search?q=Nina-Maria%20S.%20Ainali"> Nina-Maria S. Ainali</a>, <a href="https://publications.waset.org/abstracts/search?q=Eleftheria%20C.%20Xanthopoulou"> Eleftheria C. Xanthopoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Dimitrios%20N.%20Bikiaris"> Dimitrios N. Bikiaris</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Polysaccharides are polymeric materials derived from nature. They are extensively used in pharmaceutical technology due to their low cost, their ready availability and their low toxicity. Chitosan is the product derived from the deacetylation of chitin usually obtained from arthropods. It is a linear polysaccharide which is composed of repeated units of N-deacetylated amino groups and some N-acetylated groups residues. Due to its excellent biological properties, it is an attractive natural polymer. It is biocompatible with low toxicity and complete biodegradability. Although it has excellent properties, the chemical modification of its structure results in new derivatives with ameliorated and more improved properties compared to the initial polymer. This is the exact purpose of the present study in which chitosan was modified with three different monomers, namely trans-aconitic acid, succinic anhydride and 2-hydroxyethyl acrylate. In chitosan’s modification with trans aconitic acid, EDC was utilized as an activator of the carboxylic groups of the monomer, and then a coupling reaction with the amino groups took place. Succinic anhydride reacted with chitosan through a ring opening reaction while 2-hydroxyethyl acrylate reacted through the addition of chitosan’s amino group to the double bond of the monomer. Through FTIR and NMR measurements the success of each reaction was confirmed, and the new structures of the derivatives were verified. X-ray diffraction was utilized in order to examine the effect of the modifications in chitosan’s crystallinity. Finally, swelling tests were conducted in order to assess the improved ability of the new polymeric materials to absorb water. Our results support the successful modification of chitosan’s macromolecular chains in all three reactions. Furthermore, the new derivatives appear to be amorphous concerning their crystallinity and have great ability in absorbing water. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=chitosan" title="chitosan">chitosan</a>, <a href="https://publications.waset.org/abstracts/search?q=derivatives" title=" derivatives"> derivatives</a>, <a href="https://publications.waset.org/abstracts/search?q=modification" title=" modification"> modification</a>, <a href="https://publications.waset.org/abstracts/search?q=polysaccharide" title=" polysaccharide"> polysaccharide</a> </p> <a href="https://publications.waset.org/abstracts/109552/chemically-modified-chitosan-derivatives-with-ameliorated-properties-appropriate-for-drug-delivery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/109552.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">107</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">3</span> Investigation of the Level of Physical and Mental Health of Patients Undergoing in Chronic or Transient Hemodialysis at Artificial Kidney Unit</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Kotrotsiou">Styliani Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Evagelia%20Kotrotsiou"> Evagelia Kotrotsiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Fani%20Mokia"> Fani Mokia</a>, <a href="https://publications.waset.org/abstracts/search?q=Theodosis%20Paralikas"> Theodosis Paralikas</a>, <a href="https://publications.waset.org/abstracts/search?q=Konstantinos%20Tsaras"> Konstantinos Tsaras</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The objective of this study was the investigation of the mental health of patients undergoing chronic or transient hemodialysis at Artificial Kidney Unit, as well as its relationship to the demographic characteristic of patients. Material and Method: The study took place in Larisa during the month of December in 2016 and the sample was composed of 60 patients undergoing in chronic or transient hemodialysis at Artificial Kidney Unit of the University General Hospital of Larisa. For the investigation of the physical and mental health of patients who participated in the study, the tool measurement << General Health Questionnaire- 28 >> (GHQ-28) was used. The questionnaires were administered with the interview method during the hemodialysis. This survey is designed for the existence or not of a mental disorder. It examines four factors (physical symptoms, anxiety, social dysfunction and depression). Results: The hemodialysis patients gave the following scores: -to the physical symptoms, women showed a higher average value than men (1,16 ± 1,26 against 0,49 ± 0,93), -at the anxiety scale, it seems that women are superior to men (1,68 ± 1,20 against 0,90 ± 1,22), -at the social dysfunction scale, the elderly patients ( > 65 years old) were presented a with higher average (2,59), and -at the depression scale, patients with a higher average value were those who lived in non-urban areas. The appearance of mental disorder, in relation to patient characteristics, did not show significant statistical correlation. The sex, the age and the place of residence affect more the assessment of mental health, while education did not seem to have any significant effect on the other. Conclusions: The hemodialysis process can significantly affect the patient’s Quality of Life and it can bring adverse changes in lifestyle, affecting the physical, social and psychological state of the individual. For that reason, hemodialysis should be aimed not only at extending life but in upgrading the Quality of Life. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hemodialysis" title="hemodialysis">hemodialysis</a>, <a href="https://publications.waset.org/abstracts/search?q=chronic%20kidney%20disease" title=" chronic kidney disease"> chronic kidney disease</a>, <a href="https://publications.waset.org/abstracts/search?q=depression" title=" depression"> depression</a>, <a href="https://publications.waset.org/abstracts/search?q=social%20dysfunction" title=" social dysfunction"> social dysfunction</a>, <a href="https://publications.waset.org/abstracts/search?q=physical%20condition" title=" physical condition"> physical condition</a> </p> <a href="https://publications.waset.org/abstracts/95230/investigation-of-the-level-of-physical-and-mental-health-of-patients-undergoing-in-chronic-or-transient-hemodialysis-at-artificial-kidney-unit" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/95230.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">164</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">2</span> A Qualitative Study of Approaches Used by Physiotherapists to Educate Patients with Chronic Low Back Pain</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Soulioti">Styliani Soulioti</a>, <a href="https://publications.waset.org/abstracts/search?q=Helen%20Fiddler"> Helen Fiddler</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The aim of this study was to investigate the approaches used by physiotherapists in the education of patients with chronic low back pain (cLBP) and the rationale that underpins their choice of approach. Therapeutic patient education (TPE) is considered to be an important aspect of modern physiotherapy practice, as it helps patients achieve better self-management and a better understanding of their problem. Previous studies have explored this subject, but the reasoning behind the choices physiotherapists make as educators has not been widely explored, thus making it difficult to understand areas that could be addressed in order to improve the application of TPE.A qualitative study design, guided by a constructivist epistemology was used in this research project. Semi-structured interviews were used to collect data from 7 physiotherapists. Inductive coding and thematic analysis were used, which allowed key themes to emerge. Data analysis revealed two overarching themes: 1) patient-centred versus therapist-centred educational approaches, and 2) behaviourist versus constructivist educational approaches. Physiotherapists appear to use a patient-centred-approach when they explore patients’ beliefs about cLBP and treatment expectations. However, treatment planning and goal-setting were guided by a therapist-centred approach, as physiotherapists appear to take on the role of the instructor/expert, whereas patients were viewed as students. Using a constructivist approach, physiotherapists aimed to provide guidance to patients by combining their professional knowledge with the patients’ individual knowledge, to help the patient better understand their problem, reflect upon it and find a possible solution. However, educating patients about scientific facts concerning cLBP followed a behaviourist approach, as an instructor/student relationship was observed and the learning content was predetermined and transmitted in a one-way manner. The results of this study suggest that a lack of consistency appears to exist in the educational approaches used by physiotherapists. Although patient-centeredness and constructivism appear to be the aims set by physiotherapists in order to optimise the education they provide, a student-teacher relationship appears to dominate when it comes to goal-setting and delivering scientific information. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=chronic%20low%20back%20pain" title="chronic low back pain">chronic low back pain</a>, <a href="https://publications.waset.org/abstracts/search?q=educational%20approaches" title=" educational approaches"> educational approaches</a>, <a href="https://publications.waset.org/abstracts/search?q=health%20education" title=" health education"> health education</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20education" title=" patient education"> patient education</a> </p> <a href="https://publications.waset.org/abstracts/82228/a-qualitative-study-of-approaches-used-by-physiotherapists-to-educate-patients-with-chronic-low-back-pain" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/82228.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">206</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1</span> Pregnancy Outcomes in Patients With Inflammatory Bowel Disease: Retrospective Data From a Greek National Registry</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Evgenia%20Papathanasiou">Evgenia Papathanasiou</a>, <a href="https://publications.waset.org/abstracts/search?q=Georgios%20Kokkotis"> Georgios Kokkotis</a>, <a href="https://publications.waset.org/abstracts/search?q=Georgios%20Axiaris"> Georgios Axiaris</a>, <a href="https://publications.waset.org/abstracts/search?q=Theodoros%20Argyropoulos"> Theodoros Argyropoulos</a>, <a href="https://publications.waset.org/abstracts/search?q=Nikos%20Viazis"> Nikos Viazis</a>, <a href="https://publications.waset.org/abstracts/search?q=Olga%20Giouleme"> Olga Giouleme</a>, <a href="https://publications.waset.org/abstracts/search?q=Konstantinos%20Gkoumas"> Konstantinos Gkoumas</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%91nthia%20Gatopoulou"> Αnthia Gatopoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%91ggelos%20Theodoulou"> Αggelos Theodoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Georgios%20Theocharis"> Georgios Theocharis</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%91ngeliki%20Theodoropoulou"> Αngeliki Theodoropoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Caria%20%CE%9Aalogirou"> Μaria Κalogirou</a>, <a href="https://publications.waset.org/abstracts/search?q=Pantelis%20Karatzas"> Pantelis Karatzas</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Aonstantinos%20%CE%9Aatsanos"> Κonstantinos Κatsanos</a>, <a href="https://publications.waset.org/abstracts/search?q=Theodora%20Kafetzi"> Theodora Kafetzi</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Aonstantinos%20%CE%9Aarmiris"> Κonstantinos Κarmiris</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%91nastasia%20%CE%9Aourikou"> Αnastasia Κourikou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%99oannis%20E%20%CE%9Aoutroubakis"> Ιoannis E Κoutroubakis</a>, <a href="https://publications.waset.org/abstracts/search?q=Christos%20Liatsos"> Christos Liatsos</a>, <a href="https://publications.waset.org/abstracts/search?q=Gerassimos%20J.%20Mantzaris"> Gerassimos J. Mantzaris</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Dicoletta%20%CE%9Cathou"> Νicoletta Μathou</a>, <a href="https://publications.waset.org/abstracts/search?q=Georgia%20Bellou"> Georgia Bellou</a>, <a href="https://publications.waset.org/abstracts/search?q=George%20Michalopoulos%20%CE%91ikaterini%20%CE%9Cantaka"> George Michalopoulos Αikaterini Μantaka</a>, <a href="https://publications.waset.org/abstracts/search?q=Penelope%20Nikolaou"> Penelope Nikolaou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Cichael%20Oikonomou"> Μichael Oikonomou</a>, <a href="https://publications.waset.org/abstracts/search?q=Dimitrios%20Polymeros"> Dimitrios Polymeros</a>, <a href="https://publications.waset.org/abstracts/search?q=George%20Papatheodoridis"> George Papatheodoridis</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%95vdoxia%20Stergiou"> Εvdoxia Stergiou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Aonstantinos%20Soufleris"> Κonstantinos Soufleris</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%95pameinondas%20Skouloudis"> Εpameinondas Skouloudis</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%9Caria%20Tzouvala"> Μaria Tzouvala</a>, <a href="https://publications.waset.org/abstracts/search?q=Georgia%20Tsiolakidou"> Georgia Tsiolakidou</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%95ftychia%20Tsironi"> Εftychia Tsironi</a>, <a href="https://publications.waset.org/abstracts/search?q=Styliani%20Tsafaraki"> Styliani Tsafaraki</a>, <a href="https://publications.waset.org/abstracts/search?q=Kalliopi%20Foteinogiannopoulou"> Kalliopi Foteinogiannopoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Konstantina%20Chalakatevaki"> Konstantina Chalakatevaki</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%91ngeliki%20Christidou"> Αngeliki Christidou</a>, <a href="https://publications.waset.org/abstracts/search?q=Dimitrios%20K.%20Christodoulou"> Dimitrios K. Christodoulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Giorgos%20Bamias"> Giorgos Bamias</a>, <a href="https://publications.waset.org/abstracts/search?q=Spyridon%20Michopoulos"> Spyridon Michopoulos</a>, <a href="https://publications.waset.org/abstracts/search?q=%CE%95vanthia%20Zampeli"> Εvanthia Zampeli</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Inflammatory bowel disease (IBD) commonly affects female patients of reproductive age, making the interaction between fertility, pregnancy and IBD an important issue in disease management. The effect of disease activity on the outcome of pregnancy and its impact on neonatal growth is a field of intense research. Close follow-up of pregnant IBD patients by a multidisciplinary team improves maternal and neonatal outcomes. Aim – Methods: Α national retrospective study of pregnancies in women with IBD between 2010-2020 was carried out in 22 IBD reference centers in Greece. Patient characteristics such as disease profile, type of treatment, and disease activity during gestation were analyzed in correlation to the method of delivery, pregnancy outcomes, as well as breastfeeding and offspring health. Results: Two-hundred and twenty-three pregnancies in 175 IBD patients were registered in the study. 122 with Crohn’s disease (CD). Median age during diagnosis was 25.6 years (12-44), with median disease duration of 7.4 years (0-23). One-hundred and twenty-nine patients (58%) were recorded during their first pregnancy. Early pregnancy termination was reported by 48 patients (22%). Pregnancy as a result of in vitro fertilization (IVF) occurred in 15 cases (6.7%). At the beginning of gestation, 165 patients (74%) were under treatment: 48 with anti-TNF agents (29%), 43 with azathioprine (26%), 101 with 5-aminosalicylic acid formulations (61%) and 12 with steroids (7%). We recorded 49 cases of IBD flares (22%) during pregnancy. Two-thirds of them (n=30) were in remission at the onset of the pregnancy. Almost half of them (n=22) required corticosteroid treatment. Patients with ulcerative colitis (UC) were in greater risk of disease flare during pregnancy (p<0.001). All but 3 pregnancies (99.1%) resulted in uncomplicated delivery. In 147 cases (67.1%), cesarean delivery was performed. Two late fetal deaths (0.9%) were reported, both in patients with continuously active disease since the beginning of pregnancy. After delivery, 75 patients (34%) presented with a disease flare, which was associated with active disease at the beginning of pregnancy (p <0.001). Conclusion: The majority of female, Greek IBD patients, had a favorable pregnancy outcome. Active inflammation during gestation and UC diagnosis were associated with a negative impact on pregnancy outcomes. The results of this study are in favor of the continuation of IBD treatment during pregnancy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pregnancy" title="pregnancy">pregnancy</a>, <a href="https://publications.waset.org/abstracts/search?q=ulcerative%20colitis" title=" ulcerative colitis"> ulcerative colitis</a>, <a href="https://publications.waset.org/abstracts/search?q=Crohn%20disease" title=" Crohn disease"> Crohn disease</a>, <a href="https://publications.waset.org/abstracts/search?q=flare" title=" flare"> flare</a> </p> <a href="https://publications.waset.org/abstracts/166205/pregnancy-outcomes-in-patients-with-inflammatory-bowel-disease-retrospective-data-from-a-greek-national-registry" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/166205.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">87</span> </span> </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/WASET-16th-foundational-anniversary.pdf">WASET celebrates its 16th foundational anniversary</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Account <li><a href="https://waset.org/profile">My Account</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Explore <li><a href="https://waset.org/disciplines">Disciplines</a></li> <li><a href="https://waset.org/conferences">Conferences</a></li> <li><a href="https://waset.org/conference-programs">Conference Program</a></li> <li><a href="https://waset.org/committees">Committees</a></li> <li><a href="https://publications.waset.org">Publications</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Research <li><a href="https://publications.waset.org/abstracts">Abstracts</a></li> <li><a href="https://publications.waset.org">Periodicals</a></li> <li><a href="https://publications.waset.org/archive">Archive</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Open Science <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Philosophy.pdf">Open Science Philosophy</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Award.pdf">Open Science Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Society-Open-Science-and-Open-Innovation.pdf">Open Innovation</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Postdoctoral-Fellowship-Award.pdf">Postdoctoral Fellowship Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Scholarly-Research-Review.pdf">Scholarly Research Review</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Support <li><a href="https://waset.org/page/support">Support</a></li> <li><a href="https://waset.org/profile/messages/create">Contact Us</a></li> <li><a href="https://waset.org/profile/messages/create">Report Abuse</a></li> </ul> </div> </div> </div> </div> </div> <div class="container text-center"> <hr style="margin-top:0;margin-bottom:.3rem;"> <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" class="text-muted small">Creative Commons Attribution 4.0 International License</a> <div id="copy" class="mt-2">© 2024 World Academy of Science, Engineering and Technology</div> </div> </footer> <a href="javascript:" id="return-to-top"><i class="fas fa-arrow-up"></i></a> <div class="modal" id="modal-template"> <div class="modal-dialog"> <div class="modal-content"> <div class="row m-0 mt-1"> <div class="col-md-12"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> </div> </div> <div class="modal-body"></div> </div> </div> </div> <script src="https://cdn.waset.org/static/plugins/jquery-3.3.1.min.js"></script> <script src="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/js/bootstrap.bundle.min.js"></script> <script src="https://cdn.waset.org/static/js/site.js?v=150220211556"></script> <script> jQuery(document).ready(function() { /*jQuery.get("https://publications.waset.org/xhr/user-menu", function (response) { jQuery('#mainNavMenu').append(response); });*/ jQuery.get({ url: "https://publications.waset.org/xhr/user-menu", cache: false }).then(function(response){ jQuery('#mainNavMenu').append(response); }); }); </script> </body> </html>