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66, 95% CI 1.21-2.29, p=0.002), work experience (CI 1.13, 95% CI 1.03-1.23, p=0.008), and Rhesus (CI 2.55, 95% CI 1.11-5.84, p=0.027) were found to be risk factors for DVT.

Nurses are potentially a professional group for developing deep vein thrombosis, and given the high incidence found in this study, as well as the lower proportion of nurses who were undiagnosed while meeting the clinical criteria of Hick, it is essential for nurses to check their lower extremities for DVT annually.

Nurses are potentially a professional group for developing deep vein thrombosis, and given the high incidence found in this study, as well as the lower proportion of nurses who were undiagnosed while meeting the clinical criteria of Hick, it is essential for nurses to check their lower extremities for DVT annually.

Employees in healthcare systems are often conflict in the workplace due to the high-pressure environment and the diversity between different departments. Lirafugratinib The aim of the study was not only to investigate the main causes of creation of conflicts but also investigate conflict management strategies health professionals use in a public hospital.

This is a cross-sectional study. An anonymous questionnaire was used on a sample of 25 physicians and 95 nurses.

Conflicts exist between colleagues and other professional groups. The most common management strategy is to avoid conflict, and second-place behavior such as compromise and negotiation for mutual benefit come along. The results of the organizational causes of conflicts have shown that important factors are the workload, the commands received by more than one supervisor, their reward, and the fact that their present work does not look like as what they had in mind about ideal work. Finally, the results on the causes related to employee expectations have shown that significant causes in this direction are the differences in the level of education, the unfair rewards among the various professional groups are that they do not have common professional expectations with other professional groups and that professional development is not related to their expectations.

The most popular proposals for conflicts solutions are nondiscrimination between the healthcare professionals, a fair approach to reward and punishment, communication and cooperation in the organization/hospital, establish a clear division of responsibilities, and establish professional management and the departments have to be autonomous.

The most popular proposals for conflicts solutions are nondiscrimination between the healthcare professionals, a fair approach to reward and punishment, communication and cooperation in the organization/hospital, establish a clear division of responsibilities, and establish professional management and the departments have to be autonomous.This study aimed to examine Greek nurses' perceptions about hospital ethical climate and to investigate the possible difference of those perceptions regarding their demographic and work-related characteristics. The cross-sectional study design was employed in this study in which 286 nurses and nurse assistants participated. Data were collected by a sheet containing demographic and work-related characteristics and the Greek version of the Oslons' Hospital Ethical Climate Scale. IBM Statistical Package for Social Sciences 25 was used in data analysis. Frequencies, means, percentages, and standard deviations summarized the data. For the statistical differences, parametric tests were performed. Independent Samples t and Pearson correlation analysis were used to determine the relationship between the ethical climate of the hospital and the nurses' characteristics. The p-values 0.05 were considered statistically significant. The mean age of the nurses was 44 years (SD 8.5 years; range 24-66 years). The majority of them were women (77.3%). A percent of 57.7% of the sample was married. Most positive perceptions were concerning managers (4.01) following by peers (3.82), patients (3.69), hospitals (3.29) while the least positive perceptions of the ethical climate were concerning the physicians (3.16). The factors associated with hospital ethical perception were working experience and responsible position. The highest score of ethical climate reported to managers subscale, while the minimum score was related to physicians. In general, Greek nurses reported positive perceptions regarding hospital ethical climate. The positive ethical climate is associated with a better working environment, fewer nurses' experience of moral distress, fewer chances for nursing turnover, high quality of nursing care, and fewer errors in nursing practice.

Evidence-based practice (EBP) is about integrating scientifically proven effective methods into clinical practice by healthcare professionals in the context of patient care. This approach is being studied extensively by the scientific community because of its positive effects on patients and on the health system. The aim of the study was to investigate the degree of implementation of evidence-based leadership in Greek public hospitals.

This is a cross-sectional study. The sample of the study consisted of 213 nurses who worked to two large public hospitals of Athens, Greece. The Implementation Leadership Scale (ILS) used for data collection. The SPSS v. 24. was used to analyze the data.

Most of participants were females (89.7%), aged 31-40years (38.5%), married (74.8%), were RN (68.1%), and had more than 10years of work experience (63.9%). About half of participants (40.4%) supported that the head nurse has taken in a great extent the necessary measures to facilitate evidence-based clinical care, thus positively affecting its implementation. About one third of participants (35.2%) considered that their head nurses are well informed. The more knowledge nurses have about evidence-based clinical care, the greater their prevention (r=0.852, p<0.05) and the more persistent they are in implementing it despite any difficulties (r=0.796, p<0.05).

Knowledgeable, supportive, proactive, and persistent leadership positively influences the implementation of evidence-based practice. The hospital managers, and especially head nurses, are able to promote the implementation of evidence-based care.

Knowledgeable, supportive, proactive, and persistent leadership positively influences the implementation of evidence-based practice. The hospital managers, and especially head nurses, are able to promote the implementation of evidence-based care.Chronic obstructive pulmonary disease (COPD) is a common disease that causes long-term disability and death. Its natural history is punctuated by acute worsening of symptoms, called exacerbations, which are associated with increased mortality and hospitalization. In this work, we aim to stratify patients with COPD based on their risk for exacerbation; for this purpose, we employ non-invasive biomarkers, that is, volatile organic compounds (VOCs), acquired from the patients' exhaled breath coupled with their spirometry and age. We utilize a series of classification schemes with the best performing one achieving overall Accuracy = 93.5%. The yielded results are, therefore, encouraging and prompt for further investigation toward the utilization of VOCs in the management of COPD.Most research on extracellular vesicles (EVs) from non-pathogenic fungi has been conducted in S. cerevisiae, taking advantage of the tools available for this model organism; but a few studies on EVs from yeasts of biotechnological interest are also available. Proteomic analyses in EVs from different yeast species and under different culture conditions are consistent in the identification of proteins related to glycolysis and cell wall biogenesis. Consequently, cell wall metabolism and biosynthesis appear as major functions of EVs. Additional functions have been proposed attending to the known biological activities identified on EVs proteomes, including interspecific antagonism, protection against antimicrobial agents, or clearance of aggregates of misfolded proteins (e.g. prion-like proteins). However, caution should be taken since some of these proteins might play a different role in the intracellular space or EVs (including some well known moonlighting proteins). It is also possible that many proteins appear in EVs as an indirect consequence of cellular metabolism and protein traffic, not related to a specific role in the extracellular space. These considerations become especially relevant in the context of the increasing detection power of proteomic technologies, leading in some cases to the identification of thousands of different proteins in the EVs proteome. Mutations in different secretory pathways have been related to differences in protein cargo of EVs, but no mutation has been found completely abolishing the production of EVs. Further work on the composition and biogenesis of EVs is required to better understand their biological significance.Extracellular vesicles (EVs) are nano-sized structures that play important roles in a variety of biological processes among members of the Eukaryota domain. They have been studied since the 1940s and a broader use of different microscopy techniques to image either isolated vesicles or vesicles within the intracellular milieu (trafficking) has been limited by their nanometric size, usually below the resolution limit of most standard light microscopes. The development of genetically encoded fluorescent proteins and fluorescent probes able to switch between "on" and "off" states, as well the improvement in computer-assisted microscopy, photon detector devices, illumination designs, and imaging strategies in the late Twentieth century, boosted the use of light microscopes to provide structural and functional information at the sub-diffraction resolution, taking advantage of a nondestructive analytical probe such light, and opening new possibilities in the study of life at the nanoscale. As well, traditional and novel electron microscopy techniques have been widely used in the characterization of subcellular compartments, either isolated or in situ, providing a comprehensive understanding of their functional role in many cellular processes. Here, we present basic aspects of some of these techniques that have already been applied and their potential application to the study of fungal vesicles.Extracellular vesicles (EVs) are released by virtually all live cells. In fungal organisms, the EVs traverse the cell wall and reach the extracellular environment, where they can interact with host cells and potentially impact the disease outcome. Compositional analyses have demonstrated that fungal EVs carry lipids, proteins, polysaccharides, glycans, nucleic acids, and a diversity of small metabolites. Among this variety of compounds, several molecules with immunogenic properties were characterized. It corroborates with their ability to stimulate innate immune cells, induce antibody production and protect insects and mice against fungal infections. In this chapter, we discuss the advantages of using fungal EVs as a new platform for the development of antifungal vaccines.Several studies have shown the immunomodulatory effects of extracellular vesicles (EVs) released by pathogenic fungi. Herein, we discuss the data regarding the immunomodulatory properties of fungal EVs, but also of EVs produced by infected leukocytes. This characterizes a two-way path, in which both host and fungal EVs could coexist and play crucial roles in disease progression or protection in fungal infections. We suggest that EVs can dictate the progress of fungal diseases, and their potential as therapeutic targets.

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