Costas S. Constantinou

University of Nicosia

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Co-Authors

Constantinos N. Phellas

University of Nicosia

Linos Hadjihannas

Nicosia General Hospital

Evangelos Latzourakis

University of Nicosia

Christina Loizou

Max Planck Institute for Social Anthropology

Monica Nikitara

University of Nicosia

Maria Karekla

University of Cyprus

Remi G. Lefrancois

Santé Publique France

ΜA

Μichael A. Talias

Open University of Cyprus

Anders Koch

Statens Serum Institut

Klara Sondén

Public Health Agency of Sweden

Cooperative Institutions

University of Cyprus

University of Nicosia

Nicosia General Hospital

Ministry of Health

European Centre for Disease Prevention and Control

National and Kapodistrian University of Athens

European University Cyprus

Aristotle University of Thessaloniki

World Health Organization Regional Office for Europe

Intercollege

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“People Have to Comply with the Measures”: Covid-19 in “Risk Society”

Journal of Applied Social Science (2020)

Costas S. Constantinou

Covid-19 is managed by many countries with the help of experts provided that people comply with the measures. This paper relies on the basic tenets of Beck’s theory of risk society to explain the production, distribution, and management of Covid-19 and makes suggestions for the management of future pandemics.

Pandemic

Risk Society

2019-20 coronavirus outbreak

10.1177/1936724420980374

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Citations (16)

How life would be without thalassaemia: Patients’ perceptions

Christina Loizou Constantinos N. Phellas Stefan Beck Maria Karekla Μichael A. Talias

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Non-Specialized Nurses Roles in Diabetes Inpatient Care in Cyprus: An Interpretive Phenomenological Analysis

Social Sciences (2022)

Monica Nikitara Costas S. Constantinou Eleni Andreou Evangelos Latzourakis Marianna Diomidous

Aim: The aim of the study was to understand how non-specialized nurses and people with diabetes understand nurses’ roles in diabetes inpatient care. Background: Diabetes mellitus is a major public health issue that places a significant burden on patients and healthcare systems and world leaders have targeted it for priority action. Design: An interpretative phenomenology approach (IPA). Methods: A total of 24 non-specialized nurses working in medical, surgical and nephrology wards and 24 people with type 1 diabetes who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with nurses (n = 1) and people with diabetes (n = 2) were conducted and analysed and then individual semi-structured interviews with nurses (n = 18) and with people with diabetes (n = 12) were conducted. Findings: It is evident from the study findings that nurses experience several roles in diabetes inpatient care. Most of these roles have been identified by people with diabetes as well. These roles are summarized as follows: medication administration, patient education, screening of complications, diet and psychological support. However, most of the participants raised concerns about nurses’ ability to conduct such roles. Conclusion: Participants suggest that nurses experience several roles in caring for diabetes inpatients and this view was also shared by people with diabetes. However, it was obvious that these roles differ between specialities. The findings showed that even though participants recognized a number of roles in diabetes inpatient care, their description of how they perform these roles was vague, and they raised concerns about their readiness to take on some of these roles.

Interpretative Phenomenological Analysis

10.3390/socsci11100464

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Extensive Testing and Public Health Interventions for the Control of COVID-19 in the Republic of Cyprus between March and May 2020

Journal of Clinical Medicine (2020)

Annalisa Quattrocchi Ioannis Mamais Constantinos Tsioutis Eirini Christaki Costas S. Constantinou

Coronavirus disease 2019 (COVID-19) has significantly affected the well-being of individuals worldwide. We herein describe the epidemiology of COVID-19 in the Republic of Cyprus during the first epidemic wave (9 March–3 May 2020). We analyzed surveillance data from laboratory-confirmed cases, including targeted testing and population screening. Statistical analyses included logistic regression. During the surveillance period, 64,136 tests (7322.3 per 100,000) were performed, 873 COVID-19 cases were diagnosed, and 20 deaths were reported (2.3%). Health-care workers (HCWs) represented 21.4% of cases. Overall, 19.1% of cases received hospital care and 3.7% required admission to Intensive Care Units. Male sex (adjusted Odds Ratio (aOR): 3.04; 95% Confidence Interval (CI): 1.97–4.69), increasing age (aOR: 1.56; 95%CI: 1.36–1.79), symptoms at diagnosis (aOR: 6.05; 95%CI: 3.18–11.50), and underlying health conditions (aOR: 2.08; 95%CI: 1.31–3.31) were associated with hospitalization. For recovered cases, the median time from first to last second negative test was 21 days. Overall, 119 primary cases reported 616 close contacts, yielding a pooled secondary attack rate of 12% (95%CI: 9.6–14.8%). Three population-based screening projects, and two projects targeting employees and HCWs, involving 25,496 people, revealed 60 positive individuals (0.2%). Early implementation of interventions with targeted and expanded testing facilitated prompt outbreak control on the island.

Public Health Interventions

2019-20 coronavirus outbreak

Pandemic

10.3390/jcm9113598

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Citations (31)

Effect of Cold Atmospheric Plasma on SARS-CoV-2 Inactivation: A Pilot Study in the Hospital Environment

COVID (2022)

Konstantinos Loizou Volha Kniazeva Theofylaktos Apostolou A.N. Kornev Serhei Kostevitch

The spread of the new coronavirus SARS-CoV-2 has substantial social, health, and economic impacts. High viral load in the air in hospitals poses a risk to medical personnel. Cold atmospheric plasma (CAP) is a new technology based on the emission in the air of reactive species, neutral particles, UV radiation, and electromagnetic field. CAP has the potential as an antiviral agent. In this study, an 80-day clinical trial took place at Nicosia General Hospital to evaluate the application of CAP devices for lowering the viral load in the COVID rooms. A total of 284 indoor environment samples were tested by RT-PCR, for which 9 were positive (~3% Positive Rate). After analyzing the initial results, an ion emitter was paired with each patient, and the results showed that the method could eliminate the virus from the COVID wards up to 100%. The number of patients discharged from the hospital in the ionizer group was 4.8% higher than in the non-ionizer group, and 45% fewer patients in the ionizer group who remained in the rooms required oxygen support. The clinical trial shows evidence that composite CAP can decrease coronavirus spread in hospital environments and potentially prevent virus transmission.

10.3390/covid2100100

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Selective Nonoperative Management of Penetrating Abdominal Solid Organ Injuries

Transactions of the Meeting of the American Surgical Association (2006)

Δημήτριος Δημητριάδης Pantelis Hadjizacharia Costas S. Constantinou Carlos Brown Kenji Inaba

To assess the feasibility and safety of selective nonoperative management in penetrating abdominal solid organ injuries.Nonoperative management of blunt abdominal solid organ injuries has become the standard of care. However, routine surgical exploration remains the standard practice for all penetrating solid organ injuries. The present study examines the role of nonoperative management in selected patients with penetrating injuries to abdominal solid organs.Prospective, protocol-driven study, which included all penetrating abdominal solid organ (liver, spleen, kidney) injuries admitted to a level I trauma center, over a 20-month period. Patients with hemodynamic instability, peritonitis, or an unevaluable abdomen underwent an immediate laparotomy. Patients who were hemodynamically stable and had no signs of peritonitis were selected for further CT scan evaluation. In the absence of CT scan findings suggestive of hollow viscus injury, the patients were observed with serial clinical examinations, hemoglobin levels, and white cell counts. Patients with left thoracoabdominal injuries underwent elective laparoscopy to rule out diaphragmatic injury. Outcome parameters included survival, complications, need for delayed laparotomy in observed patients, and length of hospital stay.During the study period, there were 152 patients with 185 penetrating solid organ injuries. Gunshot wounds accounted for 70.4% and stab wounds for 29.6% of injuries. Ninety-one patients (59.9%) met the criteria for immediate operation. The remaining 61 (40.1%) patients were selected for CT scan evaluation. Forty-three patients (28.3% of all patients) with 47 solid organ injuries who had no CT scan findings suspicious of hollow viscus injury were selected for clinical observation and additional laparoscopy in 2. Four patients with a "blush" on CT scan underwent angiographic embolization of the liver. Overall, 41 patients (27.0%), including 18 cases with grade III to V injuries, were successfully managed without a laparotomy and without any abdominal complication. Overall, 28.4% of all liver, 14.9% of kidney, and 3.5% of splenic injuries were successfully managed nonoperatively. Patients with isolated solid organ injuries treated nonoperatively had a significantly shorter hospital stay than patients treated operatively, even though the former group had more severe injuries. In 3 patients with failed nonoperative management and delayed laparotomy, there were no complications.In the appropriate environment, selective nonoperative management of penetrating abdominal solid organ injuries has a high success rate and a low complication rate.

Solid organ

Penetrating Trauma

10.1097/01.sla.0000237743.22633.01

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Citations (300)

Implementation of Assisted Voluntary Returns and Reintegration Policies across EU: Exchanging Knowledge, Developing Mechanisms and Enhancing Capacities

Costas S. Constantinou Stefanos Spaneas Despina Cochliou

Turnover

Voluntary sector

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Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024

Eurosurveillance (2024)

Aisling Vaughan Mohammed Afzal Priyanka Nannapaneni Mathias Leroy Xanthi Andrianou

During the summer of 2023, the European Region experienced a limited resurgence of mpox cases following the substantial outbreak in 2022. This increase was characterised by asynchronous and bimodal increases, with countries experiencing peaks at different times. The demographic profile of cases during the resurgence was largely consistent with those reported previously. All available sequences from the European Region belonged to clade IIb. Sustained efforts are crucial to control and eventually eliminate mpox in the European Region.

Circulation (fluid dynamics)

10.2807/1560-7917.es.2024.29.27.2400330

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Citations (8)

Social inequalities in health

CRC Press eBooks (2022)

Costas S. Constantinou

Social Inequality

10.1201/9781003256687-7

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Citations (1)

Exploring How Educational Preparedness Affects the Attitudes of Nurses Regarding Sexual and Gender Minorities: A Systematic Review

Societies (2024)

Monica Nikitara Marileni Kenteli Evangelos Latzourakis Costas S. Constantinou

Numerous sources report that patients belonging to sexual or gender minority (SGM) groups often do not receive proper healthcare services due to negative attitudes from healthcare providers, including nurses. This literature review aims to explore the gaps in the existing curriculum and educational preparedness, including ehealth and mhealth trainings and how such educational preparedness affects the attitudes of nurses toward SGM groups. The search strategy included the electronic databases CINHAL, PubMed, Medline, EBSCO, and ProQuest. After reviewing and removing duplicates and irrelevant studies, 21 articles were selected to be included in this literature review. The findings of this research indicate that the provision of educational resources, including ehealth and mhealth trainings, falls short of meeting the requirements of caring for a patient who identifies with a sexual and gender minority (SGM) group. Consequently, nurses feel less confident and prepared to provide care in such situations, resulting in low comfort levels and readiness. It also reveals the nurses’ attitudes towards SGM patients affected by the lack of preparation. Key educational interventions, including targeted seminars and online modules, are recommended to enhance nurse preparedness. Implementing these interventions can foster improved attitudes and cultural competence in healthcare settings.

Preparedness

eHealth

10.3390/soc14120273

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