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Breastfeeding rates remain extremely low in Greece and women with gestational diabetes mellitus and hypothyroidism may experience additional difficulties. The aim of the study was to investigate the effect of a structured individualized lactation educational intervention by a midwife on increasing breastfeeding rates in women with endocrine disorders and low-risk women compared to women receiving standard care, 24 months after delivery. Two-hundred women made up the study population. Half of them were experiencing endocrine pregnancy disorders and 100 women constituted the low-risk pregnancy standard care control group. Women who were breastfeeding exclusively were significantly higher in the midwifery intervention group with endocrine disorders, namely breastfeeding continued at four months (breastfeeding: 20% vs. 12%, exclusive breastfeeding: 50% vs. 26%, p = 0.0228), and at six months after childbirth (breastfeeding: 54% vs. 28%, exclusive breastfeeding: 32% vs. 12%, p = 0.0011), compared to the standard care control group with endocrine disorder. The low-risk midwifery intervention group breastfed at four months (22% vs. 14%, p = 0.0428) and at six months (52% vs. 26%, p = 0.0018) at higher rates compared to the standard care control group. In addition, exclusive breastfeeding was significantly higher in the low-risk midwifery intervention group at four months (46% vs. 20%, p = 0.0102) and six months (38% vs. 4%, p < 0.0001) compared to the standard care control group. This study was the first attempt of a structured midwifery breastfeeding education in Greece and its major contribution reflects a significant positive impact on breastfeeding rates in terms of duration and exclusivity in women with gestational endocrine disorders as well as in low-risk women, and could possibly be applied and instituted in everyday clinical practice to increase the low breastfeeding rates in Greece.

Pharmacovigilance has attracted enormous attention over recent decades. At present, the increasing datafication combined with the growing knowledge elicitation capabilities of key technology innovations, present pharmacovigilance with enormous opportunities to improve its effectiveness and widen its scope. With change being a continuous process, for pharmacovigilance this represents an era of ���Digital Darwinism���, during which new directions are opening fast and new challenges emerge, as to how the sector adapts in order to draw benefit. Current efforts and initiatives, aimed at addressing existing barriers and at enhancing the practical applications of new science and technology, are fragmented and disjoint, and thus are not adequate to provide an effective response to challenges. This research proposes a new paradigm for collaborative, information-driven innovation in pharmacovigilance and develops a Reference Framework, in order to (a) deepen the collective understanding of how a principled, collaborative and balanced medicines safety data ecosystem can be organised, (b) guide stakeholders towards the optimisation of pharmacovigilance and (c) provide useful reference points for the ongoing research and development process in the field. The Knowledge Discovery Cube (KDC) Framework provides the means for continual analysis, and for managing technology adoption in an informed and intentional manner. A variety of sources informed the research work. The resulting deliberations draw on the findings and conclusions of scholarly research, guidelines, policy documents and reports, and other resources from within and outside the field of health and life sciences, as well as on relevant theories. The developed framework was operationalised and validated in the context of vaccine safety monitoring.

The selection process in tertiary education in Greece is characterized by a competitive and grade-oriented system that lays the foundations for the extensive use of private educational services. Family inclination towards private expenditure in education raises arguments for the conversion of public education into a private commodity. This thesis examines how a specific middle class group in an urban setting, the city of Larissa, deals with the system of private investments in upper secondary education. In particular, in the light of Bourdieusian concepts, this study attempts to analyse parental choice and strategies that families set in action for achieving educational success and the social advancement of their offspring, investigating also the role of education for middle class parents. 15 semi-structured interviews were carried out, delivering insightful narratives of parents who had experienced the national examination process. Interviews gave prominence to the unquestionable value of educational credentials for a successful educational and professional trajectory. For the accomplishment of quality education, parents deployed their cultural, economic, and social assets, which enabled them to be effective in the educational marketplace. Choice presented a complex task for parents, which presupposed an intensive devotion of time and energy. Accordingly, educational strategies started from the child’s early upbringing, being employed systematically at the upper secondary level of education. In fact, parental strategies appeared to be a “natural” process pertaining to responsible and caring parenthood. Parents took for granted that children should be satisfactorily equipped with valuable educational qualifications, which were seen as a necessity for a successful future, and an upward trajectory.

The present chapter investigates the emerging paradigm of cultural heritage experience, as shaped by the continuous advances in information technologies. Recent years have seen the growing digitisation of cultural heritage, leveraged by innovative information technologies (imaging technologies, multimedia, virtual reality etc.). Advanced digitisation, and digital preservation and accessibility have been instrumental in transforming conservation and scientific research methods in the field of cultural heritage, as well as people’s experience of cultural heritage assets, relics, and monuments. Digitisation and immersion technologies are already in use in the context of cultural tourism in museums and on location. At the same time, a manifold of new applications and services can be generated from the adoption and adaptation of relevant technologies already applied in other sectors (e.g. 2D/3D digital scanning technologies applied in the construction industry). The present chapter will provide a thorough review of relevant digital technologies and existing work in the field, highlighting important research efforts and achievements; and will discuss the current challenges and promising avenues for future work. Following a literature review methodology, our research will provide a critical appraisal of carefully selected work from recent scientific literature and contribute to the systematisation of the current knowledge in the field towards the identification of key challenges and the extraction of new insights in terms of potential for practical applications and future research directions in the area.