Quantification of frailty is useful both for understanding the nature of the syndrome and for designing an ICU care plan for patients that suffer from it. Knowing the needs and deficits of each patient individually, it is possible to create a care plan suitable to cover all the patients’ needs. Tools used to date to quantify frailty syndrome are the Fried phenotype, Frailty index, Edmonton Frailty Scale, and Clinical Frailty Scale. The Clinical Frailty Scale is one of the most user-friendly scales with particular predictive value. By recording and analyzing the information collected and ranking ICU patients at nine points on the scale, it is possible to draw valid predictive conclu-sions about the mortality or institutionalization needs that are present within the next five years.

Background: Health-related quality and of life and depression are major issues among patients with heart diseases. The aim of the current study was to assess the levels of quality of life and depression among patients with heart failure and heart attack as well as the correlation between these domains and the differences in both categories.Participants and procedure: In this cross-sectional study the following tools were used: a) the Missoula-VITAS Quality of Life Index (MVQoLI-15), which examines 5 domains of quality of life, and b) the Center for Epidemiological Studies Depression Scale (CES-D), which measures depression among patients. Finally, a questionnaire about sociodemographic elements was completed by the patients. Data were analyzed through IBM Statistics SPSS 20.0. The statistical level was set at 0.05%.Results: The mean value of CES-D Total and MVQoLI-15 were higher for the patients suffering from heart failure than those suffering from a heart attack. However, the dimensions of MVQoLI-15 Interpersonal Relationships, Well-Being and Transcendence were lower for heart failure patients compared to the levels of the patients suffering from a heart attack. According to the Pearson r test, there was a statistically significant negative correlation be-tween the quality of life and depression (p = .001) in the overall sample.Conclusions: Patients with heart failure experience more depression and lower quality of life than heart attack patients.

The present study aims to investigate the quality of life among mental health professionals. Dealing with everyday stressful situations and the responsibility of human life make these employees a vulnerable group. The present research seeks to study the relationship between the experience of counseling or psychotherapy on the part of employees and their quality of life. Forty-four mental health professionals participated in this quantitative research and the questionnaire used was the SF-36, which refers to the general health review. The group that stated that it has not experienced counseling or psychotherapy in the last five years was compared with the group that has experienced. The effect of the socio-demographic characteristics of the participants was also examined, with emphasis on the marital status and age between the two groups. The findings showed that the participation of employees in a counseling and / or psychotherapy process affects the physical role, as factor of quality of life (p = 0.045 <0.005). Age is negatively correlated with physical function (p = -0.571, p <0.001). The level of education affects general health (p = 0.012), with high school graduates excelling over the rest. Monthly income differentiates the factors of physical functionality (p = 0.047) and social functionality (p = 0.016). Gender and marital status do not affect the quality of life of employees. The findings highlight the need for Mental Health Centers to focus on counseling and psychotherapy programs for their employees, in order to improve their quality of life and consequently the quality of their services.

Introduction: Several studies have shown that nursing professional is one of the groups at risk of suffering high level of burnout syndrome. Social support has a positive impact on their overall wellbeing. The aim of the study was to investigate burnout syndrome and social support in Greek nursing professionals and if social support affects burnout levels. Material and Method: A sample of 125 nurses was recruited from hospitals in the broader area of Athens and all over Greece. Measurements will be conducted with the following instruments: the Multidimensional Scale of Perceived Social Support (MSPSS) and the Maslach Burnout Inventory (MBI) for measuring burnout and social support, respectively. Results: The analysis of the measurements indicates that nursing professionals experience high levels of burnout syndrome but there is no significant correlation with social support in the majority of the nursing staff. Conclusion: The debilitating project and numerous hours of work are additionally highlighted in this study, where many medical attendants take note that they feel rationally depleted by their work. Social support plays an important role in health but in our study, the correlation among them is rejected, so it would be interesting to carry out further studies.

Introduction: Vaccination is mentioned as a most successful way of intervention in public health. Vaccination against other diseases is usually recommended for people with Human Immunodeficiency Virus (HIV/AIDS) infection. Purpose: To identify the correlation of vaccines and vaccination in patients suffering from HIV/AIDS infection. Methodology: This narrative review was based on the bibliographic search of reviews and research studies drawn from the international databases. The exclusion criterion of the articles was the language other than English and Greek. Results: HIV infection is characterized by severe immunodeficiency, which is the result of a decrease in the number of CD4+ T – lymphocytes. The right time to vaccinate a HIV patient is not precisely determined, but it is recommended for those with low CD4 values. All HIV patients are recommended to be vaccinated the annual vaccination of Influenza virus vaccination. It also is recommended to be vaccinated with the vaccination against human papillomavirus (HPV), the vaccination against hepatitis A virus (HAV) and hepatitis B virus (HBV), the vaccination against herpes zoster or shingles and the vaccination against COVID-19 infection. Conclusion: People with HIV/AIDS are more vulnerable to infections from various diseases. Therefore, it is necessary patients with HIV infection be vaccinated against life-threatening diseases.

In recent years, there has been a maximum increase in admissions to the intensive care unit, culminating in an exponential increase in admissions during the COVID 19 pandemic. Many patients who survived and were discharged from the intensive care unit have cognitive, physical, and psychological disorders that are reflected in the term post-intensive care syndrome. Patients and their families show symptoms of anxiety, depression, post-traumatic stress, and sleep problems. The result is that they negatively affect their quality of life. Numerous risk factors contribute to the development of this syndrome, mainly the sedation, the duration of mechanical ventilation, and the length of stay in the intensive care unit. For this reason, it is necessary to take measures to prevent this syndrome including ABCDEFGH care plan, physical rehabilitation, nutritional support, and intensive care unit diaries. Care must also be given to the creation of Post Intensive care unit clinics where they have a diagnostic, therapeutic, counseling, and rehabilitation role that will act as assistants in the care of patients after discharge from the intensive care unit. Also, special care should be taken with patients who have recovered from COVID 19 whose needs are increasing and need immediate treatment. This review aims to analyze post-intensive care syndrome, prevention measures, and the impact of COVID 19. In conclusion, it is necessary to take measures to treat post-intensive care unit syndrome with early diagnosis and treatment, to reduce the adverse effects on both patients and their families.