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Europe’s most stressed-out country is revolutionizing mental healthcare

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In a nation known for its picturesque landscapes and a relaxed Mediterranean lifestyle, a hidden reality is finally being acknowledged. Greece, despite its reputation for tranquillity, has been grappling with a mental health challenge greater than any other in Europe. It’s a crisis fuelled by the lingering effects of the financial crisis, which hit Greece notoriously hard, as well as collective income loss, GDP decline, and funding cuts. In the face of such adversity, Greece is at last beginning to take significant strides towards enhancing its mental health services.

In a significant move towards improving mental health services, the Greek government has appointed a minister for mental health—a welcome signal of their commitment to addressing this pressing issue. This represents a shift towards the Swedish and German approach of recognizing the importance of mental health in a society’s well-being.

Greece, much like its Mediterranean neighbour Italy, is confronting a paradox: a seemingly serene lifestyle concealing soaring stress levels. The Gallup 2019 Global Emotions poll dropped a startling revelation that 59% of Greeks had experienced stress in the preceding 24 hours, the highest rate across all the nations surveyed. Studies done post-Covid-19 seem to have further exacerbated the crisis.

The survey also identified neighbouring countries such as Italy, Albania, Cyprus, and Portugal as among the most stressed in Europe. In stark contrast, Ukraine, Estonia, Latvia, and Denmark reported significantly lower levels of stress. Taking lessons from other nations, and based on the principles of open, evidence-based, community-focused and data-led care, the Greek 5-year plan was launched through law no. 5015/2023 in February.

The Greek solution has already started to work. Greece has transitioned its mental healthcare system towards a community-based primary care approach, in opposition to the failed and abused bio-medical model. This shift has brought significant improvements in the delivery of mental health care services for children and adolescents and works on an understanding that mental health can in many cases be best treated using the power of community and socialisation, as well as an understanding that support can be most accessible when integrated into schools, sports and other community activities. However, despite these positive changes, various challenges persist, creating obstacles for children and families seeking mental health care.

Resource distribution in Greece’s mental healthcare system is far from equal, resulting in significant disparities in service availability and care quality across regions and socioeconomic groupings. The public sector, in particular, grapples with a shortage of child and adolescent doctors and other certified mental health professionals. This scarcity poses significant challenges for training programs seeking to bridge these gaps. Furthermore, an absence of official epidemiological data means the needs of various actors within the mental health services remain obscured.

Leaning further into the successes of the community-based approach, the CAMHI initiative needs accurate data to understand the mental health needs of children, adolescents, their families, caregivers, educators, and professionals working with them. Participants also received the Synthesis Report, recently released for the Child & Adolescent Mental Health Initiative (CAMHI), which offers a comprehensive overview for Greek mental health and sets out clear goals for child mental health. For instance, CAMHI aims for training programmes to address personnel shortages, collaborative networks, and online resources so that children and adults can have the information they need to be vigilant about their own mental health.

When adults and young people become conscious not just of their physical but also of their mental health needs, there are opportunities for more efficient preventative strategies which can be highly effective and reduce the strain on public health services. For instance, sports and time in the sun are known to release endorphins which chemically relieve stress, while other aids like stress balls and chewing sugar-free gum can be the key to self-care practices like Cognitive Behavioural Therapy (CBT) and meditation, which can reduce anxiety and improve focus through repeated actions like chewing and squeezing.

Perhaps the most pivotal moment of this project took place at the 2023 SNF Nostos Conference in June. This gathering brought together a diverse array of experts, including researchers, practitioners, and activists, to discuss the progress of the CAMHI, the 5-year public-private partnership to radically improve mental health services in Greece. The conference covered a wide range of topics, from the impact of loneliness on mental health to the role of arts, AI, and technology in addressing mental health challenges.

Notable speakers at the conference included influential figures like Glenn Close, Goldie Hawn, David Hogg, Michael Kimmelman, Harold S. Koplewicz, and Sander Markx. But by far the most prominent participant was none other than former U.S. President Barack Obama, whose presence emphasized the global importance of addressing mental health issues and investing in future generations.

As Greece continues its journey towards improved mental health and well-being, it serves as an example to the world of what can be achieved when a nation collectively decides to prioritize the well-being of its people and proves that good policy can improve mental health in even the most extreme of crises.

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The benefits of bee-polen – the food that gives us everything we need

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The pollen originates from those parts of the plant that are particularly important for the development of the plant species. Therefore, it contains substances of high biological value. Its composition varies greatly depending on the plants from which it is harvested. Fresh pollen contains the following ingredients:

• protein substances (22-40%), including the amino acids valine, tryptophan, phenylalanine, lysine, methionine, leucine, isoleucine, trevonine, histidine, arginine, glutamic, aspartic acid, etc.

• Sugars in the form of nectar carbohydrates (30 – 60 %)

• Vitamins. Bee pollen is particularly rich in vitamins that are absorbed by the bees’ body. Vitamins B1, B2, B3, B6, B7, B8, B9, B12, C, provitamin A (converted in the body into vitamin A), vitamin D, etc. have been identified. Rutin (vitamin P) reaches 60 mg per 100 g of pollen. It is of particular importance for the human body, as it increases capillary resistance

• Enzymes. Amylase, invertase, catalase, phosphatase, etc., which catalyze various chemical processes in the body, have been identified.

• Antibiotic substances. They come from both plants and bees. They stop the development of bacteria in the intestines. They are especially active against gram-negative bacteria, such as Escherichia coli, Salmonella ehteritidis and Proteus vulgaris, which are the causes of gastrointestinal diseases and urinary tract infections.

• Mineral substances. Potassium, calcium, phosphorus and magnesium are in the greatest amount. Manganese, zinc, cobalt, barium, silver, gold, vanadium, tungsten, iridium, mercury, molybdenum, chromium, cadmium, strontium, palladium, platinum and titanium have been found in small quantities. The amount of mineral salts is greater in pollen than in honey.

• Lipids, aromatic and pigment substances.

• Biologically active substances. Bee pollen contains from 0.60 to 4.87% nucleic acids, ribonucleic acids being more than deoxyribonucleic acids.

• Bee pollen is rich in the essential amino acids for life, which many times surpass the amino acids contained in beef, eggs and cheese.

If there were no other food sources containing amino acids, pollen could provide the human body with the minimum need for them through the average dose of 15 g per day. For example, 2 tablespoons of pollen equals the protein content of 140 g of pork steak, but without bad fats, chemicals and animal hormones.

Therapeutic action and application:

On the one hand, pollen has a high nutritional value – no other natural product can compete with it, but at the same time it is also a complete food thanks to its diverse ingredients. Pollen should also be considered as a natural “medicine-concentrate”, based on the large amount of enzymes, vitamins, antibiotic substances, trace elements, flavonoids, etc. contained in it – all of natural origin and in a favorable ratio with each other.

Pollen is used in the treatment of:

• Diseases of the small and large intestine.

• Possibility of using the pollen and perga in the treatment of diabetes, as it stimulates the release of insulin.

• Lowers the level of cholesterol, which is used in the treatment of atherosclerosis.

• Pollen is characterized by a low sodium content, but contains a lot of magnesium and potassium, which makes it suitable for the treatment of cardiovascular diseases.

• Pollen contains iron, which means that it can be used in the treatment of anemia.

• Thanks to the rich content of iodine, the pollen can be used in the prevention of endemic goitre.

• The pollen has a well-expressed anabolic (building) effect.

• It is used in the treatment of inflammatory and degenerative diseases of the liver.

• It has a normalizing effect on the nervous system.

Very good results are known in the treatment and prevention of pathological processes of the prostate gland such as hypertrophy. Bee pollen is used for gastrointestinal diseases, asthenia and states of mental and physical fatigue, which appeared as a result of various diseases, overloads, exhaustion (age-related and neurotic), etc. It is used for lack of appetite in children, delayed growth and delayed teething; it is included in the complex therapy of cardiovascular diseases, in the prevention and treatment of atherosclerosis, in liver diseases, climacteric disorders, etc.

Contraindications for treatment with bee pollen are allergy to it and severe damage to the renal parenchyma.

Pollen is considered to be completely harmless to the body.

It is suitable for treating liver diseases, atherosclerosis, lipidemia (increase in fat). With long-term treatment, it improves the condition of patients with prostate adenoma and prostatitis, depressive conditions and chronic alcoholism. An effective means of general strengthening of the organism.

Store in a dark and cool place.

Admission-

In the evening before going to bed, take a glass of water with one teaspoon of bee pollen and one teaspoon of honey, after it has dissolved and obtained a yellowish homogeneous mixture. Therefore, it is good to add the ingredients – pollen and honey – to a glass of warm water at least 15-20 minutes earlier. The spoon should not be metal.

Why evening?

Because of the whole range of vitamin B. It has a calming effect on the nervous system. It helps to sleep well.

Vitamins. Bee pollen is particularly rich in vitamins that are absorbed by the bees’ body. Vitamins B1, B2, B3, B6, B7, B8, B9.

Illustrative photo: St. Great martyr Procopius († 303) – patron saint of beekeepers celebrated on July 8 by the Orthodox Church. Fresco from 1315-1320 in the Hora church in Constantinople (Constantinople).

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Researchers Use AI Tools to Uncover Connections Between Radiotherapy for Lung Cancer and Heart Complications

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Researchers from Brigham and Women’s Hospital, a founding member of the Mass General Brigham healthcare system, have used artificial intelligence tools to accelerate the understanding of the risk of specific cardiac arrhythmias when various parts of the heart are exposed to different thresholds of radiation as part of a treatment plan for lung cancer. Their results are published in JACC: CardioOncology.

“Radiation exposure to the heart during lung cancer treatment can have very serious and immediate effects on a patient’s cardiovascular health,” said corresponding author Raymond Mak, MD, of the Department of Radiation Oncology at Brigham and Women’s Hospital. “We are hoping to inform not only oncologists and cardiologists, but also patients receiving radiation treatment, about the risks to the heart when treating lung cancer tumors with radiation.”

The emergence of artificial intelligence tools in health care has been groundbreaking and has the potential to positively reshape the continuum of care, including informing treatment plans for patients with cancer. Mass General Brigham, as one of the nation’s top integrated academic health systems and largest innovation enterprises, is leading the way in conducting rigorous research on new and emerging technologies to inform the responsible incorporation of AI into care delivery.

For patients receiving radiation therapy to treat non-small cell lung cancer (NSCLC), arrhythmias or irregular rhythms of the heart can be common. Because of the close proximity of the heart to the lungs and with NSCLC tumors being near or around the heart, the heart can receive collateral damage from radiation dose spillage meant to target the cancer tumors. Prior studies have found that this type of exposure to the heart is associated with general cardiac issues. However, this nuanced study demonstrated that the risk for different types of arrhythmias can vary significantly based on the pathophysiology and cardiac structures that are exposed to different levels of radiation.

In order to classify the types of arrhythmias that are associated with cardiac substructures receiving radiation, researchers conducted a retrospective analysis on 748 patients in Massachusetts, who were treated with radiation for locally advanced NSCLC. The arrhythmia subtypes cataloged included atrial fibrillation, atrial flutter, other supraventricular tachycardia, bradyarrhythmia, and ventricular tachyarrhythmia or asystole.

The team’s statistical analyses indicated that about one out of every six patients experienced at least one grade 3 arrhythmia with a median time of 2.0 years until the first arrhythmia. Grade 3 classifications are considered serious events that likely need intervention or require hospitalization. They also found that almost one-third of patients who experienced arrhythmias also suffered from major adverse cardiac events.

The arrhythmia classes outlined in the study did not entirely encompass the range of heart rhythm issues that are possible, but the authors note that these observations still create a better understanding of the possible pathophysiology pathways and potential avenues for minimizing cardiac toxicity after receiving radiation treatment. Their work also offers a predictive model for dose exposure and the type of expected arrhythmia.

For the future, the researchers believe that radiation oncologists should collaborate with cardiology experts to better understand the mechanisms of heart injuries and their connection to radiation treatment. In addition, they should take advantage of modern radiation treatment to actively sculpt radiation exposure away from the specific cardiac regions that are at high risk for causing arrhythmias. According to Mak, this study, alongside previous research, will help with surveillance, screening, and informing radiation oncologists on which parts of the heart to limit radiation exposure to, and in turn, mitigate complications.

“An interesting part of what we did was leverage artificial intelligence algorithms to segment structures like the pulmonary vein and parts of the conduction system to measure the radiation dose exposure in over 700 patients. This saved us many months of manual work,” said Mak. “So, not only does this work have potential clinical impact, but it also opens the door for using AI in radiation oncology research to streamline discovery and create larger datasets.”

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Beer, but warm – it helps the kidneys

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Is it true that beer is good for the kidneys? Beer is associated with entertainment, evening gatherings and relaxation. At the same time, many myths and claims accompany this popular drink, including claims that it is good for kidney health. Let’s look at what is actually known about the effect of beer on the organs of the genitourinary system.

The myth of the benefits of beer for the kidneys The idea that beer can have a positive effect on kidney health is due to the content of antioxidants in the drink, as well as its diuretic effect. However, it should be clarified that beer consumption is not associated with benefits for kidney function.

Reality and negative impact: Dehydration. Beer, like any alcoholic drink, has a dehydrating effect on the body. Alcohol suppresses the production of vasopressin, a hormone that regulates fluid levels in the body. This can lead to more frequent urination and, as a result, dehydration. Dehydration can negatively affect kidney function and overall health. Adverse effects on the urinary tract. Beer can irritate the urinary tract, which can contribute to urinary tract infections. Alcohol can also make existing kidney problems worse. Effect on blood pressure. Excessive consumption of alcohol, including beer, can raise blood pressure. A constant increase in blood pressure can negatively affect kidney function.

Reasonable consumption

It is important to emphasize that moderate and infrequent consumption of beer, like other alcoholic beverages, often avoids serious health problems. However, avoid excessive consumption and remember that beer is not particularly good for the kidneys.

Other myths about beer

Beer can be drunk in large quantities because it contains a lot of water: Despite the high water content of beer, the alcohol in it has a dehydrating effect, which can lead to dehydration, especially if consumed in excess.

Beer is a good way to relax and de-stress: Although many may feel relaxed after drinking alcohol, this is often a temporary effect. Long-term or excessive alcohol consumption can actually worsen stress and mental health effects.

Beer dissolves fat: Many people believe that beer helps dissolve fat and helps flush it out of the body. However, this is not true. Beer, like other alcoholic beverages, contains calories and can promote fat storage.

Beer is a good source of vitamins and minerals: Beer contains some vitamins and minerals, but it is not the best source of nutrients. An overdose of alcohol can negatively affect the absorption of certain nutrients.

If you have kidney problems, blood pressure or other chronic diseases, it is advisable to consult your doctor before making changes to your diet or drinking habits. In general, it is better to maintain a healthy and balanced lifestyle without alcohol to maintain the health of the genitourinary system and the whole body. The article is for informational purposes only and is not a recommendation or a substitute for professional consultation.

Illustrative Photo by RDNE Stock project: https://www.pexels.com/photo/friends-toasting-their-drinks-6174129/

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