Northwestern Greece Research Articles

Stratigraphy and tectonic evolution of Late Miocene - Quaternary Basins in Eastern Albania: A Review

The new stratigraphic data and tectonic evolution of the Late Miocene-Quaternary basins developed in Eastern Albania are presented. The reviewed stratigraphic data for deposits filling the Ohrid, Prespa and Devolli basins show that they began to form in Late Miocene. The stratigraphic evidences from eastern Albania are confronted with the stratigraphic data from the lake basins in western North Macedonia and northwestern Greece that all show the same age of infilling. The Cenozoic tectonic evolution of Eastern Albania consists of two phases of extensional deformations, the first in Middle Eocene-Late Miocene (Pannonian/Tortonian) and the second starting in Late Miocene (Pontian s. l.). The two phases are separated by a short compressive phase at the Late Miocene (end of Pannonian/Tortonian) or pre-Pontian s. l. time. In Late Miocene (Pontian) began forming the system of the Ohrid, Prespa and Devolli basins developed along the Drini fault zone. The Korça, Kolonja, Kukesi and Tropoja basins began to form since Pliocene and the Peshkopi Basin since Early Pleistocene. Finally, only the Ohrid and Prespa lakes are still active. The Late Miocene-Pleistocene basins were filled by lacustrine, lacustrine-fluvial and terrestrial sediments of the great thickness and of varied lithology: conglomerates, gravels, sandstones, sands, claystone and marls with lignite seams. Molluscs, microflora and flora, ostracods and vertebrates are found. The Lake Ohrid is a tectonically active graben formed during two main phases of deformation: (1) a trans-tensional phase which generated a pull-apart basin, and (2) an extensional phase which leads to its present geometry. All basins in Eastern Albania are situated in a basin and range-like (graben and horst) geodynamical setting. The inferred stratigraphic and tectonic evolution of Late Miocene-Quaternary basins in Eastern Albania as well as the relief formation and thermochronological data show that the Late Miocene-Quaternary period which led to the recent geological structure of Albania and its rapid relief formation, can be accepted as ‘Neotectonic period’.

Ground stone technology in context: Consumption of grinding tools and social practice at Neolithic Avgi, NW Greece

Excavations at the Neolithic site of Avgi (Middle-Late Neolithic, circa 5700-4500 cal. BCE) in the Kastoria region, northwestern Greece, brought to light one of the largest ground stone assemblages known from Neolithic Greece. More than 8000 ground stone tools and objects, raw materials and by-products comprise a valuable record for investigating various aspects of ground stone technology (production, consumption, discard), while their rich contextual information provides an ideal opportunity for addressing its significance for Neolithic societies.
 This paper examines the presence of grinding tools (stable grinding slabs and mobile grinders, their raw materials and by-products) within different spatiotemporal contexts (habitational phases, buildings, open areas, pits). Through the detailed technological and contextual analysis of the grinding artifacts we seek to explore different aspects of their biographies, related to their manufacture, use, maintenance, destruction and discard, within the context of a single Neolithic community. The goal is to shed light on the multiple ways through which the Neolithic society of Avgi consumed those technological products in various social occasions, practices and places (e.g., daily routine activities, special events of communal or symbolic character, individual houses and communal activity areas) and explore their role in the formation of social identities and the production of social meaning.

Daily Practices and Special Events

The article offers a detailed analysis of the grinding tool assemblage from the two neighbouring, partially contemporary and almost entirely excavated Late/Final Neolithic settlements of Kleitos, northwestern Greece. The data shed light on various choices regarding the organisation of the production and management of these implements. According to the evidence, grinding tools were not only used as part of the daily routine, but were also often used in special events. The limited rates of exhausted implements, the extreme fragmentation, and special patterns of deposition indicate the complex manipulation of grinding implements beyond their primary functions.

Onychomycosis in Northwestern Greece Over a 7-Year Period.

Onychomycosis is considered as one of the major public health problems with a global distribution associated with geographic, demographic and environmental factors, underlying comorbidities and immunodeficiency disorders. This study was conducted to investigate the etiological agents of onychomycosis, in Northwestern Greece during a 7-year period. The study population included 1095 outpatients with clinically suspected onychomycosis that presented to the University Hospital of Ioannina, NW Greece (2011–2017). Samples were examined for causative fungi, and mycological identification was established using standard mycological methods. Demographic data of each patient, comorbidities, localization of infection and history of previous fungal infection were collected. Onychomycosis was diagnosed in 317 of the 1095 suspected cases (28.9%) and the most frequently isolated pathogens were yeasts (50.8%) followed by dermatophytes (36.9%) and non-dermatophyte molds (NDMs) (12.3%). Dermatophytes were mostly involved in toenail onychomycosis (90.6%) and more commonly affected males than females (57.3% vs. 42.7%), while the predominantly isolated pathogen was Τrichophyton rubrum (74.4%) followed by Τrichophyton interdigitale (21.4%). Candida albicans was the most prevalent isolated yeast (82%), whereas among the cases with onychomycosis due to NDMs, Aspergillus spp. were isolated as the principal species (59%). Continuous monitoring should be performed in order to identify possible trends and shifts in species isolation rates and to evaluate the impact of onychomycosis among the general population and high-risk groups.

Evaluation and Origin Discrimination of Two Monocultivar Extra Virgin Olive Oils, Cultivated in the Coastline Part of North-Western Greece

Extra virgin olive oil (EVOO) quality and authenticity are important and challenging factors nowadays for the assurance of consumers’ protection, prevention of unfair competition, and disruption of the national economy by a false declaration of origin. Hence, the recognition of EVOO authenticity is of great interest in terms of commercial and quality aspects. The objective of this study was to evaluate and discriminate monovarietal extra virgin olive oils of the two dominant olive cultivars, Lianolia Kerkyras and Koroneiki, produced in the coastline part of Western Greece, based on their chemical characteristics, followed by statistical and chemometric analysis in order to profile for the first time the typical characteristics of Lianolia Kerkyras as well as to identify possible markers for authenticity purpose. A total of 104 olive oil samples were collected. Both cultivars had an overall high quality profile as far as their basic qualitative parameters (free fatty acid, peroxide value, and UV spectrometric indices) are concerned. A higher concentration in the mono-unsaturated oleic acid characterize olive oils of cv. Koroneiki compared to cv. Lianolia Kerkyras, while a clearly higher concentration in the poly-unsaturated linoleic acid was observed in olive oils of cv. Lianolia Kerkyras. In addition, olive oil samples of cv. Koroneiki showed a clear lower total sterols concentration with a percentage of 40.9% not surpassing the required EU Regulatory limit of 1000 mg/kg, an observation which strengthens previous published results of our research group and depicts an overall “intrinsic characteristic” of cv. Koroneiki. As far as the profile of the individual sterols is concerned, Lianolia Kerkyras samples exhibited higher mean value for the total sterol content as well as for β-sitosterol, the major phytosterol in olive oils, compared to the relative values of Koroneiki. Significant differences in the sterolic and fatty acid composition of the examined olive oil samples were shown by means of statistical analysis demonstrating a strong botanical effect and depicting that those compositional markers can be suggested as possible authenticity tools.

Popular Luxury in Southeastern Europe in the Long Eighteenth Century: A Case-Study of Italian Ceramics and Ottoman Greek Clients

Abstract In late eighteenth-century Ottoman Epirus (today northwestern Greece), novel and pleasurable objects expressed on a material level the rise of new mentalities. We discuss specifically the ceramic trefoil jugs with Greek verses manufactured in Pesaro, Italy, by the firm of Casali and Callegari and its successors. These wine jugs follow a pre-existing formal typology and bear painted decoration; their particularity is that they are also inscribed with verses written in Greek, as they were produced following commissions by merchants from Epirus. This region boasted centers of commerce, wealth, and education of an emerging middle class; the economic power of this rising Greek bourgeoisie was combined with deepening ties with Europe, intellectual growth, and the strengthening of a distinct identity. We argue that these jugs are examples of popular luxury and the commissioning individuals were knowledgeable and proactive consumers exhibiting a growing confidence and indeed a new awareness with political connotations.

Plant communities and habitat types in the protected area of Lake Pamvotis (Epirus, Northwestern Greece)

The vegetation of the protected area of Lake Pamvotis (Epirus, NW Greece) was studied and classified into habitat types according to the Council Directive 92/43/EEC. The main vegetation types encountered in the Ioannina Basin and the south-western part of Mt Mitsikeli are: (1) Quercus coccifera shrublands, (2) degraded deciduous oak forests, (3) Mediterranean arborescent mattorals with Juniperus, (4) Oro-Mediterranean heathlands, (5) willow low open forests, (6) οriental plane woods, (7) plant communities supported by calcareous substrates, (8) aquatic macrophyte assemblages, (9) reed beds and rush meadows. Twenty plant communities belonging to twelve alliances, eleven orders, and ten phytosociological classes were discerned. The Asplenio ceterach-Aurinietum saxatilae is described as a new association and the Eleocharito palustris-Alismatetum lanceolati is reported for the first time from Greece. Eleven habitat types were identified and their conservation status was assessed. Three habitat types (4090, 8210, 91M0) were in favourable conservation status, while one (5210) is in unfavourable-bad conservation status. The rest are in unfavourable-inadequate conservation status, with several pressures and threats recorded.

Production and circulation of Late Hellenistic fine table ware in Central Dalmatia, Croatia

Detailed compositional analysis is used to assess the hypothesis that fine tableware were produced and distributed within Central Dalmatia (present day Croatia) during the Late Hellenistic period. Examples of Black Slipped and Grey Slipped Ware sherds from two Greek cities, Issa on the island of Vis and Pharos on the island of Hvar, both of which contain pottery kilns, were analysed via geochemistry and thin section petrography. These data were compared to raw material samples from both islands, fine table ware sherds from the Dalmatian harbour site of Siculi, today Resnik, and legacy chemical data from southern Italy and north-western Greece, based on their typological similarity, in order to shed light on their production locations and distribution. This novel approach to provenience studies of the Hellenistic fine tableware takes into account not only the local provenance of vessels, but tries to locate the place of manufacture of imported vessels and their possible imitations and development within the context of learning. Besides, authors argue that apart of movement of pottery, the raw material was transported via existing maritime routes and used by the two different workshops at the same time. In the amidst extensive Hellenistic trade networks, fine tableware have been produced in Central Dalmatia by emerging local centres in the Greek cities of Issa and Pharos.

Field Evaluation of Low-Cost PM Sensors (Purple Air PA-II) Under Variable Urban Air Quality Conditions, in Greece

Recent advances in particle sensor technologies have led to an increased development and utilization of low-cost, compact, particulate matter (PM) monitors. These devices can be deployed in dense monitoring networks, enabling an improved characterization of the spatiotemporal variability in ambient levels and exposure. However, the reliability of their measurements is an important prerequisite, necessitating rigorous performance evaluation and calibration in comparison to reference-grade instrumentation. In this study, field evaluation of Purple Air PA-II devices (low-cost PM sensors) is performed in two urban environments and across three seasons in Greece, in comparison to different types of reference instruments. Measurements were conducted in Athens (the largest city in Greece with nearly four-million inhabitants) for five months spanning over the summer of 2019 and winter/spring of 2020 and in Ioannina, a medium-sized city in northwestern Greece (100,000 inhabitants) during winter/spring 2019–2020. The PM2.5 sensor output correlates strongly with reference measurements (R2 = 0.87 against a beta attenuation monitor and R2 = 0.98 against an optical reference-grade monitor). Deviations in the sensor-reference agreement are identified as mainly related to elevated coarse particle concentrations and high ambient relative humidity. Simple and multiple regression models are tested to compensate for these biases, drastically improving the sensor’s response. Large decreases in sensor error are observed after implementation of models, leading to mean absolute percentage errors of 0.18 and 0.12 for the Athens and Ioannina datasets, respectively. Overall, a quality-controlled and robustly evaluated low-cost network can be an integral component for air quality monitoring in a smart city. Case studies are presented along this line, where a network of PA-II devices is used to monitor the air quality deterioration during a peri-urban forest fire event affecting the area of Athens and during extreme wintertime smog events in Ioannina, related to wood burning for residential heating.

The Lords of War: violence, governance and nation-building in north-western Greece

ABSTRACT The article explores the intersection between paramilitary mobilization and nation-building in the area of Thesprotia in north-western Greece. It does so by examining the activities of the right-wing paramilitaries of EDES (Ethnikos Dimokratikos Ellinikos Sindesmos – National Republican Greek League) between the Axis occupation and the early Cold War period. Studies of nation-building in twentieth-century Europe have adopted a state-centric approach. More recent scholarship has questioned this approach and presented a more nuanced picture of the nation-making process. A significant strand of this scholarship discusses the role of non-state armed actors – bandits, paramilitaries and criminal gangs – in this process. The present article contributes to this literature by focusing on an aspect of paramilitarism that has largely been overlooked in the existing scholarship: governance. The article discusses patterns of paramilitary governance and explores the impact of wartime rule in local institutions and civilian security, as well as the political legacies of paramilitarism.

Feeding ecology of the highly threatened common bottlenose dolphin of the Gulf of Ambracia, Greece, through stable isotope analysis

AbstractThe Gulf of Ambracia, in northwestern Greece, hosts a highly threatened community of about 150 common bottlenose dolphins (Tursiops truncatus). Until now, information on their feeding habits was derived exclusively from fish scale samples collected during surface‐feeding events targeting small schooling epipelagic fish. The aim of this study was to determine the diet of bottlenose dolphins living in the Gulf of Ambracia through the application of Bayesian isotopic mixing models. Skin biopsy samples of 16 dolphins were analyzed and no difference related to sex or age‐class was found in δ13C and δ15N values. Results suggested that the dolphin diet was mainly based on Trachurus trachurus, species belonging to the family Sparidae: Diplodus annularis, Lithognathus mormyrus, and Sepia officinalis, which represented together about 42% ± 15% of the biomass ingested, followed by species belonging to the order Clupeiformes (Engraulis encrasicolus, Sardinella aurita, and Sardina pilchardus) and the genus Gobius (37% ± 17%). A better understanding of the feeding habits of these dolphins sheds light on the feeding ecology of this highly threatened population by, for instance, evidencing interactions with artisanal fisheries sharing the same target species, and is key for identifying adequate management measures consistent with an ecosystem‐based approach.

First report on the spawning migration and early life development of a cyprinid species of the genus Telestes

Reproductive migration of a Telestes species is reported for the first time for the Balkan endemic Telestes pleurobipunctatus (Stephanidis, 1939) from Louros River (Northwestern Greece), while the embryonic and larval development is also described for the first time for this species and genus. Adult fish migrate in late winter upstream and spawn in a peak of 2–3 nights in the outflow of springs. Embryos at hatching measure approx. 6.0 mm notochord length (NL), flexion starts at 8.1 mm NL and food particles are noted in the digestive tract of larvae at 8.2 mm NL. The larval period is characterized by the sequential formation of fins and the development of scalation. Fin differentiation ends with the completion of pelvic fin rays and the disappearance of the pre-anal finfold at 20.0 mm. First scales appear at 17.0 mm standard length (SL) and scalation completes at 27.8 mm SL. We propose that the size at a specific ontogenetic event, the pigmentation pattern and the pre-anal myomeres' number comprise diagnostic characters that permit distinguishing T. pleurobipunctatus larvae from other sympatric cyprinids. We note the rare pattern of scale scalation and pigmentation pattern of the target species. Parapatric speciation in T. pleurobipunctatus possibly related to its spawning migration pattern, as well as the use of larval identification in monitoring and conservation programmes targeting threatened cyprinids exhibiting this type of reproductive behaviour are also discussed.

Underwater Geoarchaeological Survey of Lake Pamvotis, Greece

The Laboratory of Marine Geology and Physical Oceanography, Department of Geology, University of Patras, Greece conducted a systematic geophysical survey in the lake Pamvotis located at the north-western Greece. The purpose of the Pamvotis project was twofold: to investigate the geomorphological and environmental status of the lake and to detect possible archaeological or cultural heritage sites in the lake. The Ephorate of Underwater Antiquities supervised the later part of the project.

Exploring of a Small-Scale Tourism Product under Economic Instability: The Case of a Greek Rural Border Area

The Regional Unit of Kastoria is a rural area in Northwestern Greece, located on the borderline with Albania. Kastoria city, the capital and the largest city of the Kastoria Regional Unit, is known for the production of high-quality fur products. The fur industry has faced a marked crisis from the 1980s onwards, which has contributed to pushing the local economy towards the development of tourism. However, the tourism industry, developed during the last 20 years, has an undefined character. Specifically, tourism is characterized as small-scaled owing to the limited number of mainly domestic tourists, who, in combination with the economic crisis of the last decade, slowed down the initial accelerated trend. The purpose of this paper is to capture the opinions and attitude of Kastoria visitors towards tourism, as well as to illustrate the changes as a consequence of the economic crisis. In this context, a survey was carried out in two periods (in 2008 at the beginning of economic crisis and in 2017 at the end of this crisis) using a structured questionnaire and with a sample of 232 visitors in total. Our findings are highlighted in an effort for policy makers and marketing planners to formulate appropriate marketing strategies and to reconstruct and promote the local touristic product and attract visitors in these border areas.

Effect of Age on Job Satisfaction and Emotional Exhaustion of Primary School Teachers in Greece.

The level of occupational burnout (OB) and job satisfaction (JS) was investigated in primary school teachers (n = 125) in the region of Epirus in Northwestern Greece. Teachers exhibited a high level of emotional exhaustion (EE), a medium level of depersonalization (DP), and a lack of personal accomplishment (PA). In our study, EE, which is a significant component of OB, varied according to intrinsic and extrinsic JS parameters. Teachers were less satisfied and more stressed with extrinsic job characteristics of their job, such as working conditions and working hours. Female teachers were more likely to exhibit increased satisfaction from intrinsic job characteristics, whereas male teachers were more likely to exhibit increased emotional exhaustion and lack of personal accomplishment. Job satisfaction had a significant negative impact on emotional exhaustion. Job satisfaction accounted (EE = 47.173 − 3.527*JS) for 35.1% of the total variation in the dependent variation of EE (F(1124) = 66.094, p < 0.001), indicating that job satisfaction had a significant negative effect on EE, such that an additional unit in job satisfaction will lower EE by 3.527. A Pearson correlation analysis revealed that age correlated negatively with emotional exhaustion (r = −0.204, p = 0.023). Proactive human resources policies may be required to protect the newly hired and less experienced teachers from exposure to stressful working conditions.

Detection of Cryptosporidium and Giardia in foods of plant origin in North-Western Greece.

Giardia and Cryptosporidium are recognized as leading causes of waterborne and foodborne diarrhoeal disease with worldwide distribution. The study aimed to determine the protozoan contamination of various foods of plant origin. A total of 72 samples from 27 different varieties of fresh vegetables and fruits were collected from supermarkets and open markets in North-Western Greece and were examined using conventional diagnostic methods. Two out of 72 (2.8%) samples were found positive for Cryptosporidium oocysts, while no sample was found to be positive for Giardia cysts. The results show the presence of protozoan contamination in foods of plant origin, which may constitute a potential health hazard.

Potential Sites for Underground Energy and CO2 Storage in Greece: A Geological and Petrological Approach

Underground geological energy and CO2 storage contribute to mitigation of anthropogenic greenhouse-gas emissions and climate change effects. The present study aims to present specific underground energy and CO2 storage sites in Greece. Thermal capacity calculations from twenty-two studied aquifers (4 × 10−4–25 × 10−3 MJ) indicate that those of Mesohellenic Trough (Northwest Greece), Western Thessaloniki basin and Botsara flysch (Northwestern Greece) exhibit the best performance. Heat capacity was investigated in fourteen aquifers (throughout North and South Greece) and three abandoned mines of Central Greece. Results indicate that aquifers present higher average total heat energy values (up to ~6.05 × 106 MWh(th)), whereas abandoned mines present significantly higher average area heat energy contents (up to ~5.44 × 106 MWh(th)). Estimations indicate that the Sappes, Serres and Komotini aquifers could cover the space heating energy consumption of East Macedonia-Thrace region. Underground gas storage was investigated in eight aquifers, four gas fields and three evaporite sites. Results indicate that Prinos and South Kavala gas fields (North Greece) could cover the electricity needs of households in East Macedonia and Thrace regions. Hydrogen storage capacity of Corfu and Kefalonia islands is 53,200 MWh(e). These values could cover the electricity needs of 6770 households in the Ionian islands. Petrographical and mineralogical studies of sandstone samples from the Mesohellenic Trough and Volos basalts (Central Greece) indicate that they could serve as potential sites for CO2 storage.

Messinian vegetation and climate of the intermontane Florina-Ptolemais-Servia Basin, NW Greece inferred from palaeobotanical data: how well do plant fossils reflect past environments?

The late Miocene is marked by pronounced environmental changes and the appearance of strong temperature and precipitation seasonality. Although environmental heterogeneity is to be expected during this time, it is challenging to reconstruct palaeoenvironments using plant fossils. We investigated leaves and dispersed spores/pollen from 6.4 to 6 Ma strata in the intermontane Florina–Ptolemais–Servia Basin (FPS) of northwestern Greece. To assess how well plant fossils reflect the actual vegetation of the FPS, we assigned fossil taxa to biomes providing a measure for environmental heterogeneity. Additionally, the palynological assemblage was compared with pollen spectra from modern lake sediments to assess biases in spore/pollen representation in the pollen record. We found a close match of the Vegora assemblage with modern Fagus–Abies forests of Turkey. Using taxonomic affinities of leaf fossils, we further established close similarities of the Vegora assemblage with modern laurophyllous oak forests of Afghanistan. Finally, using information from sedimentary environment and taphonomy, we distinguished local and distantly growing vegetation types. We then subjected the plant assemblage of Vegora to different methods of climate reconstruction and discussed their potentials and limitations. Leaf and spore/pollen records allow accurate reconstructions of palaeoenvironments in the FPS, whereas extra-regional vegetation from coastal lowlands is probably not captured.

Nine-year overview of dyslipidemia management in children with heterozygous familial hypercholesterolemia: a university hospital outpatient lipid clinic project in Northwestern Greece.

Background To assess the efficacy and safety of lipid-lowering treatment in children with heterozygous familial hypercholesterolemia (HeFH) aged ≤12 years attending a tertiary hospital-based outpatient lipid clinic. Methods Data in 318 children from the University Hospital of Ioannina (Northwestern Greece) Outpatient Lipid Clinic Project for Children and Adolescents with Dyslipidemia from March 2009 to December 2018 were analyzed. We assessed the efficacy and safety treatment alongside any possible predictors of the achievement of the treatment target. Results Of 318 children with hyperlipidemia, 72 were diagnosed having HeFH based on clinical criteria and genetic confirmation. Compared with non-familial hypercholesterolemia (non-FH) children, those with FH had a higher occurrence of positive family history of premature cardiovascular disease, and higher levels of total, low-density lipoprotein-cholesterol (LDL-C), apolipoprotein B (apoB) and lipoprotein (a) (Lp(a)). Treatment regimens included either atorvastatin 10-20 mg/day, rosuvastatin 5-10 mg/day, pitavastatin 2-4 mg/day monotherapy or in combination with ezetimibe. The treatment goal of LDL-C (<135 mg/dL, 3.5 mmol/L) was achieved in 69% of children treated. The achievement of the treatment targets correlated positively with male sex and inversely with the Dutch Lipid Clinic Network Score, baseline total, LDL-C and apoB levels. No clinically significant changes in liver or muscle-related laboratory tests were reported; no effect on growth or sexual maturation was noted. Conclusions This study confirms that lipid-lowering treatment in HeFH children initiated in the setting of a specialized tertiary hospital-based outpatient lipid clinic is efficacious and safe. Children of male sex and low baseline lipid values had a better achievement of treatment target.

The increasing incidence of immigration and information-seeking behaviour of medical doctors in north-western Greece.

Brain drain, an increasing phenomenon, can be defined as the international transfer of resources, in the form of a highly educated workforce, from developing to more developed countries. The tendency for migration leads to the activation of informational behaviour. The aim of this study was to search for the main causes of emigration of Greek medical doctors while their country suffers from an economic crisis. A cross-sectional study using a quantitative sampling method in the form of questionnaires was performed. These questionnaires were answered by 143 doctors working in the National Health System in the city of Ioannina in north-western Greece. Correlations between the examined parameters and predictive factors of immigration trend were recorded. A total of 85% of the respondents were dissatisfied with their wage, only 30% were sure that they would keep their current job and nearly 52% of them answered negatively to questions regarding their professional development. Only 33% of the physicians were negatively disposed towards moving abroad. Most of them were permanent personnel. Unsatisfactory wages, job uncertainty, non-permanent working status and low professional development opportunities were correlated with the phenomenon of immigration (all p<0.001). In the multivariate binary logistic regression analysis, lower wage (odds ratio (OR)=0.66, 95% confidence interval (CI)=0.453-0.961, p=0.03) and job uncertainty (OR=1.355, 95%CI=1.040-1.767, p=0.025) were independent predictors of the immigration trend. The tendency of Greek medical doctors to emigrate is strongly related to financial dissatisfaction, professional insecurity and minimal development opportunities. Especially in rural areas these high immigration trends can result in a shortage of GPs. The need for emigration is less common among qualified doctors with permanent contracts.