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Ana Carolina Patrício de Albuquerque Sousa, Alain Marchand, Angeles Garcia, Jose Fernando Gomez, Alban Ylli, Jack M Guralnik, Maria-Victoria Zunzunegui, Ricardo Oliveira Guerra
OBJECTIVE: To compare diurnal cortisol profiles across samples of older adults from diverse populations and to examine if differences in circadian cortisol secretion are associated with poor physical performance (SPPB<9). METHODS: Data were collected during the baseline survey of the International Mobility in Aging Study conducted in 2012 in Kingston (Canada), Saint-Hyacinthe (Canada), Tirana (Albania) and Manizales (Colombia). Salivary cortisol was collected from a subsample of 309 participants instructed to collect saliva on two consecutive days, and 5 different intervals each day: upon awakening (M1), 30min (M2) and 60min after awakening, at 15:00h and before bedtime (E)...
March 9, 2017: Archives of Gerontology and Geriatrics
Mohammad Auais, Beatriz Alvarado, Ricardo Guerra, Carmen Curcio, Ellen E Freeman, Alban Ylli, Jack Guralnik, Nandini Deshpande
BACKGROUND: fear of falling (FOF) is a major health concern among community-dwelling older adults that could restrict mobility. OBJECTIVE: to examine the association of FOF with life-space mobility (i.e. the spatial area a person moves through in daily life) of community-dwelling older adults from five diverse sites. METHODS: in total, 1,841 older adults (65-74 years) were recruited from Kingston, Canada; Saint-Hyacinthe, Canada; Tirana, Albania; Manizales, Colombia and Natal, Brazil...
January 1, 2017: Age and Ageing
Enstela Shukullari, Dhimitër Rapti, Martin Visser, Kurt Pfister, Steffen Rehbein
To establish the diversity and seasonality of ectoparasite infestation in client-owned dogs in Albania, 602 dogs visiting four small animal clinics in Tirana from March 2010 to April 2011 inclusive were examined for ectoparasites by full body search and total body comb. In addition, ear swab specimens collected from all dogs and scrapings taken from skin lesions suspicious of mite infestation were examined for parasitic mites. Overall, 93 dogs (15.4 %, 95%CI 12.6-18.6) were demonstrated to be infested, and nine species of ectoparasites were identified: Ixodes ricinus, 0...
January 2017: Parasitology Research
Dimitri Taurino Guedes, Afshin Vafaei, Beatriz Eugenia Alvarado, Carmen Lucia Curcio, Jack M Guralnik, María Victoria Zunzunegui, Ricardo Oliveira Guerra
BACKGROUND: Life course exposure to violence may lead to disability in old age. We examine associations and pathways between life course violence and mobility disability in older participants of the International Mobility in Aging Study (IMIAS). METHODS: A cross-sectional study using IMIAS 2012 baseline. Men and women aged 65-74 years were recruited at 5 cities (n=1995): Kingston and Saint-Hyacinthe (Canada), Tirana (Albania), Manizales (Colombia) and Natal (Brazil)...
October 13, 2016: BMJ Open
Sokol Myftiu, Petrit Bara, Ilir Sharka, Artan Shkoza, Xhina Belshi, Edlira Rruci, Gentian Vyshka
AIM: The present study considers of the prevalence of heart failure (HF) in patients suffering from acute myocardial infarction (AMI) in the University Hospital Centre of Tirana (UHCT) "Mother Theresa"; the demographic and clinical characteristics of the sample during hospitalization; and the main predictors of heart failure occurrence inside the group of patients suffering an AMI. MATERIAL AND METHODS: During a period of study from 2013-2015 we studied demographic and clinical data from 587 consecutive patients presenting with AMI; Framingham criteria were adopted for classifying patients with HF upon admission...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
Zamir Damani
INTRODUCTION: One of the most common and potential life threatening complications of pregnancy is pregnancy induced hypertension. This cross-sectional study aimed to investigate the relationship between platelet count and pregnancy induced hypertension. MATERIAL AND METHODS: Twenty (20) patients (subjects) and twenty (20) healthy pregnant women (control) visiting the Obstetrics and Gynecology Hospital University of "Koço Gliozheni" Tirana Albania were registered in the study and followed during their pregnancy...
July 24, 2016: Materia Socio-medica
Falzon A Parascandalo, P Zarb, E Tartari, D Lacej, S Bitincka, O Manastirliu, D Nika, M A Borg
BACKGROUND: Antimicrobial resistance has been recognised as a serious global Public Health problem. Prevalence of Multiple-Drug-Resistant (MDR) organism carriage in Albania is largely unknown since no national surveillance system is in place and few publications are accessible in the literature. METHODS: A 1-day point-prevalence-survey (PPS) screening for nasal methicillin-resistant Staphylococcus aureus (MRSA) and rectal MDR Gram-negative carriage was carried out at the high-dependency wards in the country's only tertiary care hospital, in Tirana...
2016: Antimicrobial Resistance and Infection Control
Skender Buci, Agim Kukeli
Purpose - The purpose of this paper is to assess the survival probability among patients with liver trauma injury using the anatomical and psychological scores of conditions, characteristics and treatment modes. Design/methodology/approach - A logistic model is used to estimate 173 patients' survival probability. Data are taken from patient records. Only emergency room patients admitted to University Hospital of Trauma (former Military Hospital) in Tirana are included. Data are recorded anonymously, preserving the patients' privacy...
August 8, 2016: International Journal of Health Care Quality Assurance
Nertila Kodra, Vjollca Shpata, Ilir Ohri
BACKGROUND: Incidence of postoperative pulmonary complications (PPC) in patients undergoing non-cardiothoracic surgery remains high and the occurrence of these complications has enormous implications for the patient and the health care system. AIM: The aim of the study was to identify risk factors for PPC in patients undergoing abdominal surgical procedures. MATERIALS AND METHODS: A prospective cohort study in abdominal surgical patients, admitted to the emergency and surgical ward of the UHC of Tirana, Albania, was conducted during the period: March 2014-March 2015...
June 15, 2016: Open Access Macedonian Journal of Medical Sciences
Mohammad Auais, Beatriz E Alvarado, Carmen-Lucia Curcio, Angeles Garcia, Alban Ylli, Nandini Deshpande
BACKGROUND: Fear of falling (FoF) is a common health problem among older adults. Although the relationship between FoF and limitation in daily activities has been reported, FoF's relationship to mobility disability, a transitional phase to end-stage disability, is not yet understood. We examined the relationship between FoF and mobility disability among community-dwelling older adults and explored the differences in this relationship among socio-culturally diverse sites. DESIGN: Cross-sectional study...
September 2016: Archives of Gerontology and Geriatrics
Genta Cekodhima, Altin Cekodhima, Arben Beqiri, Mehdi Alimehmeti, Gerhard Sulo
BACKGROUND: Colorectal polyps (CP) are common among individuals older than 50 years. Some polyp types can precede colorectal cancer (CRC). This study aimed at describing histopathological characteristics of colorectal polyps in relation to age and gender among symptomatic patients referred for a colonoscopy examination during 2011-2014 in Tirana, Albania. METHODS: Study population included 267 individuals aged ≥ 20 years and diagnosed with ≥ 1 polyp during a colonoscopy examination...
June 1, 2016: Zdravstveno Varstvo
Eriseida Ndoni, Redi Hoxhallari, Astrit Bimbashi
BACKGROUND: Preeclampsia is a hypertensive multisystem disorder of pregnancy that complicates up to 10% of pregnancies worldwide and is one of the leading causes of maternal and perinatal morbidity and mortality. AIM: To evaluate maternal complications associated with severe preeclampsia. METHODS: This is a retrospective cross-sectional study conducted in the UHOG "Koço Gliozheni", in Tirana. Primary outcomes evaluated: maternal death, eclampsia, stroke, HELLP syndrome, and pulmonary edema...
March 15, 2016: Open Access Macedonian Journal of Medical Sciences
Mirvete Rama, Mirela Miraci, Idriz Balla, Ela Petrela, Ledjan Malaj, Anjeza Koleci
AIM: The study aim is to evaluate the cost-effectiveness of thrombolytic treatment in acute MI comparing with anticoagulants therapy and between each other thrombolytic (SK, r-Pa). MATERIAL AND METHODS: We used a prospective registry of all patients admitted for acute myocardial infarction in intensive care units in Tirana. The average drugs cost was calculated for the hospitalization period in Albanian money (ALL). Survival and life quality were estimated by phone contact 1 year after acute MI...
June 15, 2015: Open Access Macedonian Journal of Medical Sciences
Tamer Ahmed, Afshin Vafaei, Mohammad Auais, Jack Guralnik, Maria Victoria Zunzunegui
OBJECTIVES: To examine the relationships between physical function and gender-stereotyped traits and whether these relationships are modified by sex or social context. METHODS: A total of 1995 community-dwelling older adults from the International Mobility in Aging Study (IMIAS) aged 65 to 74 years were recruited in Natal (Brazil), Manizales (Colombia), Tirana (Albania), Kingston (Ontario, Canada), and Saint-Hyacinthe (Quebec, Canada). We performed a cross-sectional analysis...
2016: PloS One
Enkelejda Velo, Perparim Kadriaj, Kujtim Mersini, Ada Shukullari, Blerta Manxhari, Artan Simaku, Adrian Hoxha, Beniamino Caputo, Luca Bolzoni, Roberto Rosà, Silvia Bino, Paul Reiter, Alessandra della Torre
BACKGROUND: In the last decades, Aedes albopictus has become an increasing public health threat in tropical as well as in more recently invaded temperate areas due to its capacity to transmit several human arboviruses, among which Dengue, Chikungunya and Zika. Enhancing the efficiency of currently used collection approaches, such as ovitraps and sticky traps, is desirable for optimal monitoring of the species abundance, for assessment of the risk of arbovirus transmission and for the optimisation of control activities...
April 21, 2016: Parasites & Vectors
Mario U Pérez-Zepeda, Emmanuelle Belanger, Maria-Victoria Zunzunegui, Susan Phillips, Alban Ylli, Jack Guralnik
OBJECTIVE: The aim of this study was to explore the validity of self-rated health across different populations of older adults, when compared to the Short Physical Performance Battery. DESIGN: Cross-sectional analysis of the International Mobility in Aging Study. SETTING: Five locations: Saint-Hyacinthe and Kingston (Canada), Tirana (Albania), Manizales (Colombia), and Natal (Brazil). PARTICIPANTS: Older adults between 65 and 74 years old (n = 1,995)...
2016: PloS One
Klejda Hudhra, Eni Beçi, Elizana Petrela, Delina Xhafaj, Marta García-Caballos, Aurora Bueno-Cavanillas
RATIONALE, AIMS AND OBJECTIVES: Explicit criteria have been used worldwide to identify suboptimal prescribing such as potentially inappropriate prescriptions (PIPs). The objective of our study was to determine prevalence, types and factors associated with PIPs in older people discharged from an Albanian hospital. METHOD: Retrospective, cross-sectional study conducted among patients aged 60 years and more discharged from the Cardiology and Internal Medicine departments of the University Hospital Center 'Mother Theresa' Tirana during 2013...
October 2016: Journal of Evaluation in Clinical Practice
D Hysi, O O Kuscu, E Droboniku, C Toti, L Xhemnica, E Caglar
AIM: Molar incisor hypomineralisation (MIH) describes the clinical appearance of enamel hypomineralisation of systemic origin affecting one or more permanent first molars (PFMs) that are frequently associated with affected incisors. The aim of this study was to investigate the prevalence and aetiology of MIH in children living in Tirana, Albania. MATERIALS AND METHODS: HASH(0x4a86640) DESIGN: The study was conducted at the Department of Paediatric and Preventive Dentistry, Faculty of Dental Medicine, and Tirana Dental Public Health Service...
March 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
Juliana Fernandes de Souza Barbosa, Mario Ulises Perez Zepeda, François Béland, Jack M Guralnik, Maria Victoria Zunzunegui, Ricardo Oliveira Guerra
The aims of this study were to compare cut points for weakness proposed by Foundation for the National Institutes of Health (FNIH) Sarcopenia Project with cut points estimated with our own data; to assess the prevalence of clinically relevant handgrip strength (HGS) weakness according to published criteria across distinct populations of older adults; to estimate the ability of HGS weakness to identify slowness. This is a cross-sectional analysis of International Mobility in Aging Study (IMIAS) involving 1935 community-dwelling older adults, between 65 and 74 years, who completed HGS and gait speed assessment...
February 2016: Age (2005-)
Zihni Sulaj, Edvin Prifti, Aurel Demiraj, Arjana Strakosha
INTRODUCTION: A variety of factors have influenced the significant incidence of morbidity and mortality of acute poisoning and the timely recognition and properly management of critically ill poisoned patients is a key component. The aim of this study is to reveal the reasons for ICU admission of acutely poisoned patients, the main factors influencing the course and outcome of patients in relation with clinical approaches applied, available resources and infrastructure of treatment. MATERIALS AND METHODS: This is a retrospective study based on most reachable variables extracted from patients' medical records and ED registers of patients admitted at the medical ICU of "Mother Teresa" University Hospital in Tirana over two (2012-2013) years...
December 2015: Medical Archives
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