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https://www.readbyqxmd.com/read/29875874/epidemiology-of-hand-burn-in-albania-2011-2016
#1
Gentian Zikaj, Gjergji Belba, Gezim Xhepa
INTRODUCTION: Hand burns occur commonly both as part of larger burn injuries as well as isolated injuries. AIM: To give an overview of epidemiologic features and outcome of burn hand patients who admitted to our Service. This study was performed at University Hospital Center "Mother Teresa" Tirana which is the only tertiary hospital in Albania. MATERIAL AND METHODS: This prospective study included all patients who had combustion of the hands solely or hands accompanied with burns to other areas of the body, treated and followed up at our service during the years 2011-2016...
May 20, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29875852/transfusion-of-fresh-frozen-plasma-in-critically-ill-patients-effective-or-useless
#2
Ermira Biu, Silvana Beraj, Gentian Vyshka, Lordian Nunci, Tatjana Çina
BACKGROUND: Fresh frozen plasma (FFP) is widely used in critically ill patients to correct the deficiency of coagulation factors or increased INR. AIM: In the present study we aimed to evaluate the outcome of the freshly frozen plasma use as prophylaxis in ICU patients before an invasive procedure. METHODS: The study was conducted at Central Anaesthesiology and Intensive Care Service UHCT "Mother Theresa", Tirana. 136 patients were enrolled with coagulopathy with no bleeding before the invasive procedure, from June 2016 to December 2016...
May 20, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29731947/patterns-of-antibiotic-prescription-in-children-tirana-albania-region
#3
Joana Mihani, Suela Këlliçi
BACKGROUND: Antibiotics (abx) constitute the most prescribed therapeutic agent in the world. There is little data regarding antibiotic consumption by young children in Albania. AIM: This study aims to evaluate antibiotic prescription in children in quantitative and qualitative terms, and therefore, propose recommendations to improve overall clinical outcomes. METHODS: A retrospective, cross-sectional drug utilisation study was conducted based on unreimbursed prescriptions collected in 25 pharmacies, randomly selected within the district of Tirana, during the period beginning December 2015 to January 2016...
April 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29579218/social-and-community-factors-associated-with-hypertension-awareness-and-control-among-older-adults-in-tirana-albania
#4
Catherine M Pirkle, Alban Ylli, Genc Burazeri, Tetine L Sentell
Background: Determinants of hypertension diagnosis and/or awareness and control among older adults are understudied in Albania, a former communist country in South Eastern Europe, which is experiencing rapid demographic, socioeconomic and epidemiological transition. This paper examines the association of individual, interpersonal, organizational and community factors with hypertension awareness and control among older adults in Tirana, the Albanian capital. Methods: Using 2012 International Mobility in Aging Study data on older adults from Albania's capital city (n = 393) and the socioecological model as a conceptual framework, multinomial regression models identified factors associated with controlled, uncontrolled and undiagnosed hypertension...
March 20, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29531603/evaluation-of-fast-glycaemia-in-hypertonic-population-that-suffer-from-diabetes-the-importance-of-self-monitoring-of-glycemic-level-and-the-effects-of-interactions-with-the-aim-of-reducing-the-levels-of-fast-glycaemia-in-these-patients
#5
Edlira Lashi, Fatos Lashi, Klotilda Muca, Bora Ballta, Suzana Kazazi
AIM: Identification of glycemic level tendency rates in a hypertonic population that suffers from diabetes mellitus in Health Centre Nr. 1, Tirana, evaluation of self-monitoring and the effects of interactions, with the aim of reducing the levels of fast glycaemia in these patients. MATERIAL AND METHODS: In the study participated 810 patients of Health Centre Nr 1 in Tirana that suffer from hypertension and diabetes mellitus type 1 and 2. The study was conducted through 10 months' period...
February 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29500203/model-based-recursive-partitioning-to-identify-risk-clusters-for-metabolic-syndrome-and-its-components-findings-from-the-international-mobility-in-aging-study
#6
Catherine M Pirkle, Yan Yan Wu, Maria-Victoria Zunzunegui, José Fernando Gómez
OBJECTIVE: Conceptual models underpinning much epidemiological research on ageing acknowledge that environmental, social and biological systems interact to influence health outcomes. Recursive partitioning is a data-driven approach that allows for concurrent exploration of distinct mixtures, or clusters, of individuals that have a particular outcome. Our aim is to use recursive partitioning to examine risk clusters for metabolic syndrome (MetS) and its components, in order to identify vulnerable populations...
March 1, 2018: BMJ Open
https://www.readbyqxmd.com/read/29454241/frailty-and-life-course-violence-the-international-mobility-in-aging-study
#7
Cristiano Dos Santos Gomes, Catherine McLean Pirkle, Maria Vitoria Zunzunegui, Dimitri Taurino Guedes, Juliana Fernandes De Souza Barbosa, Phoebe Hwang, Ricardo Oliveira Guerra
OBJECTIVE: To estimate the prevalence of frailty in older adults in the IMIAS population, to examine associations between lifelong domestic violence and frailty and possible pathways to explain these associations. METHODS: A cross-sectional study with 2002 men and women in the International Mobility in Aging Study, aged between 65 and 74 years old living in five cities of Tirana (Albania), Natal (Brazil), Kingston and Saint-Hyacinthe (Canada), and Manizales (Colombia)...
May 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29062398/clinical-profile-and-management-of-patients-with-incident-and-recurrent-acute-myocardial-infarction-in-albania-a-call-for-more-focus-on-prevention-strategies
#8
Sokol Myftiu, Enxhela Sulo, Genc Burazeri, Bledar Daka, Ilir Sharka, Artan Shkoza, Gerhard Sulo
BACKGROUND: The clinical profile of acute myocardial infarction (AMI) patients reflects the burden of risk factors in the general population. Differences between incident (first) and recurrent (repeated) events and their impact on treatment are poorly described. We studied potential differences in the clinical profile and in-hospital treatment between patients hospitalised with an incident and recurrent AMI. METHODS: A total of 324 patients admitted in the Coronary Care Unit of 'Mother Teresa' hospital, Tirana, Albania (2013-2014), were included in the study...
October 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28969600/evaluation-of-mycobacterium-tuberculosis-viability-in-omnigene-sputum-reagent-upon-multi-day-transport-at-ambient-temperature
#9
Elisa Tagliani, Riccardo Alagna, Silva Tafaj, Hasan Hafizi, Daniela Maria Cirillo
BACKGROUND: Maintaining the quality of clinical specimens for tuberculosis (TB) testing is a major challenge in many high TB burden-limited resources countries. Sample referral systems in low and middle income countries are often weak and the maintenance of the cold-chain challenging and very costly for TB programs. The development of transport media allowing the preservation of samples without refrigeration is critical for increasing access to TB diagnostic services and for reducing the costs related to testing...
October 2, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28947888/ct-mri-accuracy-in-detecting-and-determining-preoperative-stage-of-gastric-adenocarcinoma-in-albania
#10
Altin Malaj, Fatmir Bilaj, Albana Shahini, Marjeta Miraka
AIM OF THE STUDY: Gastric adenocarcinoma is among most frequent among cancers in Albania. Early detection and staging is helped by imaging methods, including CT and MRI. This study provides evidence on the CT and MRI accuracy in detecting and pre-operative staging of gastric adenocarcinoma in 62 patients in a diagnostic clinic in Albania. The correct staging of the gastric adenocarcinoma helps decide on the next treatment options. MATERIAL AND METHODS: Sixty-two patients with gastric adenocarcinoma, confirmed with biopsy, underwent both CT and MRI examination at a clinic in Tirana during same week...
2017: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/28883779/users-knowledge-about-adverse-effects-of-non-steroidal-anti-inflammatory-drugs-in-tirana-albania
#11
Dajana Roshi, Ervin Toçi, Genc Burazeri, Peter Schröder-Bäck, Ledjan Malaj, Helmut Brand
AIM: To assess the level of knowledge of the adult users of non-steroidal anti-inflammatory drugs (NSAIDs) regarding their side effects and the socio-demographic factors associated with the use of these drugs in the adult population of Albania. METHODS: This was a cross-sectional study including a representative sample of 199 individuals aged ≥18 years (77% women; overall mean age: 30.3±10.0 years; overall response rate: 90%) who were users of NSAIDs recruited in ten different pharmacies in Tirana municipality during April-May 2015...
June 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/28664193/knowledge-practice-and-approaches-of-health-professionals-to-adverse-events-following-immunization-and-their-reporting-in-albania
#12
Irsida Mehmeti, Erida Nelaj, Artan Simaku, Eugena Tomini, Silva Bino
In Albania, the reporting of an adverse events following immunization (AEFI) is done not only by immunization providers but also from clinicians providing clinical treatment of AEFI in health posts, health centers and private or public hospitals. The AEFI reporting system in Albania has started in 2001 with the establishment of National Regulatory Authority of Vaccines in the Institute of Public Health. The most important problems of passive surveillance systems include underreporting, deficiency and inaccuracy of information...
June 2017: Heliyon
https://www.readbyqxmd.com/read/28645242/factors-associated-with-visual-impairment-and-eye-care-utilization-the-international-mobility-in-aging-study
#13
Safari Balegamire, Marie-Josée Aubin, Carmen-Lucia Curcio, Beatriz Alvarado, Ricardo O Guerra, Alban Ylli, Nandini Deshpande, Maria-Victoria Zunzunegui
OBJECTIVE: To examine factors associated with visual impairment (VI) and eye care in the International Mobility in Aging Study (IMIAS). METHOD: IMIAS data were analyzed ( N = 1,995 with ages 65-74). Outcomes were VI defined as presenting visual acuity worse than 6/18 in the better eye and eye care utilization assessed by annual visits to eye care professionals. The Hurt-Insult-Threaten-Scream (HITS) questionnaire requested information on domestic violence. RESULTS: Among men, VI varied from 24% in Manizales (Colombia) to 0...
June 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28596799/the-rate-of-success-of-the-conservative-management-of-liver-trauma-in-a-developing-country
#14
S Buci, M Torba, A Gjata, I Kajo, Gj Bushi, K Kagjini
BACKGROUND: The conservative treatment of liver trauma has made important progress over the last 10 years at the Trauma University Hospital in Tirana, Albania. The percentage of success was 58.7%. The aims of this study were to analyze the conservative treatment of liver trauma and to compare the results with those in the literature. METHODS: This study was conducted prospectively from January 2009 to December 2012. We analyzed 173 patients admitted to our hospital with liver trauma...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28526584/a-simple-algorithm-to-predict-falls-in-primary-care-patients-aged-65-to-74%C3%A2-years-the-international-mobility-in-aging-study
#15
Fernando Gomez, Yan Yan Wu, Mohammad Auais, Afshin Vafaei, Maria-Victoria Zunzunegui
OBJECTIVE: Primary care practitioners need simple algorithms to identify older adults at higher risks of falling. Classification and regression tree (CaRT) analyses are useful tools for identification of clinical predictors of falls. DESIGN: Prospective cohort. SETTING: Community-dwelling older adults at 5 diverse sites: Tirana (Albania), Natal (Brazil), Manizales (Colombia), Kingston (Ontario, Canada), and Saint-Hyacinthe (Quebec, Canada)...
May 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28343089/cortisol-and-physical-performance-in-older-populations-findings-from-the-international-mobility-in-aging-study-imias
#16
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)...
July 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28043980/fear-of-falling-and-its-association-with-life-space-mobility-of-older-adults-a-cross-sectional-analysis-using-data-from-five-international-sites
#17
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...
May 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/27796564/parasites-and-vector-borne-diseases-in-client-owned-dogs-in-albania-infestation-with-arthropod-ectoparasites
#18
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
https://www.readbyqxmd.com/read/27737884/experiences-of-violence-across-life-course-and-its-effects-on-mobility-among-participants-in-the-international-mobility-in-aging-study
#19
MULTICENTER STUDY
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
https://www.readbyqxmd.com/read/27703569/heart-failure-predictors-in-a-group-of-patients-with-myocardial-infarction
#20
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
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