Fatjona Kamberi | University of Vlora (original) (raw)

Papers by Fatjona Kamberi

three cases in our institution how we discover cancer in pregnancy, although patients did not hav... more three cases in our institution how we discover cancer in pregnancy, although patients did not have any symptoms before pregnancy. Methodology CASES 1: 29-year-old women, healthy women in 10 weeks gestation did Prenatal test, Livia, and they could not do analysis because they could not extract fetal blood. All her laboratory and pregnancy were in normal limit. CASE 2: 33-year-old pregnant women in 10 weeks of gestations did Prenatal test, Veracity, and laboratory could not extract fetal blood. She was healthy with previous laparoscopic operation due endometriosis on the left side on ovaria. CASE 3: 42-year-old pregnant women in 10 weeks of gestation did Prenatal test, NIFTY, and laboratory could not extract fetal blood. In previous history she had operation of breast cancer and hemotherapy 4 years ago. Result(s)* CASE 1 Patient at 36 weeks of gestation patient had big palpable mass on site liver and we performed, Caesarean Section and discovered carcinoma of colon sigmoid with multiple metastasis in abdomen. The newborn was in good condition and she lived one year later. CASE 2 Patient at 33 weeks of gestation patient had pain in her legs. Detail examination showed changes on all bones suspected on metastatic changes. We performed Caesarean Section, and we found Krukenber's tumor with multiple metastasis in abdomen. The newborn was healthy and she lived for one month later. CASE 3 Patient at 16 weeks of gestation patient had pain in abdomen. We did an open laparotomy and found colon cancer with meta changes in abdomen. Caesarean Section was performed in 33 weeks of gestation. Two newborns were healthy and she is alive. Conclusion* Patients were healthy before pregnancy and Prenatal tests showed large changes in their karyotypes in terms of multiple mitoses. At the time of obtaining the results, neither the patients nor the doctors suspected they have cancer. Our conclusion is that changes in the karyotype, as in these cases, could be the first indicator that there is cancer in the body. Could analysis of karyotype single out the risk population and be gold standard to look for cancer before the onset of symptoms?

European Scientific Journal, ESJ, Jul 7, 2016

The purpose was to assess the knowledge of nursing students and academic staff regarding eHealth.... more The purpose was to assess the knowledge of nursing students and academic staff regarding eHealth. The webbased cross-sectional study was conducted using the Google form platform. The sample was the students and academic staff of the Faculty of Health, University of Vlore in Albania. In the final analysis, 145 individuals were included; 128 were women and 17 were men. The average age of the participants was 25.17 years, namely students (77.93%) and academic staff (22.07%). 48.97% of the participants reported that they considered themselves a little informed about eHealth, p=0.001. The most often cited obstacles to the use of eHealth were health professionals' lack of familiarity with and confidence in eHealth tools, patients' lack of interest in and awareness of digital health, or limited access to eHealth resources. Developing a health education module for eHealth that may be incorporated into the nursing curriculum to tailor patient care regimens is recommended.

Medicus, 2022

The COVID-19 pandemic brought the social aspect of the nursing profession into even sharper focus... more The COVID-19 pandemic brought the social aspect of the nursing profession into even sharper focus� Nursing discipline is a social virtue that extends beyond only delivering care� Historiography has been impacted by social change� The objectives are to assess how society views professional nurses and to assist in explaining nursing›s social component from the perspective of the relevant nurses� The methodology will be based on Grounded Theory, a design framework with sociological roots that is MEDICUS No. 6, ISSUE 2/ 2022 69 commonly employed in qualitative research� Expected outcomes will help to shape the future of nursing education and profession by identifying variables that define the social component of nursing and determining barriers and other profession-related determinants�

OBM Neurobiology

Pregnancy and postpartum periods are known as sensitive periods in women’s life and COVID-19 pand... more Pregnancy and postpartum periods are known as sensitive periods in women’s life and COVID-19 pandemic seems to be worsening their mental health with major impacts on exclusive breastfeeding duration. Therefore, the present study aims to fill the gap in the literature by assessing the links between postpartum anxiety and depression symptoms and breastfeeding duration as well as the associated factors during the COVID-19 pandemic. A longitudinal prospective observational study was conducted between November and December 2020 at the Maternity ward of Vlore Regional Hospital, Albania. A total of 321 postpartum women were invited to participate in the study, resulting in 215 participants with a response rate of 66.9%. Along with modified questions from the Infant Feeding Practices Study II (IFPS II) Neonatal Questionnaire on breastfeeding follow-up from birth to third and sixth months, the Generalized Anxiety Disorder 7-item scale (GAD-7) and the Edinburgh Postnatal Depression Scale (EPD...

The Journal of Infection in Developing Countries

Introduction: Cervical cancer is highly preventable and if diagnosed and treated early, highly cu... more Introduction: Cervical cancer is highly preventable and if diagnosed and treated early, highly curable. Yet it remains the fourth most common cancer in women worldwide. In Albania, cervical cancer is the second most frequent cancer among women 15 - 44 years. A national cervical cancer screening program has been established, which offers HPV tests as part of routine examinations in primary health care centres. Aim: To assess knowledge, attitude, and practices (KAP) as well as associated factors regarding cervical cancer, among Albanian University female students, and provide useful information for the development of evidence-based preventive strategies for the future. Methodology: A cross-sectional KAP study was conducted among Albanian University female students during March to May 2022. A total of 503 female students participated in the study (response rate of 82%). A Google questionnaire based on WHO guidance and similar KAP surveys was used to collect the study data. Descriptive ...

OBM Neurobiology

The COVID-19 pandemic has resulted in the worst public health catastrophe in recent history, impa... more The COVID-19 pandemic has resulted in the worst public health catastrophe in recent history, impacting people's mental health and increasing concern over vaccinations. Between early May and late June 2021, a web-based survey that included higher education institutions from three countries (Albania, Belgium, and Cyprus) was conducted. The purpose was to assess the impact of the COVID-19 pandemic on the mental health of academic staff, what affects their readiness to get the COVID-19 vaccine, and whether there is a link between the country of residence and readiness to be vaccinated. The short version of the Depression, Anxiety, and Stress Score (DASS) questionnaire and a section of questions on vaccination readiness supported by the Health Belief Model were used for data collection. The final study sample was composed of 87 academics, both in Albania (n = 57) and in European Union (EU) countries (n = 30). Females comprised 91.2% of the Albanian participants and 63.3% of the EU co...

International Journal of Environmental Research and Public Health

Brain stroke continues to be a leading cause of mortality and disability in both developed and de... more Brain stroke continues to be a leading cause of mortality and disability in both developed and developing countries, with higher healthcare costs due to the long-term care and rehabilitation that it incurs. The purpose of the current study was to assess the association between brain stroke patients’ health-related behaviors and their risk for cardiovascular disease. Methods: A cross-sectional study was carried out from March to August 2022 in the Vlora district regional hospital in Albania. The study included 150 out of 170 participants who met the necessary criteria, achieving an 88% response rate. Measurement tools included the Framingham Cardiovascular Risk Scale (FRS) and the Lifestyle Health Promotion Profile II (HPLP II). Results: The patients’ average age was 65.9 ± 9.04 years. Over 65% of the stroke patients suffer from diabetes, and 47% from hypertension. About 31% of them have a high risk of hyperlipidemia (mean TC = 179 ± 28.5). About 32% of the brain stroke patients mani...

The Journal of Infection in Developing Countries

Introduction: COVID-19 pandemic remains a public health concern worldwide. Given that, students r... more Introduction: COVID-19 pandemic remains a public health concern worldwide. Given that, students represent a subgroup of the population with an impact on the pandemic. Aim: The aim of this study is to evaluate the knowledge, attitudes, and practices of Albanian students about COVID-19, and to provide a database to plan and implement preventive evidence-based interventions. Methodology: An online survey was conducted among Albanian university students during April-May 2022, to collect information on their knowledge, attitudes, and practices related to COVID-19, through a structured questionnaire. Results: A total of 906 students, 72.8% females, were included in it. 93.4% of participants knew the ways of transmission of COVID-19; 92.5% had information about preventive measures, but only 30% knew about quarantine and 37.0% knew vaccination as a preventive measure. Regarding attitudes, 54.8% of participants believed that COVID-19 infection is very dangerous. 46.5% have a negative attitud...

Mathews Journal of Case Reports Prevalence and Health Impact of Violence Among High School Youth ... more Mathews Journal of Case Reports Prevalence and Health Impact of Violence Among High School Youth in Vlora City Rezarta Lalo1*, Fatjona Kamberi2, Kenedia Lalo3 1Department of Health Care, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania. 2Research Center for Public Health, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania. 3Catholic University Our Lady of Good Counsel, Faculty of Medicine Tirana Albania. Corresponding Author: Rezarta Lalo, Department of Health Care, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania, Email: rezarta_lalo@yahoo.com

Clinical Epidemiology and Global Health, Oct 1, 2021

This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Objective: Review of the literature related to the identification of the menopausal symptoms and ... more Objective: Review of the literature related to the identification of the menopausal symptoms and women’ quality of life outcomes in order to provide various coping strategies to improve their midlife transition. Methodology: The Systematic electronic search for articles published without a time limit included online libraries of Ovid PubMed, Google Scholar, Medline with Full Text, UK Essays and Medscape articles discussing the study aim on menopausal symptoms. A total of 8 studies were identified which met the inclusion criteria. The categorization was done for the first author and year of article publishing, method and main results. Results: The results of these 8 studies reveal that there are significant ethnic differences in the total number and total severity of the physical, psychological, and psychosomatic symptoms. The presence of menopausal symptoms significantly reduces the quality of life, and with more severity, worsens the quality of life. Conclusion: The current review ...

Urinary incontinence (UI), the complaint of any involuntary leakage of urine is a disorder that a... more Urinary incontinence (UI), the complaint of any involuntary leakage of urine is a disorder that affects women far more frequently than men. This case study shows a woman aged 48 diagnosed with stress UI. She experienced up to three episodes of incontinence per day and required the use of sanitary pads. Symptoms of urgency and frequency up to nine times per day were also reported. Symptoms worsened after each effort. Pelvic floor exercises are recommended to the woman for a period of 3 months. After 12 weeks the patient reported improvement of stress incontinence symptoms and reduction in incontinent episodes. This treatment isn't very recognized in Albania.

Social Science Research Network, Nov 1, 2017

Osteoporosis is a social problem, because of the consequences it brings, so the realization of ph... more Osteoporosis is a social problem, because of the consequences it brings, so the realization of physical activity is an effective alternative to its prevention. It is necessary to carry out physical activity at an early age, high impact exercises, in order to achieve a good level of bone mass density. It is imperative to avoid the risk of fractures, increasing bone density, maintaining motor skills, coordination, and equilibrium

Eastern-European Journal of Medical Humanities and Bioethics

For health and care systems to succeed in the future, primary head nurses must demonstrate leader... more For health and care systems to succeed in the future, primary head nurses must demonstrate leadership. A focus group discussion was used to assess the primary head nurses' leadership abilities in 2022 in Albania. The focus group was composed of 12 primary head health care nurses, two men and ten women, with a mean age of 40 ± (SD) years old. Eight participants were charged with the duty of head nurse for more than five years, while seven participants were in the position of paid head nurse for more than five years. The majority of nurses reported they lack a clearly defined, written job description relevant to the position. Additionally, they stated that they lacked a reference work plan based on which to organize and coordinate the associated healthcare service activities. Participants indicated that the role of the head nurse in daily practice is more focused on the work as a service nurse than as a head nurse. The majority of nurses reported having never received training exp...

Nature

Despite notable scientific and medical advances, broader political, socioeconomic and behavioural... more Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic1,2. Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities. In the wake of nearly three years of fragmented global and national responses, it is instructive to note that three of the highest-ranked recommendations call for the adoption of whole-of-society and whole-of-government approaches1, while maintaining proven preve...

Open Access Macedonian Journal of Medical Sciences

Objective The aim was to assess the impact of the COVID-19 outbreak on the health care of type 2 ... more Objective The aim was to assess the impact of the COVID-19 outbreak on the health care of type 2 diabetes patients and identify the correlated factors. Research Design and Methods A cross-sectional study was carried out from November 2020 to February 2021. The study enrolled 400 adults with type 2 diabetes aged 40–65 with at least one other chronic illness receiving health services in primary care in Vlore, Albania. A short questionnaire based on literature, taking into account the situation of the COVID-19 pandemic, was used for the data collection. The administration of the questionnaire was done by trained nurses. All participants gave their written informed consent before administering the questionnaire. Two-tailed Pearson correlation and linear regression were used to test the correlations. Results Among 400 patients with type 2 diabetes in the study, 53.0% were female and 47.0% were men. Most of th...

Metabolism-clinical and Experimental, Mar 1, 2022

three cases in our institution how we discover cancer in pregnancy, although patients did not hav... more three cases in our institution how we discover cancer in pregnancy, although patients did not have any symptoms before pregnancy. Methodology CASES 1: 29-year-old women, healthy women in 10 weeks gestation did Prenatal test, Livia, and they could not do analysis because they could not extract fetal blood. All her laboratory and pregnancy were in normal limit. CASE 2: 33-year-old pregnant women in 10 weeks of gestations did Prenatal test, Veracity, and laboratory could not extract fetal blood. She was healthy with previous laparoscopic operation due endometriosis on the left side on ovaria. CASE 3: 42-year-old pregnant women in 10 weeks of gestation did Prenatal test, NIFTY, and laboratory could not extract fetal blood. In previous history she had operation of breast cancer and hemotherapy 4 years ago. Result(s)* CASE 1 Patient at 36 weeks of gestation patient had big palpable mass on site liver and we performed, Caesarean Section and discovered carcinoma of colon sigmoid with multiple metastasis in abdomen. The newborn was in good condition and she lived one year later. CASE 2 Patient at 33 weeks of gestation patient had pain in her legs. Detail examination showed changes on all bones suspected on metastatic changes. We performed Caesarean Section, and we found Krukenber's tumor with multiple metastasis in abdomen. The newborn was healthy and she lived for one month later. CASE 3 Patient at 16 weeks of gestation patient had pain in abdomen. We did an open laparotomy and found colon cancer with meta changes in abdomen. Caesarean Section was performed in 33 weeks of gestation. Two newborns were healthy and she is alive. Conclusion* Patients were healthy before pregnancy and Prenatal tests showed large changes in their karyotypes in terms of multiple mitoses. At the time of obtaining the results, neither the patients nor the doctors suspected they have cancer. Our conclusion is that changes in the karyotype, as in these cases, could be the first indicator that there is cancer in the body. Could analysis of karyotype single out the risk population and be gold standard to look for cancer before the onset of symptoms?

European Scientific Journal, ESJ, Jul 7, 2016

The purpose was to assess the knowledge of nursing students and academic staff regarding eHealth.... more The purpose was to assess the knowledge of nursing students and academic staff regarding eHealth. The webbased cross-sectional study was conducted using the Google form platform. The sample was the students and academic staff of the Faculty of Health, University of Vlore in Albania. In the final analysis, 145 individuals were included; 128 were women and 17 were men. The average age of the participants was 25.17 years, namely students (77.93%) and academic staff (22.07%). 48.97% of the participants reported that they considered themselves a little informed about eHealth, p=0.001. The most often cited obstacles to the use of eHealth were health professionals' lack of familiarity with and confidence in eHealth tools, patients' lack of interest in and awareness of digital health, or limited access to eHealth resources. Developing a health education module for eHealth that may be incorporated into the nursing curriculum to tailor patient care regimens is recommended.

Medicus, 2022

The COVID-19 pandemic brought the social aspect of the nursing profession into even sharper focus... more The COVID-19 pandemic brought the social aspect of the nursing profession into even sharper focus� Nursing discipline is a social virtue that extends beyond only delivering care� Historiography has been impacted by social change� The objectives are to assess how society views professional nurses and to assist in explaining nursing›s social component from the perspective of the relevant nurses� The methodology will be based on Grounded Theory, a design framework with sociological roots that is MEDICUS No. 6, ISSUE 2/ 2022 69 commonly employed in qualitative research� Expected outcomes will help to shape the future of nursing education and profession by identifying variables that define the social component of nursing and determining barriers and other profession-related determinants�

OBM Neurobiology

Pregnancy and postpartum periods are known as sensitive periods in women’s life and COVID-19 pand... more Pregnancy and postpartum periods are known as sensitive periods in women’s life and COVID-19 pandemic seems to be worsening their mental health with major impacts on exclusive breastfeeding duration. Therefore, the present study aims to fill the gap in the literature by assessing the links between postpartum anxiety and depression symptoms and breastfeeding duration as well as the associated factors during the COVID-19 pandemic. A longitudinal prospective observational study was conducted between November and December 2020 at the Maternity ward of Vlore Regional Hospital, Albania. A total of 321 postpartum women were invited to participate in the study, resulting in 215 participants with a response rate of 66.9%. Along with modified questions from the Infant Feeding Practices Study II (IFPS II) Neonatal Questionnaire on breastfeeding follow-up from birth to third and sixth months, the Generalized Anxiety Disorder 7-item scale (GAD-7) and the Edinburgh Postnatal Depression Scale (EPD...

The Journal of Infection in Developing Countries

Introduction: Cervical cancer is highly preventable and if diagnosed and treated early, highly cu... more Introduction: Cervical cancer is highly preventable and if diagnosed and treated early, highly curable. Yet it remains the fourth most common cancer in women worldwide. In Albania, cervical cancer is the second most frequent cancer among women 15 - 44 years. A national cervical cancer screening program has been established, which offers HPV tests as part of routine examinations in primary health care centres. Aim: To assess knowledge, attitude, and practices (KAP) as well as associated factors regarding cervical cancer, among Albanian University female students, and provide useful information for the development of evidence-based preventive strategies for the future. Methodology: A cross-sectional KAP study was conducted among Albanian University female students during March to May 2022. A total of 503 female students participated in the study (response rate of 82%). A Google questionnaire based on WHO guidance and similar KAP surveys was used to collect the study data. Descriptive ...

OBM Neurobiology

The COVID-19 pandemic has resulted in the worst public health catastrophe in recent history, impa... more The COVID-19 pandemic has resulted in the worst public health catastrophe in recent history, impacting people's mental health and increasing concern over vaccinations. Between early May and late June 2021, a web-based survey that included higher education institutions from three countries (Albania, Belgium, and Cyprus) was conducted. The purpose was to assess the impact of the COVID-19 pandemic on the mental health of academic staff, what affects their readiness to get the COVID-19 vaccine, and whether there is a link between the country of residence and readiness to be vaccinated. The short version of the Depression, Anxiety, and Stress Score (DASS) questionnaire and a section of questions on vaccination readiness supported by the Health Belief Model were used for data collection. The final study sample was composed of 87 academics, both in Albania (n = 57) and in European Union (EU) countries (n = 30). Females comprised 91.2% of the Albanian participants and 63.3% of the EU co...

International Journal of Environmental Research and Public Health

Brain stroke continues to be a leading cause of mortality and disability in both developed and de... more Brain stroke continues to be a leading cause of mortality and disability in both developed and developing countries, with higher healthcare costs due to the long-term care and rehabilitation that it incurs. The purpose of the current study was to assess the association between brain stroke patients’ health-related behaviors and their risk for cardiovascular disease. Methods: A cross-sectional study was carried out from March to August 2022 in the Vlora district regional hospital in Albania. The study included 150 out of 170 participants who met the necessary criteria, achieving an 88% response rate. Measurement tools included the Framingham Cardiovascular Risk Scale (FRS) and the Lifestyle Health Promotion Profile II (HPLP II). Results: The patients’ average age was 65.9 ± 9.04 years. Over 65% of the stroke patients suffer from diabetes, and 47% from hypertension. About 31% of them have a high risk of hyperlipidemia (mean TC = 179 ± 28.5). About 32% of the brain stroke patients mani...

The Journal of Infection in Developing Countries

Introduction: COVID-19 pandemic remains a public health concern worldwide. Given that, students r... more Introduction: COVID-19 pandemic remains a public health concern worldwide. Given that, students represent a subgroup of the population with an impact on the pandemic. Aim: The aim of this study is to evaluate the knowledge, attitudes, and practices of Albanian students about COVID-19, and to provide a database to plan and implement preventive evidence-based interventions. Methodology: An online survey was conducted among Albanian university students during April-May 2022, to collect information on their knowledge, attitudes, and practices related to COVID-19, through a structured questionnaire. Results: A total of 906 students, 72.8% females, were included in it. 93.4% of participants knew the ways of transmission of COVID-19; 92.5% had information about preventive measures, but only 30% knew about quarantine and 37.0% knew vaccination as a preventive measure. Regarding attitudes, 54.8% of participants believed that COVID-19 infection is very dangerous. 46.5% have a negative attitud...

Mathews Journal of Case Reports Prevalence and Health Impact of Violence Among High School Youth ... more Mathews Journal of Case Reports Prevalence and Health Impact of Violence Among High School Youth in Vlora City Rezarta Lalo1*, Fatjona Kamberi2, Kenedia Lalo3 1Department of Health Care, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania. 2Research Center for Public Health, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania. 3Catholic University Our Lady of Good Counsel, Faculty of Medicine Tirana Albania. Corresponding Author: Rezarta Lalo, Department of Health Care, Faculty of Public Health, University of Vlore “Ismail Qemali”, Vlore Albania, Email: rezarta_lalo@yahoo.com

Clinical Epidemiology and Global Health, Oct 1, 2021

This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Objective: Review of the literature related to the identification of the menopausal symptoms and ... more Objective: Review of the literature related to the identification of the menopausal symptoms and women’ quality of life outcomes in order to provide various coping strategies to improve their midlife transition. Methodology: The Systematic electronic search for articles published without a time limit included online libraries of Ovid PubMed, Google Scholar, Medline with Full Text, UK Essays and Medscape articles discussing the study aim on menopausal symptoms. A total of 8 studies were identified which met the inclusion criteria. The categorization was done for the first author and year of article publishing, method and main results. Results: The results of these 8 studies reveal that there are significant ethnic differences in the total number and total severity of the physical, psychological, and psychosomatic symptoms. The presence of menopausal symptoms significantly reduces the quality of life, and with more severity, worsens the quality of life. Conclusion: The current review ...

Urinary incontinence (UI), the complaint of any involuntary leakage of urine is a disorder that a... more Urinary incontinence (UI), the complaint of any involuntary leakage of urine is a disorder that affects women far more frequently than men. This case study shows a woman aged 48 diagnosed with stress UI. She experienced up to three episodes of incontinence per day and required the use of sanitary pads. Symptoms of urgency and frequency up to nine times per day were also reported. Symptoms worsened after each effort. Pelvic floor exercises are recommended to the woman for a period of 3 months. After 12 weeks the patient reported improvement of stress incontinence symptoms and reduction in incontinent episodes. This treatment isn't very recognized in Albania.

Social Science Research Network, Nov 1, 2017

Osteoporosis is a social problem, because of the consequences it brings, so the realization of ph... more Osteoporosis is a social problem, because of the consequences it brings, so the realization of physical activity is an effective alternative to its prevention. It is necessary to carry out physical activity at an early age, high impact exercises, in order to achieve a good level of bone mass density. It is imperative to avoid the risk of fractures, increasing bone density, maintaining motor skills, coordination, and equilibrium

Eastern-European Journal of Medical Humanities and Bioethics

For health and care systems to succeed in the future, primary head nurses must demonstrate leader... more For health and care systems to succeed in the future, primary head nurses must demonstrate leadership. A focus group discussion was used to assess the primary head nurses' leadership abilities in 2022 in Albania. The focus group was composed of 12 primary head health care nurses, two men and ten women, with a mean age of 40 ± (SD) years old. Eight participants were charged with the duty of head nurse for more than five years, while seven participants were in the position of paid head nurse for more than five years. The majority of nurses reported they lack a clearly defined, written job description relevant to the position. Additionally, they stated that they lacked a reference work plan based on which to organize and coordinate the associated healthcare service activities. Participants indicated that the role of the head nurse in daily practice is more focused on the work as a service nurse than as a head nurse. The majority of nurses reported having never received training exp...

Nature

Despite notable scientific and medical advances, broader political, socioeconomic and behavioural... more Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic1,2. Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities. In the wake of nearly three years of fragmented global and national responses, it is instructive to note that three of the highest-ranked recommendations call for the adoption of whole-of-society and whole-of-government approaches1, while maintaining proven preve...

Open Access Macedonian Journal of Medical Sciences

Objective The aim was to assess the impact of the COVID-19 outbreak on the health care of type 2 ... more Objective The aim was to assess the impact of the COVID-19 outbreak on the health care of type 2 diabetes patients and identify the correlated factors. Research Design and Methods A cross-sectional study was carried out from November 2020 to February 2021. The study enrolled 400 adults with type 2 diabetes aged 40–65 with at least one other chronic illness receiving health services in primary care in Vlore, Albania. A short questionnaire based on literature, taking into account the situation of the COVID-19 pandemic, was used for the data collection. The administration of the questionnaire was done by trained nurses. All participants gave their written informed consent before administering the questionnaire. Two-tailed Pearson correlation and linear regression were used to test the correlations. Results Among 400 patients with type 2 diabetes in the study, 53.0% were female and 47.0% were men. Most of th...

Metabolism-clinical and Experimental, Mar 1, 2022


Introduction : Cancer in general in Albania is an increasing problem and cervical cancer ranks as... more Introduction : Cancer in general in Albania is an increasing problem and cervical cancer ranks as the third most frequent cancer among women, therefore cervical cancer is a preventable type of cancer. Different barriers that affect participation rates in screening, have been already identified. Aims and objectives : The objective of this study was to identify if the gender provider influences the participation in Pap test examination and to assess possible barriers and prejudices of women in cervical cancer screening participation. Methods : A cross-sectional, correlational study with a representative sample of 1012 healthy women from Vlore-Albania, carried out during 2013-2015 was the study design. A structured self-administered questionnaire reference to survey instrument, the Cervical CAM of Cancer Research UK (2011) a tool instrument used for the data collection. Cross-tabulations and linear regression was used to analyze the data. P values ≤ 0.05 were accept as statistically significant. Results : The mean age of women 39.53 ±9.84 year, range 25-65 years. 11.5 % of sample was female health care practitioners (doctors, nurses and midwives). The 60 % (n=585) of women prefer a female health provider for Pap test examination, 40 % of women refer that the gender preventive examination provider is not important. The relationship between cervical cancer screening results in statistical significance, p=0.01. The barrier was more frequent in female health practitioners. Women screened were more likely to be screening in the future, p=0.0006. Frustration, shame, fear and anxiety the most cited prejudices, p<0.001. Conclusions : The results indicated that the barrier of the gender provider was present. Efforts to reduce barriers /prejudices and to increase knowledge about preventive gynecological examinations are necessary in a positive approach to prevent cervical cancer and to promote women’s health. Key Words : Preventive gynecological examinations, women, barriers, prejudices, gender provider.