UNASSIGNED: Although studies of the entomofauna of the Balkan Peninsula have increased in quantity and intensity over the course of the last decades, many areas are still not fully investigated regarding their faunistic inventory.
UNASSIGNED: As a result of a field trip in the Vjosa catchment in 2023, a new species of the genus Protonemura Kempny, 1898 (Plecoptera, Nemouridae, Amphinemurinae) is described from Albania, Protonemuraeclipsis sp. nov. from a holotype male, collected from the District of Tepelenë, Bënçë River. The new species is compared and differentiated from related species, namely Protonemuraalbanica Raušer, 1963 and Protonemuramiatchense Ikonomov, 1983. It differs from congeners clearly by its terminalia, namely the shape of the paraprocts. Images of the new species and of Protonemuraalbanica are provided.

This study had two aims. First, we aimed to investigate the prevalence of ACB, PCB, and oral habits among a group of Albanian children with ASD compared with a group of children without ASD. Second, we aimed to identify the associations of ASD with ACB, PCB, and oral habits. The sample inlcuded 125 children with ASD (91 males, 34 females) from 2 special schools for children with disabilities and 2 daily residential centers in Tirana. The control group included 125 children without ASD. The relationships between categorical variables were evaluated via the chi-square test. To identify the potential risk factors for ASD, we performed binary logistic regression. No statistically significant differences were found for CB or oral habits between the primary and adolescent dentition stages. A comparison of children with ASD with CB and oral habits revealed a significant difference in the prevalence of PCB. Binary logistic regression revealed that ACB, PCB and oral habits were not associated with ASD. CB was more prevalent among children with ASD in the primary and mixed dentition stages. Oral habits were more prevalent in the mixed and adolescent dentition stages. However, ASD is not a risk factor for CB or other oral habits.

This article describes the May Measurement Month (MMM) 2021 campaign, which was the fourth time this annual hypertension screening campaign was conducted in Albania, a Mediterranean country in southeastern Europe. The MMM21 was conducted during the period of 28 September-30 November 2021, in 32 sites across several districts of Albania. Overall, 11 788 participants aged ≥18 years were included (63% women), with a mean age of 49.7 ± 14.9 years. Blood pressure (BP) was measured three times with Omron sphygmomanometers (model M3, Omron Healthcare, Kyoto, Japan), which are automatic upper arm BP monitors. Hypertension was defined as SBP ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg (based on the mean of the second and third recordings for SBP and DBP, respectively) or on antihypertensive medication. Self-reported data included pre-existing conditions, physical activity, smoking, alcohol consumption, COVID-19 testing, and use of contraception in women. Overall, 47.3% of screened participants had hypertension. Of those with hypertension, 70.1% were aware of their condition and 67.0% were on antihypertensive medication. About half (49.3%) of participants on antihypertensive medication had controlled BP (<140/90 mmHg). On average, BP was higher in those on antihypertensive medication and with increasing alcohol intake but lower in those with a history of stroke and those with higher levels of physical activity, previous positive COVID-19 test, and contraception use in women. In Albania, the MMM campaign continues to contribute to the early detection of hypertension among adults. Hence, it constitutes a valuable opportunistic screening instrument among other routine tools applied in the general Albanian population.

BACKGROUND: Albania, a middle-income Southeast European country, is experiencing an increase in cesarean section rates. This study aims to analyze cesarean section practices in Albania using the Robson classification to identify patterns and provide insights into elective and non-elective cesarean trends.
METHODS: This retrospective cohort study was conducted at the University Hospital of Obstetrics and Gynecology \"Koco Gliozheni\" in Albania, a leading tertiary hospital, from January to May 2023, involving 5,315 consecutive women who delivered during this period, including both live births and stillbirths, with a gestational age minimum of 28 weeks to align with standards of viability. We defined a function to systematically evaluate each case based on multiple criteria: parity, fetal presentation, onset of labor, previous deliveries, number of fetuses, and gestational age according to the Robson classification. Multinomial multiple regression was used to estimate the relationship between each of the above-mentioned variables and the likelihood of each type of cesarean delivery compared to normal births.
RESULTS: The participants\' mean age was 28.2 years (59.6% <30 years vs. 40.4% ≥30 years), while gestational age varied (12.1% before 37 weeks, the majority (72.3%) between 37 and 40 weeks, and 15.6% > 40 weeks). In elective cesarean sections, maternal age (odds ratio (OR) = 1.06) and gestational age (OR = 1.13) were associated with increased odds, with women with previous cesarean deliveries showing significantly higher odds (OR = 20.6), breech position (OR = 15.7), and multiple pregnancies elevating odds (OR = 7.3), whereas in non-elective cesarean sections, similar associations were observed with slightly different odds ratios which were maternal age (OR = 1.07), gestational age (OR = 1.16), previous cesarean delivery (OR = 6.3), breech position (OR = 8.5), and multiple pregnancies (OR = 5.1). Significant disparities in cesarean section rates were observed across various groups, with rates ranging from as low as 0.74% in Group 1 to as high as 89.24% in Group 5, and notable contributions from Group 2 with a rate of 69.95% and Group 6 with a rate of 81.29%.
CONCLUSIONS: In conclusion, this study emphasizes the significance of factors such as maternal age, gestational age, previous cesarean deliveries, fetal presentation, number of fetuses, and multiple pregnancies in impacting the rates of elective, non-elective, and overall cesarean sections in Albania, highlighting the need for targeted strategies to improve maternal and fetal health outcomes.

To the best of the authors\' knowledge, this article is the first of its kind in Albania and neighboring countries to investigate the transformative synergistic intervention approach through cognitive behavioral therapy, parent-child interaction therapy (PCIT), and heavy metal detoxification on a child with attention-deficit/hyperactivity disorder (ADHD) and comorbid oppositional defiant disorder (ODD) and dyslexia. The limited mental health awareness in Albania, particularly regarding PCIT and similar treatments, highlights the importance of the applicability and adaptability of such interventions. This study suggests that the rapid management of comorbidities in ADHD, such as ODD and dyslexia, is better achieved by a combined intervention approach and by investigating the biological aspects. Further research with a large sample size is needed to assess the long-term sustainability and scalability of such an approach.

This study evaluates the radiological risk associated with the consumption of infant powdered milk in Albania. Infant powdered milk is the basic foodstuff for their growth and development in many countries around the world. The activity concentration of radionuclides (40K, 226Ra, 232Th and 137Cs) was measured in fourteen types by using the gamma-ray technique. The results indicated that the activity concentration of 40K, 226Ra and 232Th were detected in all selected samples, whereas 137Cs were not detected in most of them. The activity concentration of 40K, 226Ra and 232Th varies from 92.83 ± 4.32 to 400.53 ± 17.00 Bq kg-1, 0.80 ± 0.15 to 4.91 ± 0.28 Bq kg-1 and 0.19 ± 0.02 to 1.89 ± 0.14 Bq kg-1, respectively. The highest value for 137Cs was found to be 0.36 ± 0.03 Bq kg-1. The average values of Annual Effective Dose (AED) due to consumption of powdered milk were found to be 664.54 ± 31.11 μSv y-1 for infants ≤1 year and 138.53 ± 5.40 μSv y-1 for infants 1-2 years. The values of dose in this study were lower than the recommended limit of 1 mSv y-1 set by WHO/FAO and ICRP for all ages. Therefore, brands of powdered milk are safe, so, these can be normally consumed by infants in Albania.

UNASSIGNED: Our aim was to assess the level and socio-demographic correlates of the ability to maintain health among children in Albania, a post-communist country in the Western Balkans.
UNASSIGNED: A cross-sectional study was conducted in Albania in September 2022. The study population consisted of a nationwide representative sample of 7,831 schoolchildren (≈54% girls) aged 12-15 years. A structured self-administered and anonymous questionnaire inquired about the children\'s attitudes toward health promotion (ability to maintain and improve health) and a range of key dimensions on knowledge and practices regarding healthcare services. Socio-demographic data were also collected. Binary logistic regression was used to assess the socio-demographic correlates of children\'s ability to maintain health.
UNASSIGNED: Overall, about 71% of schoolchildren exhibited the best attitudes toward health promotion (ability to maintain and improve health). In the multivariable adjusted logistic regression models, poorer attitudes toward health promotion (ability to maintain and improve health) were significantly related to older age (OR=1.2, 95% CI=1.0-1.3), middle/low maternal education (OR=1.2, 95%CI=1.1-1.3), poor/very poor economic situation (OR=1.5, 95%CI=1.2-1.8), lack of appropriate knowledge about rights to healthcare (OR=1.3, 95% CI=1.1-1.5), lack of knowledge about obtaining healthcare services (OR=1.7, 95%CI=1.4-2.2), and lack of consultations/visits with health professionals excluding vaccinations (OR=1.2, 95%CI=1.1-1.4).
UNASSIGNED: Almost 1/3rd of Albanian schoolchildren included in this study did not exhibit the best attitudes toward health promotion (ability to maintain and improve health). The best attitudes were related to a higher socioeconomic level and adequate knowledge and practices regarding healthcare services. There is thus a need to increase health literacy levels among children in order to ultimately induce sustainable healthy behavioural/lifestyle practices.
UNASSIGNED: Naš cilj je bil oceniti raven in sociodemografske korelate sposobnosti ohranjanja zdravja pri otrocih v Albaniji – postkomunistični državi na Zahodnem Balkanu.
UNASSIGNED: Presečno študijo smo opravili septembra 2022 v Albaniji. Populacijo študije je sestavljal reprezentativni vzorec 7831 šolarjev (≈54 % deklic), starih 12–15, ki prihajajo iz celotne države. V strukturiranem samoocenjevalnem in anonimnem vprašalniku so otroci odgovarjali na vprašanja o odnosu do spodbujanja zdravja (sposobnosti ohranjanja in izboljšanja zdravja) in vrsti ključnih razsežnosti glede znanja in praks v zvezi z zdravstvenimi storitvami. Zbrali smo tudi sociodemografske podatke. Za ocenjevanje sociodemografskih korelatov sposobnosti otrok za ohranjanje zdravja smo uporabili binarno logistično regresijo.
UNASSIGNED: Skupno je približno 71 % otrok izkazalo najboljši odnos do spodbujanja zdravja (sposobnosti ohranjanja in izboljšanja zdravja). V modelih multivariatne prilagojene logistične regresije je bil slabši odnos do spodbujanja zdravja (sposobnosti ohranjanja in izboljšanja zdravja) pomembno povezan z višjo starostjo (RO = 1,2, 95-% IZ = 1,0–1,3), nizko/srednjo izobrazbo matere (RO = 1,2, 95-% IZ = 1,1–1,3), slabimi/zelo slabimi gospodarskimi razmerami (RO = 1,5, 95-% IZ = 1,2–1,8), pomanjkanjem ustreznega znanja o pravicah do zdravstvenega varstva (RO = 1,3, 95-% IZ = 1,1–1,5), pomanjkanjem znanja o pridobitvi zdravstvenih storitev (RO = 1,7, 95-% IZ = 1,4–2,2) in pomanjkanjem posvetovanja z zdravstvenimi delavci ali njihovih obiskov, razen za cepljenja (RO = 1,2, 95-% IZ = 1,1–1,4).
UNASSIGNED: Skoraj 1/3 albanskih šolarjev, ki so bili vključeni v študijo, ni izkazala najboljšega odnosa do spodbujanja zdravja (sposobnosti ohranjanja in izboljšanja zdravja). Najboljši odnos je povezan z višjo družbenogospodarsko ravnjo ter ustreznim znanjem in praksami glede zdravstvenih storitev. Treba je izboljšati raven zdravstvene pismenosti pri otrocih za spodbujanje trajnostnih zdravih vedenjskih praks in življenjskega sloga.

Modelling approaches play a crucial role in supporting local public health agencies by estimating and forecasting vector abundance and seasonality. However, the reliability of these models is contingent on the availability of standardized, high-quality data. Addressing this need, our study focuses on collecting and harmonizing egg count observations of the mosquito Aedes albopictus, obtained through ovitraps in monitoring and surveillance efforts across Albania, France, Italy, and Switzerland from 2010 to 2022. We processed the raw observations to obtain a continuous time series of ovitraps observations allowing for an extensive geographical and temporal coverage of Ae. albopictus population dynamics. The resulting post-processed observations are stored in the open-access database VectAbundance.This initiative addresses the critical need for accessible, high-quality data, enhancing the reliability of modelling efforts and bolstering public health preparedness.

Cost-effective methods are crucial in small-scale operations to assess the physicochemical properties of milk, identify potential clinical or subclinical mastitis, and test β-lactams in small ruminants. The aim was to evaluate the importance of physicochemical characteristics, somatic cells, and antibacterial substances as factors for monitoring the quality and safety of bulk tank milk from sheep and goats. Furthermore, we aimed to elucidate the influence of grazing capacity on the composition of sheep milk. The fat content of sheep milk (n=119) was found to be 7.7%, with a range of 5.3% to 9.9%. The average fat content of dairy goats (n=33) was found to be 4.9%, with a range of 2.8-6.7%. The results indicate that 2.8% of sheep milk samples and 7.8% of goat milk samples exhibited clear positive reactions when assessed using the California mastitis test. β-lactam antibiotics were present in 0.7% of sheep milk samples, but not in any of the goat milk samples using lateral flow strips. This measurement method can be useful to detect adulterated milk and better understand the quality and safety of small ruminant milk before processing.

OBJECTIVE: The aim of this analysis was to compare selected health status indicators of the Albanian and Polish populations, pertinent to two former communist countries in Central and Eastern Europe (CEE).
METHODS: This analysis was based on the estimates related to the Global Burden of Disease (GBD) 2019 study, reported by the Institute for Health Metrics and Evaluation (IHME). For Poland, IHME uses data mainly from the Central Statistical Office of Poland, whereas for Albania the information is based on the reports from the National Institute of Statistics.
RESULTS: In 2019, life expectancy at birth was slightly higher in Albania compared to Poland (78.5 years vs. 78.1 years, respectively). Mortality rate from noncommunicable diseases was similar in both countries (about 520 deaths per 100,000 population). In 2019, the main risk factor for the overall mortality in both countries was the high systolic blood pressure. In Albania, high systolic blood pressure accounted for almost 32% of deaths from all causes, whereas in Poland it accounted for only 21% of all deaths. The second main risk factor in Albania concerned the dietary factors which were responsible for almost one in four deaths. In Poland, the second main risk factor for all-cause mortality concerned tobacco which was responsible for one in five deaths. The third leading risk factor in Albania was tobacco (responsible for one in five deaths), whereas in Poland it concerned the dietary risks (responsible for about 19% of the all-cause mortality).
CONCLUSIONS: This analysis provides useful information about the current health status of two populations pertinent to the former Communist Bloc in CEE. While health indicators can provide important information about the differences in health status between populations, it is important to interpret these indicators in the context of the specific challenges and limitations facing each country.