Background: Nurses play an important role in preventive medicine because they represent the largest sector of health professionals. This role is very crucial in developing countries, which are going through rapid societal and economic changes, associated with a rising burden of cancers due to different risk factors. The current study aimed to compare health awareness between nurses and healthy women regarding preventive gynecological examinations and to answer the question -can nurses make a difference in women's health? Materials and Methods: This cross sectional research included a total of 150 women, 70 nurses and 80 healthy women, randomly selected. Data were collected in 2014 in Vlora city through a self-administered questionnaire that assessed different variables about preventive gynecological examinations. Results: Cervical screening rates were 20.3% and 41.8%, respectively, for nurses and healthy women, despite the former having a statistical significant greater knowledge of risk factors and symptoms. Conclusions: Even if the health awareness of nurse participants can be considered good, they need themselves to increase participation rates in cervical screening if they are to provide role models for health education/promotion addressing misconceptions and barriers.

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 (EPDS) were used to measure anxiety and depression levels. The binomial logistic regression model was applied to reflect the relationship between variables with the corresponding p-value ≤ 0.05. The mean age of participants was 27.4 ± 5.32 years old. 41% of them experienced postpartum anxiety and 51% showed symptoms of depression. Unemployment (69%; OR = 3.66), COVID-19 threat to their own life (89%; OR = 2.89), and feelings of isolation (62%), were all significant predictors of postpartum anxiety and depression disorders. Both anxiety and depression were significant barriers to unsuccessful breastfeeding duration, especially among primiparous women (p = 0.001). The findings revealed high anxiety and depression among postpartum women, which was linked to COVID-19 stressors and breastfeeding outcomes. The careful follow-up of perinatal mothers during a pandemic should be the priority of healthcare professionals to reduce maternal morbidity rates and improve the health of infants.

Introduction: One of the most frequent public health issues between older females is urinary incontinence (UI

The World Health Organization declared the COVID-19 pandemic on March 11th, 2020. The pandemic had significantly affected public health, and the mental health of people was compromised regardless of age or socioeconomic status. In this study, we measured the psychological distress caused by the pandemic and determined the associated factors. An online survey was conducted from November 16th (2020) to January 31st (2021). The participants were Albanian adults (≥18 years old). The call to participate was posted on social networks. A questionnaire based on the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9) was distributed to the participants via Google Forms. The internal consistency of the scales was assessed using Cronbach’s alpha. The total number of participants was 488, and 87.3% were females. The mean age was 21.17 years. Full-time students and health care workers comprised 58% and 12.9% of the participants, respectively. The participants were asked 24 questions, and five factors explained 54.14% of the variance. The factors included mental fatigue, psychological consequences in metabolism, obsession with protective measures, negative perception of the situation, and empathy for patients with COVID-19. Effective and relevant mental health interventions and policies to help cope with psychological distress specifically related to COVID-19 should be designed and implemented.

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.

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 the participants were married (n = 303) with a high level of education (54.3%). Treatment was mainly with oral medications (58.0%). Based on body mass index, 63.0% of participants were overweight. Employment status (p = 003), the type of treatment, oral medication vs insulin (p = 001), body mass index (p = 001), and living alone (p = 008) were the more correlated factors.  Conclusions Care of type 2 diabetic patients due to the COVID-19 pandemic is closely associated with social determinants of health and the resources of healthcare settings. The need to address innovative approaches to care including self-care, social support, and e-health is recommended.  

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Hashimoto's thyroiditis is a chronic autoimmune disease, which causes a gradual decrease in the production of thyroid hormones. This case study shows a woman aged 32 presented with typical hashitoxicosis symptoms. All three thyroid antibodies were elevated. Based on the clinical manifestations, physical examination and biochemical tests, an initial diagnosis of Grave's disease was made. Only after 14 months after starting the treatment the level of Thyroid Stimulating Hormone (TSH) began to increase gradually and the definitive diagnosis was Hashimoto's thyroiditis with Hypothyroidism. After that, the patient started the permanent replacement therapy with levothyroxine and remained euthyroid on levothyroxine. The case highlights the importance of thyroid ultrasound and scintigraphy at the moment of diagnosis, followed by regular biochemical tests and endocrinological consultations as the only way to avoid unnecessary radioactive iodine therapy for the patient.