Medical Sciences
Permanent URI for this collectionhttps://repository.aab-edu.net/handle/123456789/59
The Medical Sciences community showcases scholarly publications and research outputs authored by faculty and researchers in the Faculty of Medical Sciences. This collection includes journal articles, working papers, conference proceedings, and other academic works that contribute to the understanding of theory, policy, and practice. It aims to promote open access to high-quality economic research conducted within the institution.
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Item SURGICAL ORTHOPEDIC PATIENTS’ PERCEPTION OF ANTIBIOTIC USE AND ANTIBIOTIC RESISTANCE(AAB College, 2025-07-16) Ahmetaj, DonjetëObjective: The aim of the study was to evaluate orthopedic patients' knowledge of antibiotics and antibiotic resistance. Material and Method: Patients admitted to the hospital for orthopedic surgery were given a questionnaire containing a total of 26 questions, 7 multiple choices, nine true and false questions and ten likert scale questions adapted from a survey which has been published by World Health Organization and translated to Albanian to assess their knowledge and attitude toward antibiotics and antibiotic resistance. Result and Discussion: Sixty-two percent of the patients misunderstood the definition of antibiotic resistance and answered yes to the question "Antibiotic resistance occurs when your body becomes resistant to antibiotics and the antibiotic is no longer effective." 62.4% of the patient strongly agreed that ‘antibiotic resistance is one of the biggest problems facing the world”. Although participants are aware of antibiotic resistance and the potential threats it may pose, their knowledge of the causes of antibiotic resistance and how to prevent it is limited. In conclusion, attempts need to be made to raise antibiotic resistance awareness and knowledge among the Kosovo population.Item The effect of decolonization-decontamination prophylaxis versus traditional prophylaxis in orthopedic surgery in Kosovo(AAB College, 2025-07-16) Ahmetaj, DonjetëThis study aimed to compare empirical prophylactic treatment with decolonization- decontamination prophylaxis protocol in order to reduce surgical site infections. The study was conducted in Kosovo Ortomedica Orthopedic Hospital, the data from all patients admitted to the hospital between June 2018 and June 2019 was collected retrospectively, all the patients admitted to the hospital between November 2021 and January 2022 were followed prospectively. 127 patients were treated empirically, and 93 patients were prospectively treated with decolonization-decontamination prophylaxis protocol. The empirically treated patients were given cefazolin before surgery. However, the prospectively treated patients were first tested for MRSA infections and the observed infections were treated with decolonization-decontamination prophylaxis protocol. The infection status and the postoperative CRP values of the patients were compared and found to be significantly higher in the empirical group (4.7% versus 0, p=0.038 and 7.1% versus 0, p=0.006, for empirical and decolonization -decontamination groups respectively). In conclusion, the implementation of the decolonization-decontamination protocol has been shown to effectively decrease the incidence of infections in orthopedic surgical procedures. Nevertheless, it is imperative to conduct additional research utilizing a more extensive sample size and pharmacoeconomic studies in order to substantiate its viability as a prophylaxis measure.Item TREATMENT OF KNEE OSTEOARTHRITIS WITH MESENCHYMAL STEM CELLS ARTHROSCOPY AND PHYSIOTHERAPY: EVALUATION WITH SF-36(AAB College, 2025-07-16) Ahmetaj, DonjetëIntroduction: Osteoarthritis (OA), a chronic degenerative joint disease, significantly impacts quality of life (QoL) and poses economic burdens, especially as aging populations grow. While no therapy fully regenerates cartilage, mesenchymal stem cells (MSC) offer a promising treatment for the condition. Aim: This study aimed to evaluate effects of arthroscopically administered MSC therapy in conjunction with an 8-week standard physiotherapy regimen for patients with knee OA. Material and methods: This monocentric clinical study involved 35 patients with knee OA (aged 45-65 years, of both genders), who treated with arthroscopy and MSC. Health status was assessed pre- and post-treatment using the 36-Item Short Form Health Survey (SF-36). Additionally, the influence of age and gender on treatment efficacy was analyzed to understand demographic impacts on therapeutic response. Results: The average SF-36 score after treatment among male patients demonstrated better condition compared to female patients across individual concepts or domains, and overall SF-36 score. The best condition of 100% according to the SF-36 score after treatment was found among males for the role limitations due to physical health and role limitations due to emotional problems. Among females, these domains also represented best post-treatment condition, with half of them achieving SF-36 scores of 100%. Younger age was significantly associated with better outcomes across all SF-36 concepts. Conclusion: The results of the study highlight the potential of MSC arthroscopy in combination with physiotherapy, in managing knee OA in this group of subjects. To better understand long-term effects and optimize treatment, larger-scale randomized controlled trials are necessary.