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 Prevalence of Perceived Stress, Anxiety, and Depression in HCW in Kosovo during the COVID-19 Pandemic: A Cross-Sectional Survey(AAB College, 2025-07-17) Arenliu Qosaj, FatimeA pandemic may have a negative impact on healthcare workers’ (HCW) mental health. In this cross-sectional study, we assess the self-reported prevalence of stress, anxiety, and depression and identify their predictive factors among HCW in Kosovo. The online questionnaire collected data on socio-demographics (sex, age, occupation, education, workplace) and the presence and severity of depression, anxiety, and stress through the 21-item Depression, Anxiety, and Stress Scale (DASS-21) questionnaire. Descriptive statistics, t-test, and linear logistic regression were used to analyze the data. Of the 545 respondents, the majority were male (53.0%), under 60 years of age (94.7%), and married (81.7%). Most of them were physicians (78.2%), while the remaining were nurses, midwives, and other health professionals (22%). Prevalence rates for moderate to extremely high stress, anxiety, and depressive symptoms were 21.9%, 13.0%, and 13.9%, respectively. The nurses reported significantly higher mean scores for depression and anxiety than the physicians (p < 0.05). Being married, having poor health, not exercising, and reporting “burnout” from work significantly predicted higher levels of depressive, anxiety, and stress symptoms among health workers (p < 0.05). Most HCWs (71.6%) reported a mild, moderate, or severe mental health burden, and certain factors predicted higher levels of such burden.Item The COVID-19 Vaccine Opinions of Women Planning a Pregnancy: International Web Blogs Scanning(AAB College, 2025-07-17) Sopjani, IdrizBackground: The unprecedented COVID-19 has infected millions of people and killed hundreds of thousands of people. A strategy to contain the spread of the disease was the development of the COVID-19 vaccine. Objective: In our study, it was determined the opinions of women who are planning to become pregnant about the COVID-19 vaccine. Methods: Blogs were used as the data source in the research, which was designed as a descriptive qualitative study. For this purpose, the expressions of 34 women identified between February and March 2021 were evaluated with directed qualitative content analysis. Results: Psychological changes, cognitive changes, and coping methods were determined as the themes of our results. This study demonstrates the value of using qualitative methods to determine the thoughts of women planning to become pregnant regarding the COVID-19 vaccine. Conclusion: For women planning pregnancy, continued research into vaccine safety and efficacy is vital, and results should be carefully investigated and handed in the right channels.Item Predictors of nurses’ intention to accept COVID-19 vaccination: A cross-sectional study in five European countries(AAB College, 2025-07-17) Sopjani, IdrizAims and Objectives: To investigate nurses’ intention in accepting COVID-19 vaccination and the factors affecting their decision. Background: COVID-19 vaccination has started in most European countries with healthcare personnel being the first group receiving the vaccine shots. Their attitude towards vaccination is of paramount significant as their role in the frontline could help in the awareness of general population. Methods: A study was conducted in Albania, Cyprus, Greece, Spain and Kosovo with the use of an online questionnaire. The Fear of COVID-19 Scale was used. The STROBE checklist was followed for this cross-sectional study. Results: Study population consisted of 1135 nurses. Mean age of the participants was 38.3 years, while most of them were female gender (84.7%) and married (53.1%). Acceptance of a safe and effective COVID-19 vaccine was higher among Greek (79.2%) and Spanish (71.6%) nurses, followed by Cypriot (54%), Albanian (46.3%) and Kosovo (46.2%) nurses. Key factors for willingness to get vaccinated were male gender, living in a country with a high mortality rate in comparison with low mortality, being not infected with COVID-19, having high level of knowledge about COVID-19 vaccines and having been vaccinated for influenza in the last 2 years. Moreover, trusting the government and doctors regarding the information about the COVID-19 and having high level of fear about this virus were key factors for willingness to get vaccinated. Conclusion: Vaccination of healthcare personnel is a crucial issue not only for their own safety but also for their patients’. Healthcare acceptance to get vaccinated can work as a role model for general population. Relevance to clinical practice: Gender, country, mortality rate, trust in government and health professionals and the level of fear were key factors that should be managed in clinical practice.Item Factors influencing nursing students' intention to accept COVID-19 vaccination: A pooled analysis of seven European countries(AAB College, 2025-07-17) Sopjani, IdrizBackground: Experiencing the third wave of COVID-19 pandemic, high vaccination coverage by a safe and effective vaccine globally would be a great achievement. Acceptance of vaccination by nursing students is an important issue as they play a decisive role as future professionals in educating patients, counselling, and guiding them to the right clinical decision. Objectives: To explore the intention of nursing students to get vaccinated for SARS-CoV-2 infection and the factors acting either as motivators or as barriers towards vaccination. Design: A multicenter cross-sectional design. Participants: In total 2249 undergraduate nursing students participated. Methods: The study was conducted in 7 universities in participating countries (Greece, Albania, Cyprus, Spain, Italy, Czech Republic, and Kosovo) through a web survey. Data was collected during December 2020–January 2021 in all countries. Results: Forty three point 8% of students agreed to accept a safe and effective COVID-19 vaccine, while the acceptance was higher among Italian students. The factors for intention to get vaccinated were male gender (p = 0.008), no working experience in healthcare facilities during the pandemic (p = 0.001), vaccination for influenza in 2019 and 2020 (p < 0.001), trust in doctors (p < 0.001), governments and experts (p = 0.012), high level of knowledge (p < 0.001) and fear of COVID-19 (p < 0.001). Conclusions: Understanding of factors that influence students' decision to accept COVID-19 vaccination could increase the acceptance rate contributing to a management of the pandemic.Item Prevalence of COVID-19 During 2021 in Prishtina, Kosovo: A Population-Based Cross-Sectional Study(AAB College, 2025-07-17) Sadiku, IzetBackground: The global crisis of COVID-19 (Coronavirus disease 2019) has prompted comprehensive research into its impact, with studies uncovering varied occurrence and mortality rates. This study seeks to determine the prevalence of COVID-19 amongst the overall population based on self-reported symptoms and testing while also examining the association of prevalence with demographic, health, and epidemiological factors. Methods: A cross-sectional survey was carried out with citizens of Prishtina, the capital city of Kosovo from May to June 2021. We calculated the prevalence of self-reported COVID-19 symptoms and positive tests among the citizens, as well as crude and adjusted ORs examining the association of COVID-19 infection with explanatory factors, including the protection and exposure coefficient. Results: A total of 654 (52.1%) out of 1255 respondents reported having experienced COVID-19 symptoms. Six hundred (47.8%) households reported having an infected family member and 44 (7.3%) households reported having a dead family member due to COVID-19. In addition, 47.2% of 3,068 household members were infected with COVID-19, and 1.5% died due to COVID-19. A total of 689 respondents underwent testing for COVID-19 and 184 (26.7%) reported positive results. For individuals who reported COVID-19 symptoms, higher odds for infection were found among urban residents (adjusted OR, 1.53; 95%CI, 1.13-2.07; p=0.006), individuals with infected household members (adjusted OR, 2.53; 95%CI, 2.00-3.20; p<0.001), higher exposure coefficient (adjusted OR, 2.20; 95%CI, 1.42-3.41; p<0.001), and existing health conditions (adjusted OR, 2.22; 95%CI, 1.50-3.27; p<0.001). For individuals who underwent COVID-19 testing, higher odds for infection were found among individuals with infected household members (adjusted OR, 3.51; 95% CI, 2.29-5.39; p<0.001). Conclusion: This study highlights the prevalence of COVID-19 in Prishtina and the significance of factors like existing health conditions, household size, epidemiologic behaviour, and the number of infected members as important determinants of COVID-19 incidence.Item The Assessment of Knowledge, Attitudes, and Practices of University’s Students Towards Covid-19(AAB College, 2025-07-16) Haxhija, EdonaIntroduction: The COVID - 19 has been a global public health concern from day one till now. The Aim is to assess students’ knowledge, attitudes, and practices towards COVID-19. Material and Methods: This is a cross-sectional study. A validated, structured, anonymous, self-administered online questionnaire was used. The inclusion criteria were voluntary students from each Luigj Gurakuqi University faculty member. Two hundred fifty-seven students completed the questionnaire, which was created with the Microsoft Forms Office program and distributed via WhatsApp. Data were calculated through the SPSS program. Pearson correlation, ANOVA test, and simple independent test –T were applied to elaborate on the data collected. The study period is April-May 2022. Results: In this study, 257 students participated. Most of the participants were female (N=223; 87%). More than 86% of students responded positively regarding their knowledge about the symptoms of COVID-19. Regarding attitude and practice, 90% of students agreed that hand washing is necessary to prevent infection, while 98% believed wearing a mask would prevent disease. Conclusions: In general, they show positive attitudes and practices regarding COVID-19. Many say they would not hide it as information; they would seek medical help.Item Seroprevalence of Anti-SARS-CoV-2 Antibodies among Municipal Staff in the Municipality of Prishtina(AAB College, 2025-07-15) Gashi, BujarBackground: Some studies have assessed the seroprevalence of anti-SARS-CoV-2 antibodies in different populations. Very few studies have explored seroprevalence in municipal workers, an important and potentially high-risk population. This study aims to determine the prevalence of anti-SARS-CoV-2 antibodies in municipal workers, with the additional examination of the association of prevalence with various demographic, health-related, and epidemiological factors. Methods: We surveyed and tested for seroprevalence 418 public servants from the municipality of Prishtina, the capital of Kosovo. The primary prespecified outcome was the seroprevalence of anti-SARS-CoV-2 antibodies, IgG, and IgM. Additional outcomes were crude and adjusted odds ratios of seroprevalence by different factors. Results: 21.1% of municipal workers tested positive for either IgM or IgG. Of these, 9.6% were positive for IgM and 19.4% for IgG. Data showed high levels of adherence to protective measures, e.g., social distancing in the office, but calculation of ORs did not show a significant difference between those reporting adherence to such measures and those reporting nonadherence. Of other examined factors, significantly lower odds were observed for smokers (0.52, 95% CI 0.28, 0.97), while municipal workers with infected family members had elevated odds of seropositivity according to both crude (2.19, 95% CI 1.34, 3.59) and adjusted (2.00, 95% CI 1.17, 3.41) ORs. Conclusions: Most answers from public servants demonstrated compliance to social-distancing policies in the workplace, but analysis of crude and adjusted odds ratios did not suggest a significant effect between municipal workers who followed these guidelines and those who did not. Results from this study help Kosovo policy makers in understanding the level of prevalence of COVID-19 in municipal workers and the effect of different factors on such prevalence. Results from the study could inform future decisions on the design and application of protective measures for municipal workers. Our findings should encourage further research to assess the extent of the spread of COVID-19 to other essential workers in Kosovo, including retail workers.Item Assessment of COVID-19 Fear in Five European Countries before Mass Vaccination and Key Predictors among Nurses and Nursing Students(AAB College, 2025-07-15) Pulomemoj, Velide; Sopjani, IdrizBackground: Levels of fear have increased since the COVID-19 pandemic outbreak. The absence of a safe and effective vaccine for mass-vaccination deteriorates this situation, which has a significant impact on mental health. This study aimed to assess the feelings of fear among nurses and nursing students in five European countries. Methods: A multicenter cross-sectional study was conducted in five European countries (Greece, Albania, Cyprus, Spain, and Kosovo) before the start of mass vaccination in Europe. Data collection was conducted in December 2020–January 2021 using an online questionnaire for nursing students and professional nurses. Fear of COVID-19 Scale (FCV-19S) was used for measuring levels of fear. IBM SPSS version 21.0 was used for statistical analysis. Results: The study population included 1135 nurses and 1920 nursing students from Kosovo (n = 1085), Spain (n = 663), Greece (n = 534), Albania (n = 529), and Cyprus (n = 244). According to multivariable analysis, females (OR = 2.53, 95% CI = 1.89–3.15), married (OR = 0.86, 95% CI = 0.24–1.48), nurses (OR = 0.87, 95% CI = 0.28–1.45) and those with a chronic disease (OR = 0.86, 95% CI = 0.11–1.62) were more fearful of COVID-19. Conclusions: It is important to decrease fear in the population of nurses who are at the frontlines of the pandemic. The provision of appropriate education and training activities for nurses and students to manage their stress levels is of high importance. Future studies should focus on levels of fear after the administration of several safe and effective vaccines worldwide.