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Affections of rachides by infections is an important pathology,with conciderated potenciality of invalidisation. This is a cross-cectional study including 92 cases with IR, with an age range 16-75 years, during March 2005--December 2015.The diagnose of rachidites is based on clinic, imagerr, microbiologic and serologic exams. We noticed affections of all levels of Rachides; lumbar dominated with 32.5 %.We deffer 14 causative agents from which Brucella dominated with 55%. In a lumbar affections the commenest pathogen was Brucella,72%; in thoracal level was M. tuberculosis,46.1%. In our study Infectious Rachiditis were presented without fever in 16% of cases. We spotted 5 type of fever: febris intermittent dominated with 38.1% and the most frequent fever accoding to degree of temperature was low grade fever with 26.1% followed by moderate fever 22.8%, high 19.6%, hiperpireksia 4.3%. Intermittent fever was more frecuent in Infectious Rachiditis caused by Brucella with 76.2 %. Microbial spondilodiscits are a complex and problematic pathology in the clinic, microbiologic and imagery level and need a multidisciplinary expensive managing. [ABSTRACT FROM AUTHOR]

Travel infectious diseases are a health, social and economic issue. Their assessment is getting difficult seeing the growing number of people traveling and the diversity of their destinations hence the importance of collecting the information on travel infectious diseases and their access to this information. For this study, it was gathered and processed data obtained from Albanian travellers departing from Tirana International Airport from July to September 2015. To the citizens were given a questionnaire with fourteen closed questions about their actual information on infectious diseases and their access to new information. Six hundred and six persons responded. 54 % of respondents were women. The majority of the participants in the survey were in the age group of 20-40 years old. The survey showed that almost 44 % of respondents claimed to have heard about infectious disease when traveling and only 70.9 % of them had further information about prevention. The majority of respondents pointed at internet and friends as their most reliable sources of information rather than medical care centres. When asked if they had sought their doctor's advice before traveling, only 26 % of the responses were positive. In conclusion, the survey showed that the majority of Albanian travellers have general information about infectious diseases and most of this information comes from unreliable, non-official sources. Results suggest strategies to better inform people about travel diseases when traveling. [ABSTRACT FROM AUTHOR]

Objective: To analyze the initial experience of the nationwide clinical telemedicine program of Albania, as a model of implementation of telemedicine using "Initiate-Build-Operate-Transfer" strategy., Methods: This was a retrospective study of prospectively collected data from teleconsultations in Albania between January 1, 2014 and August 26, 2015, delivered synchronously, asynchronously, or a combination of both methods. Patient's demographics, mode of consultation, clinical specialty, hospitals providing referral and consultation, time from initial call to completion of consultation, and patient disposition following teleconsultation were analyzed. Challenges of the newly created program have been identified and analyzed as well., Results: There were 1,065 teleconsultations performed altogether during the study period. Ninety-one patients with autism managed via telemedicine were not included in this analysis and will be reported separately. Of 974 teleconsults, the majority were for radiology, neurotrauma, and stroke (55%, 16%, and 10% respectively). Asynchronous technology accounted for nearly two-thirds of all teleconsultations (63.7%), followed by combined (24.3%), and then synchronous (12.0%). Of 974 cases, only 20.0% of patients in 2014 and 22.72% of patients in 2015 were transferred to a tertiary hospital. A majority (98.5%) of all teleconsultations were conducted within the country itself., Conclusions: The Integrated Telemedicine and e-Health program of Albania has become a useful tool to improve access to high-quality healthcare, particularly in high demanding specialty disciplines. A number of challenges were identified and these should serve as lessons for other countries in their quest to establish nationwide telemedicine programs.