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The tremendous growth of tourism in Albania in recent decades, made important the understanding of the role that digital marketing and mobile technology is playing in this field. Tourism in Albania is one of the most important economic sectors of the country, and is growing year after year. It is emphasized that digitalization is a new form of communication between producers and consumers of tourism services, becoming a source of competitive advantages for tourism organizations. The main goal of the study is to give us a clear overview of the use of the Internet, information technologies and digital marketing in Albania. For the realization of this study, we used a methodology that combines primary data with secondary ones. The research was conducted through questionnaires that were sent to Albanian travel agencies via email. The questionnaire contains 17 questions, and was sent to 150 travel agencies, of which 102 agencies responded. Regarding the study, digital marketing plays an important role in improving the image of Albanian tourism throughout the world. It has created facilities in the way of doing marketing and reducing the costs of businesses. Through digital marketing, travel agencies have managed to promote our country online, personalize services and, above all, be closer to customers. The research found that the most effective digital marketing tools used by the agencies are Instagram and Facebook.
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Background: This study seeks to evaluate the prevalence of and the association between receiving medical care abroad and the level of trust that citizens from the Western Balkans-Albania, Bosnia and Herzegovina, Kosovo and Montenegro-have in their healthcare systems. Method(s): The study is cross-sectional and was carried out during three months (July 25-October 30, 2021) through a self-reported questionnaire administered through the Google Forms platform. The study included approximately two-thousand citizens (N=2,356) aged eighteen (18) to seventy (70). Result(s): More than one-third (37.2%) of respondents stated that they or a relative had received healthcare services abroad during the last twelve (12) months. Citizens of Montenegro had the highest prevalence of receiving healthcare services abroad at 43.8%, followed by those from Bosnia and Herzegovina at 39%. No statistically significant difference was found in the level of trust in the healthcare system in the country between those who received healthcare services abroad (4.41+/-2.88) (out of 10) and those who did not (4.48+/-2.81) (t=-0.587, p=0.557). Conclusion(s): We ultimately conclude that more than one-third of the participants in our study have traveled abroad for healthcare purposes, with females, those living in urban areas, and those who have previously had a negative healthcare experience in their home country all being more likely to rely on health tourism.Copyright © 2023 Maljichi et al.
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Background: After two years of COVID in which activities were reduced due to the pandemic and each one's life was affected by restrictions and limitations, the Sickle Cell Disease (SCD) Association in Padova teamed up with the Sickle Cell Group at the Pediatric Hematology Oncology and Bone Marrow Transplant Unit to celebrate the Sickle Cell Disease world day by organizing an online meeting with children/youths and their families. Theme of the meeting was: "My Life with SCD: poems, pictures and writings express our view on disease and care". Aim(s): One of the goals of this meeting was to create an opportunity for individuals with SCD to meet and have a constructive discussion with each other about the disease and express their feelings after two years of pandemic. Method(s): One month before the meeting children, teenager and parents were asked to sharer with the organizing team any drawing, painting, poem, writing, that they felt could express their feelings or experience of the disease itself or how it affected their life, or their experience in the hospital. The materials received were organized in a power point presentation and At the meeting, families were able to see a PowerPoint presentation with the poems, drawings, writings. Each author had the choice to personally share their production or have it read out loud by a member of the team. Free time to comment or share experiences was given. Result(s): 20 children, teenagers and parents participated. Countries of origin (Nigeria, Ghana, Congo, Albania, Italy), religious background (catholic, muslim, no religion, other) were different as well as disease genotype (HbSS, HbSC, HbSBdegree), severity or treatment received (Hydroxyurea, transfusion, Hematopoietic stem cell transplantation -HSCT, none). Drawings and writings regarded experience with the disease (mechanism of action, admissions), feelings experienced (fear, hope, light at the end of the tunnel), aspirations (sports) and gratitude (to the social and medical team, to parents) (Figure 1). Surprisingly, families who had a child having undergone HSCT, reported on the need and importance to talk about this experience for years after the event and made a request of a support goup. Finally, all families underlined the need to meet again soon to discuss together issues related to personal experience with SCD, even via web. of discussion with each other and with the drepanocytosis group;and that throug the online telematics platform it is still possible to involve all families, listening and trying to comfort them on doubts and perplexities about the disease, In conclusion, it can be said that after two years of pandemic, in our setting, online meeting can help patients and families reconnect with each other and activities can be planned to aid experiences and feelings. Patients' associations and Health Care Teams can collaborate in this area.
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There are growing concerns with rising antimicrobial resistance (AMR) across countries. These concerns are enhanced by the increasing and inappropriate utilization of 'Watch' antibiotics with their greater resistance potential, AMR is further exacerbated by the increasing use of antibiotics to treat patients with COVID-19 despite little evidence of bacterial infections. Currently, little is known about antibiotic utilization patterns in Albania in recent years, including the pandemic years, the influence of an ageing population, as well as increasing GDP and greater healthcare governance. Consequently, total utilization patterns in the country were tracked from 2011 to 2021 alongside key indicators. Key indicators included total utilization as well as changes in the use of 'Watch' antibiotics. Antibiotic consumption fell from 27.4 DIDs (defined daily doses per 1000 inhabitants per day) in 2011 to 18.8 DIDs in 2019, which was assisted by an ageing population and improved infrastructures. However, there was an appreciable increase in the use of 'Watch' antibiotics during the study period. Their utilization rose from 10% of the total utilization among the top 10 most utilized antibiotics (DID basis) in 2011 to 70% by 2019. Antibiotic utilization subsequently rose after the pandemic to 25.1 DIDs in 2021, reversing previous downward trends. Alongside this, there was increasing use of 'Watch' antibiotics, which accounted for 82% (DID basis) of the top 10 antibiotics in 2021. In conclusion, educational activities and antimicrobial stewardship programs are urgently needed in Albania to reduce inappropriate utilization, including 'Watch' antibiotics, and hence AMR.
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INTRODUCTION: The COVID-19 pandemic has disproportionately affected patients with preexisting comorbidities, particularly dialysis patients. The aim of this study was to determine predictors of mortality in this population. METHODOLOGY: We conducted an observational, retrospective, cohort study collecting data from pre and post-vaccine from the electronic medical records of a single dialysis center at Hygeia International Hospital Tirana, Albania. RESULTS: Of 170 dialysis patients, 52 were diagnosed with COVID-19. The prevalence of COVID-19 infection in our study was 30.5%. The mean age was 61.5 ± 12.3 years and 65.4% were men. The mortality rate in our cohort was 19.2%. Mortality rates were higher in patients with diabetic nephropathy (p < 0.04) and peripheral vascular disease (p < 0.01). Elevated C- reactive protein (CRP) (p < 0.018), high red blood cell distribution width (RDW) (p < 0.03), and low lymphocyte and eosinophil counts, were found to be risk factors for severe COVID-19 disease. ROC analysis identified lymphopenia and eosinopenia as the strongest predictors of mortality. After the vaccine administration, the mortality rate in the vaccinated population was 8%, in contrast to the 66.7% mortality rate that was found in the unvaccinated group (p < 0.001). CONCLUSIONS: Our study revealed that risk factors for the development of severe COVID-19 infection were RDW, low lymphocyte and eosinophil counts, elevated levels of CRP. Lymphopenia and eosinopenia were determined as the most important predictors of mortality, in our cohort. Mortality was notably lower among vaccinated patients.
Subject(s)
COVID-19 , Lymphopenia , Male , Humans , Middle Aged , Aged , Female , Cohort Studies , Pandemics , Retrospective StudiesABSTRACT
У кризним ситуаци)ама, као што je текуки сукоб у Укра]ит, питате учинковитости инпута у полопривредно] производти поста]е врло знача]но. У том контексту, главни цил овограда jeутвр'ивате нивоа ефикасности примене 'убрива у землама Западног Балкана. Истовремено, фокус овог рада je здравле землишта у региону, као и зависност региона од увоза "убрива.. Резултати су показали да je ефикасност 'убрива века у региону него у ЕУ. Ме'утим, с обзиром на високу зависност од увоза и наjвjeроватниje продужете кризе, дати су одре'ени предлози за поболшате ситуацsе. Заклучци овог рада могу бити од користи креаторима полопривредне политике као и полопривредним произво'ачима.Alternate :In the case of the crisis, such as the current conflict in the Ukraine, the question of input effectiveness in agricultural production has become very important. In that context, the main objective of this paper is to find the level of fertiliser efficiency in the Western Balkan countries. The paper also aims to discuss health of the soil in the region and its dependence on fertilisers imports. Results showed that fertilizer use efficiency is higher in the region than in the EU. However, considering the high dependence on imports and the most likely prolongation of the crisis, certain suggestions for improving the situation were given. This conclusion can be useful for the creators of the agricultural policy as well as for agricultural producers.
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Fiscal policies are one of the most important instruments of government to guide the progress of the country's economic development. They find significant use in cases where the economy is experiencing a period of recession, such as the current one caused by COVID-19. This study aims to assess the multiplier effects that budget revision has on the economy for the case of Albania, and more specifically by referring to the initial and revised budget scenario for the year 2020 which is characterized by significant changes caused by the presence of COVID-19. Referring to the multipliers from the input–output tables (IOT) the total effect that the state budget brings to the economy for a certain year is derived. From this paper, it appears that the budget restructuring that takes place during the year does not take into account the multiplier effect in the economy, but is mostly done for specific purposes related to certain government functions. In this context, it is very important that various options during budget revision are evaluated, concluding with the option that has the highest returns for the economy.
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Objective: In the second year of the COVID-19 pandemic, the role of the pharmacists was confirmed as central at the territorial level. The purpose of this study was to assess knowledge, attitudes, and practices of pharmacists in Albania, critical changes in the Albanian pharmaceutical market during the COVID-19 pandemic and evaluate factors influencing the quality of the pharmaceutical service. Methods: A nationwide survey was conducted, using an online questionnaire targeting Albanian pharmacists during 2021. Results: Most of the respondents were females (86.2%), belonged to the 30-39 age group (51.7%) and worked in community pharmacies (73%). Although most of the respondents did participate in training courses (62.8%), only about 38% of them had good knowledge about COVID-19 (score 5/8). Moreover, the level of knowledge increases the possibility to apply the rules. 65% of the pharmacists who were very afraid of getting infected with COVID -19, stated that they followed the WHO rules compared to 37 % of those who were not afraid. Regarding the medicines offered, 64% of the respondents claimed that there have been difficulties in ensuring the adequate medicines during the pandemic. Furthermore, although 61% of the pharmacists declared that the price of medicines during the pandemic has not changed, 58% of them thought that the revenues of all pharmaceutical sectors have risen. Conclusion: From this study it is concluded that although the pharmacists in Albania have demonstrated strength, professionality, and commitment to offer pharmaceutical service to the highest level, they faced numerous challenges during this difficult time. In the future, the pharmacist's role can be extended in the community to provide successful medical service and their collaboration within and between pharmacists and physicians is essential.
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The concept of tourism represents a wide field of research and development, especially considering the global dimensions it is taking. In Albania, the tourism sector has become one of the most important sectors of economic development, especially in recent years when attention has increased in the international arena. The financial and social impact has begun to be experienced, when seeing that almost all figures in the tourism components show growth. The earthquake of November 26, 2019, and especially the isolation from the COVID-19 pandemic, had a negative impact, that limited the development and investment capacities in this sector. As a result of the great opportunities that our country offers in the field of tourism, technology has played a no less important role, especially for promotion to foreigners. The standardization of services has come as a result of awareness on development opportunities, but also as a result of constant demands and models borrowed from other countries, where digital transformation also undoubtedly plays a role. Another element affected in this study is the digitalization of business in the provision method of the tourism product. Specifically, tel_Albania, as a leading company in the country, has launched the tel_Business platform, by aiming to contribute to the fulfilment of the concepts of smart tourism and e-tourism.
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OBJECTIVE: Observing the impact of the coronavirus disease 2019 (COVID-19) pandemic on digestive diseases in hospitalized patients at the Department of Gastroenterology-Hepatology in "Mother Teresa" University Hospital Center (UHC),Tirana. METHODS: This retrospective study was carried out from June 2020 to December 2021 involving 41 cases of patients >18 years who were positive for COVID-19 infection detected by RT-PCR (Reverse Transcription-Polymerase Chain Reaction) assays of nasopharyngeal swab specimens. The severity of COVID-19 infection was evaluated by hematological/biochemical parameters, blood oxygenation/need for oxygen, radiological data on pulmonary CT imaging. RESULTS: Out of 2527 hospitalized cases, 1.6% (41) were positive for the infection. The average age was 60.05 +/- 15.008 years. The group of age with more patients (48.8%) was 41-60 years. Infected males were higher than females (p<0.001). Out of the total, 21% were vaccinated at the diagnosis. Most patients came from urban areas, more than a half from the capital. Frequency of the digestive diseases was: cirrhosis 31.7%, pancreatitis 21.9%, alcoholic liver disease 21.9%, gastrointestinal hemorrhage 19.5%, digestive cancer 14.6%, biliary diseases 7.3%, inflammatory bowel disease (IBD) 2.4%, other digestive diseases 4.8%. Fever (90%) and fatigue (78.04%) were the dominant clinical signs. Biochemical and hematological parameters showed elevation of average value of aspartate amino transferase (AST), alanine transaminase (ALT) (AST>ALT, p<0.001), and bilirubin in all the patients. Higher levels of creatinine and significantly predictive value of systemic inflammation indices NLR (neutrophil to lymphocyte ratio ) and MLR (monocyte to lymphocyte ratio) were found in the fatality cases. Patients with cirrhosis had more severe form of COVID-19, lower blood oxygenation and needed treatment by O2-therapy (p<0.046). Death rate was 12%. A strong correlation was found between the need for O2-therapy and deaths (p<0.001) and between characteristic findings for COVID-19 in pulmonary CT imaging and low blood oxygenation (p<0.003). CONCLUSION: Comorbidity with chronic diseases, such as liver cirrhosis, has an important impact on the severity and mortality of the patients with COVID-19 infection. Inflammatory indices, such as NLR (neutrophil to lymphocyte ratio) and MLR (monocyte to lymphocyte ratio), are useful tools in predicting the evolution toward severe forms of the disease.
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Background. Vaccination has saved millions of lives through the protection of individuals and populations from communicable diseases. Vaccine hesitancy, defined as the delay in acceptance or refusal of vaccines despite the availability of vaccination services, has become a growing global concern. The objective of this study was to investigate parents'/caregivers' hesitancy toward childhood vaccination and its predictors in Albania. Study design. A cross-sectional survey was conducted. Methods. The data comes from a survey conducted on a sample of parents/caregivers (89.6% mothers) of children aged 6 months to 8 years at health care vaccination centers in seven Albanian cities from December 2020 to February 2021. Parents/caregivers (one per child) were interviewed by trained healthcare staff using a standardized questionnaire on six main content domains, including immunization behavior, beliefs about vaccine safety and efficacy, attitudes about vaccines, vaccination confidence, estimation of vaccine delay, and the intention to immunize children against SARS-CoV-2, and a self-reported hesitancy. The Albanian Ministry of Health approved the questionnaire, after it was translated, validated and adapted to the local setting. Statistical analyses included independent sample t-tests (p<0.05) and a logistic regression (OR;95% C.I.). Results. A total of 475 parents/caregivers of children aged from 6 months to 8 years, attending childhood vaccination in public health services, were interviewed. To the question "how hesitant you are about childhood vaccination”, a high number of parents/caregivers (46%) responded that they do not feel hesitant at all, and 32% were not hesitant, a small number of parents/caregivers said they are very hesitant (5%) or somewhat hesitant (12%).A binary logistic model was fitted to the data to test the hypothesis regarding the relationship between parental vaccine hesitancy and possible predictors. A lower parental attitude toward childhood vaccines (OR = 3.7;95% C.I. 1.102-12.421), a health center with a high vaccine delay (OR = 2.878;C.I. 95% 1.735-4.773), and low confidence in health staff information (OR = 2.042;95% C.I. 1.156-3.605) were all independent predictors of parental vaccine hesitancy. Regarding intention to vaccinate children against COVID-19, when available, nearly 75% of parents/caregivers showed hesitancy. Conclusions. Our results highlighted the role of positive parents'/caregivers' attitudes toward childhood vaccines followed by high staff confidence and good health center organization in order to deal with vaccine hesitancy, particularly for traditional and well-known childhood vaccines. Nevertheless, the hesitancy can be a critical barrier for childhood vaccination when we have to introduce a new vaccine, as is demonstrated in the recent vaccination campaign against the ongoing pandemic of SARS-CoV2. © Società Editrice Universo (SEU), Roma, Italy
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This article aims at analyzing the problems of distance learning in terms of didactic emergencies. It focuses on bringing ideas on the remodelling of didactic programming, by making use of technological tools, on identifying the novelties of didactic strategies and on evaluating the internal and external cooperation between the system and the extra system. Online studying is gaining more and more space in teaching and learning, favouring opportunities and abilities to adapt the studying to digitized spaces. It has now become an indispensable tool, given that to combat pandemics such as COVID-19, physical distancing has become a necessity. Meanwhile, after a year of learning on digital platforms, the problems have crystallized and education systems are looking for ways and means to avoid them. Our study can be considered as an effort for information and orientation on distance learning, creating opportunities for implementation in schools and emphasizing its importance in teaching and learning. It uses a qualitative method approach. We have used an extensive literature review relevant for the topic. The authors also observed 1503 online teaching hours, including the Zoom and Moodle platforms. Surveys and interviews with 205 students from two private high schools in two cities in Albania, were conducted. Based on their data we identified the advantages and disadvantages of the new teaching process (on line). From the observations made, we have reached some data and suggestions regarding the instrumentalization of the new didactics that is already a reality.
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This book contains a compilation of papers presented at the International Psychological Applications Conference and Trends (InPACT) 2022, organized by the World Institute for Advanced Research and Science (W.I.A.R.S.), held in Funchal, Madeira Island, Portugal, from 23 to 25 of April 2022. Modern psychology offers a large range of scientific fields where it can be applied. The goal of understanding individuals and groups (mental functions and behavioral standpoints), from this academic and practical scientific discipline, aims ultimately to benefit society. The International Conference seeks to provide some answers and explore the several areas within the Psychology field, new developments in studies and proposals for future scientific projects. The goal is to offer a worldwide connection between psychologists, researchers and lecturers, from a wide range of academic fields, interested in exploring and giving their contribution in psychological issues. We take pride in having been able to connect and bring together academics, scholars, practitioners and others interested in a field that is fertile in new perspectives, ideas and knowledge. We counted on an extensive variety of contributors and presenters, which can supplement the view of the human essence and behavior, showing the impact of their different personal, academic and cultural experiences. This is, certainly, one of the reasons there are several nationalities and cultures represented, inspiring multi-disciplinary collaborative links, fomenting intellectual encounters and development. InPACT 2022 received 364 submissions, from more than 35 different countries all over the world, reviewed by a double-blind process. Submissions were prepared to take the form of Oral Presentations, Posters and Virtual Presentations. 121 submissions (overall, 33% acceptance rate) were accepted for presentation at the conference. The Conference addresses different categories inside Applied Psychology area and papers fit broadly into one of the named themes and sub-themes. This book contains the results of the different researches conducted by authors who focused on what they are passionate about: to study and develop research in areas related to Psychology and its applications. It includes an extensive variety of contributors and presenters that are hereby sharing with us their different personal, academic and cultural experiences. [This document contains the proceedings of the International Psychological Applications Conference and Trends (InPACT) 2022, held in Funchal, Madeira Island, Portugal, from April 23-25, 2022. The proceedings were published by inScience Press. For the 2021 proceedings, see ED622091.]
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As in many parts of the world, the Covid-19 sanitary pandemic has hit very hard the economies hard in the of the countries of the Western Balkans. The economy faced a "shock” both on the supply and on the demand. Most economic sectors were paralyzed. One of these sectors is the insurance market, which represents a relatively important weight for the economic and financial sector. The purpose of this article is to show the impact of Covid-19 on the insurance market in the three countries of the Western Balkans: Albania, Serbia and Northern Macedonia. Based on the specifics of this crisis and particularly that of the insurance sector, the purpose of this article is to verify the impact of Covid-19 on the insurance market and specifically, on the volumes of gross annual premiums. To verify it, we have analyzed the annual data of this sector, before the pandemic and throughout the pandemic. The results show that the Covid-19 pandemic for Albania and Macedonia has had a negative impact on the market of this sector, while for Serbia we have an increase in the annual data.
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Albanian SMEs faced unforeseen difficulties during the period of the COVID-19 pandemic. This type of situation, unprecedented before, caused many problems in areas such as the management of activities, liquidity, human capital, sales, marketing, etc. This paper highlights the fact that during this pandemic period, Albanian SMEs felt the need to understand the most important risks that their activities face under these circumstances. The empirical study of this paper was based on the data collected to a structured questionnaire, to identify the perception of the type of risks Albanian SMEs face. Qualitative data collected by SMEs in the southern region of Albania were used for the successful realization of this study. These data were processed with the help of the statistical software SPSS v.21, using logistic regression. As a result, it was concluded that Albanian SMEs have preferences in the perception of some special types of risk that their activities face. © 2023, World Scientific and Engineering Academy and Society. All rights reserved.
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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. © 2022 by the author.
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The concept of tourism represents a wide field of research and development, especially considering the global dimensions it is taking. In Albania, the tourism sector has become one of the most important sectors of economic development, especially in recent years when attention has increased in the international arena. The financial and social impact has begun to be experienced, when seeing that almost all figures in the tourism components show growth. The earthquake of November 26, 2019, and especially the isolation from the COVID-19 pandemic, had a negative impact, that limited the development and investment capacities in this sector. As a result of the great opportunities that our country offers in the field of tourism, technology has played a no less important role, especially for promotion to foreigners. The standardization of services has come as a result of awareness on development opportunities, but also as a result of constant demands and models borrowed from other countries, where digital transformation also undoubtedly plays a role. Another element affected in this study is the digitalization of business in the provision method of the tourism product. Specifically, tel_Albania, as a leadi ng company in the country, has launched the tel_Business platform, by aiming to contribute to the fulfilment of the concepts of smart tourism and e-tourism. © 2022 by ASERS® Publishing. All rights reserved.
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The paper discusses the prospects of the Open Balkan initiative for the tourism development of North Macedonia. It presents an overview of this political initiative established to improve regional economic collaboration in the Western Balkans. In 2022, North Macedonia, Serbia, and Albania signed a Memorandum of understanding on cooperation in the field of tourism in the Western Balkans to expand the tourism potential of a common tourism market. This study investigates the level of seasonality in terms of overnights of tourists from Serbia, and Albania between 2011-2019. Data for 2020 and 2021 are omitted due to COVID-19 pandemic break. By calculating standard indicators, the research revealed low seasonality and favorable precondition for creating sustainable regional tourism product based on cultural heritage, tradition, gastronomy, and other cultural similarities. The study further outlines the importance of establishing a single tourism market that will contribute to creating a new concept of integrated regional tourism.
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BACKGROUND: The COVID-19 pandemic has severely impacted Europe, resulting in a high caseload and deaths that varied by country. The second wave of the COVID-19 pandemic has breached the borders of Europe. Public health surveillance is necessary to inform policy and guide leaders. OBJECTIVE: This study aimed to provide advanced surveillance metrics for COVID-19 transmission that account for weekly shifts in the pandemic, speed, acceleration, jerk, and persistence, to better understand countries at risk for explosive growth and those that are managing the pandemic effectively. METHODS: We performed a longitudinal trend analysis and extracted 62 days of COVID-19 data from public health registries. We used an empirical difference equation to measure the daily number of cases in Europe as a function of the prior number of cases, the level of testing, and weekly shift variables based on a dynamic panel model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. RESULTS: New COVID-19 cases slightly decreased from 158,741 (week 1, January 4-10, 2021) to 152,064 (week 2, January 11-17, 2021), and cumulative cases increased from 22,507,271 (week 1) to 23,890,761 (week 2), with a weekly increase of 1,383,490 between January 10 and January 17. France, Germany, Italy, Spain, and the United Kingdom had the largest 7-day moving averages for new cases during week 1. During week 2, the 7-day moving average for France and Spain increased. From week 1 to week 2, the speed decreased (37.72 to 33.02 per 100,000), acceleration decreased (0.39 to -0.16 per 100,000), and jerk increased (-1.30 to 1.37 per 100,000). CONCLUSIONS: The United Kingdom, Spain, and Portugal, in particular, are at risk for a rapid expansion in COVID-19 transmission. An examination of the European region suggests that there was a decrease in the COVID-19 caseload between January 4 and January 17, 2021. Unfortunately, the rates of jerk, which were negative for Europe at the beginning of the month, reversed course and became positive, despite decreases in speed and acceleration. Finally, the 7-day persistence rate was higher during week 2 than during week 1. These measures indicate that the second wave of the pandemic may be subsiding, but some countries remain at risk for new outbreaks and increased transmission in the absence of rapid policy responses.
Subject(s)
COVID-19/epidemiology , Public Health Surveillance , Europe/epidemiology , Humans , Longitudinal StudiesABSTRACT
At present, Albania lacks original studies that examine the role of safety and security as an important factor in the competitiveness of a tourist destination. In order to fill this gap, the article aims to measure the perception level regarding the recognition of the Safety and Security pillar and its standards, to assess the role of the image of Albania as a significant component in tourism development and to analyse the relationship of the image of Albania to security and performance of the state institutions. The methodology used combines information collected from interviews of the actors contributing to the Albanian tourism sector with the related official documentation and literature reviews. The paper supports application of the factor analysis method regarding perception of the actors and interest groups involved in the tourism sector. The findings indicate that the Safety and Security pillar standards are not familiar to the actors contributing to the sector of tourism in Albania. The main performance components in the tourism sector are the security and performance of the state institutions. © 2022 Editura Universitatii din Oradea. All rights reserved.