http://repository.usmf.md:80/handle/20.500.12710/33284 2026-10-25T13:41:55Z 2026-10-25T13:41:55Z Taguhi, Meyroyan Khachikyan, Naira http://repository.usmf.md:80/handle/20.500.12710/33788 2026-10-21T16:44:00Z 2026-01-01T00:00:00Z

Title: Revalence of meteosensitivity among residents of the Shirak region, Armenia Authors: Taguhi, Meyroyan; Khachikyan, Naira Abstract: Introduction Meteosensitivity refers to the body’s response to changes in weather conditions and may manifest with a range of symptoms that affect daily functioning and overall wellbeing. The Shirak region of Armenia is a high-altitude area characterized by frequent and abrupt fluctuations in temperature and atmospheric pressure. Based on these climatic features, a higher prevalence of meteosensitivity could be expected among the local population. Weatherrelated symptoms may include headaches, weakness, drowsiness, mood changes, sleep disturbances, and decreased work capacity, potentially affecting quality of life. However, data on meteosensitivity in Armenia are scarce, which underlines the importance of conducting regionspecific studies and improving understanding of the population’s adaptive responses to climatic variability. Aim of the study To assess the prevalence of meteosensitivity among residents of the Shirak region across different age groups and to formulate recommendations to improve adaptive responses to weather-related changes. Material and methods A cross-sectional survey was conducted among residents of the Shirak region. Data were collected using a structured questionnaire covering demographic characteristics, presence of chronic diseases, and self-reported weather-related symptoms. The results were analyzed using descriptive statistical methods and compared with data from relevant scientific literature. Results A total of 200 residents participated in the study. Of these, 100 were younger than 35 years and 100 were older than 35 years. Most respondents described their daily rhythm of life as moderately stressful. Chronic diseases were reported by 14% of participants, predominantly among those older than 35 years. Weather-related changes in well-being were reported by 73% of respondents. The main triggering factor was abrupt changes in air temperature, and the most frequently reported symptoms were weakness and drowsiness. Weather conditions had a moderate impact on mood. Symptoms were reported mainly during autumn and spring. More than half of respondents (55%) did not use any measures to alleviate symptoms, and only 30% were familiar with the term "meteosensitivity". An impact on work performance was reported by 70% of participants. Conclusion Although the Shirak region is characterized by pronounced climatic variability, the findings did not indicate an extremely high prevalence of meteosensitivity compared with data reported from other regions. This may be partially explained by long-term adaptation of the local population to high-altitude climatic conditions. Nevertheless, the observed impact on quality of life and work performance highlights the need for improved public awareness and the development of preventive and adaptive strategies tailored to regional climatic characteristics.

2026-01-01T00:00:00Z Movsisyan, Susanna Aslanyan, Armine http://repository.usmf.md:80/handle/20.500.12710/33787 2026-10-21T16:38:19Z 2026-01-01T00:00:00Z

Title: Sun protection factor use and awareness of UV risks in Armenia Authors: Movsisyan, Susanna; Aslanyan, Armine Abstract: Introduction In recent years, climate change and depletion of the ozone layer have led to increased exposure to ultraviolet (UV) radiation. Consequently, human health, particularly the skin and eyes are at greater risk. Despite this, many individuals underestimate the harmful effects of sun exposure and fail to use sun protection products regularly. This issue is especially concerning for children and adolescents, whose skin is more sensitive and more susceptible to damage. Moreover, epidemiological data indicate a steady increase in the incidence of skin cancer, highlighting the seriousness of the problem. Therefore, the use of sun protection products is not merely a cosmetic practice but an essential preventive health measure. Increasing public awareness and promoting appropriate sun-protection habits are important public health priorities. Aim of the study To assess how often and under what circumstances people use products with sun protection factor (SPF) and to assess their attitudes towards their use. Data collection was carried out using an anonymously distributed structured questionnaire. The questionnaire included questions on the frequency of SPF use, level of knowledge about the health risks related to UV radiation, awareness of application and correct reapplication of SPF. The collected data were processed and analyzed using basic statistical methods. Descriptive statistics, including percentage distribution and comparative analysis, were used to summarize the participants’ responses and to identify trends in the use and awareness of the need to use products with SPF. Material and methods A total of 114 individuals participated in the survey. Data were analyzed using basic statistical methods, including percentage distribution and comparative analysis. Ethical standards were maintained throughout the study, ensuring the confidentiality and anonymity of all participants. Results The findings demonstrated that SPF use among the population of Armenia is insufficient. Although some respondents were aware of the harmful effects of UV radiation, the use of sun protection products was largely irregular and seasonal. SPF was applied only during summer months by 35.8% of respondents and only under intense sun exposure by 14.7%, indicating limited understanding of the need for consistent use. Furthermore, 49.5% of participants lacked adequate knowledge regarding correct application, particularly the necessity of reapplication. The main reasons for not using SPF products included insufficient awareness, underestimation of their importance, and, in some cases, financial or accessibility limitations. Conclusion Although a certain level of awareness exists, it remains inadequate. Educational and informational interventions are necessary to improve public knowledge and encourage responsible SPF use. Enhancing accessibility and promoting convenient formulations, such as sprays for the body and lightweight or gel-based products for the face, may contribute to more consistent use.

2026-01-01T00:00:00Z Prytherch, Helen Cociu, Svetlana Curteanu, Ala Zarbailov, Natalia Pascaru, Octavian http://repository.usmf.md:80/handle/20.500.12710/33786 2026-10-21T16:45:49Z 2026-01-01T00:00:00Z

Title: Cascade on-the-job training: an innovative approach to increase competencies amongst primary care personnel in use of the WHO PEN protocols in Moldova Authors: Prytherch, Helen; Cociu, Svetlana; Curteanu, Ala; Zarbailov, Natalia; Pascaru, Octavian Abstract: Introduction Noncommunicable diseases (NCDs) pose global health challenge and are the main cause of premature mortality in Moldova. Primary health care (PHC) centers hold the key to the prevention and management of NCDs. The WHO Package of Essential Noncommunicable (PEN) disease interventions was adapted to the local context and then rolled out at PHC level. The Healthy Life Project supported training of PHC staff in PEN 1 and 2 across 2020-2024. In 2025 a last round of training was targeted to 15 districts where the level of coverage, especially of medical assistants (MAs) of Family Doctors (FD), was below an agreed minimum, acceptable (30%). Aim of the study To assess the perceptions of PHC personnel that experienced the new training approach for PEN 1 and 2. Material and methods The new training was conducted by local trainers (FDs and MAs) in their own districts, at the staff’s workplace, in a flexible manner, without affecting clinical activity. The quality of the teaching process was monitored by national trainers through on-line and onsite visits. In the last round, 746 personnel were trained, including 129 family doctors (FDs) and 617 MAs. The perceptions of the staff trained were assessed based on a standardized data collection tool. The evaluation form was completed by 558 participants, of which 442 were MAs and 116 FDs. The forms were filled in digitally through Google Forms (using links and QR codes), and the collected data was processed and analyzed. Results The findings highlighted a very high level of satisfaction with all the educational dimensions evaluated: 85% of participants mentioned the achievement of the program objectives, 82.6% - the fulfillment of personal expectations, 83.6% - the efficiency of the training. In the analysis of the specific thematic responses, a significant focus on diabetes mellitus is noted. Subthemes such as diabetes treatment and diabetic foot management were frequently associated with the need to strengthen practical skills. Another aspect of interest was effective communication and motivational interviewing, relevant to the doctor-patient relationship. Cardiovascular risk assessment and the promotion of a healthy lifestyle were perceived as fundamental elements of prevention and integrated care. Conclusion Cascade districts training provided by local trainers contributes to the creation of a district-level network that provides support for the subsequent implementation of PEN. The use of PEN tools was perceived as one of the most useful and applicable components of the training. The practical and interactive nature of the training, the applied activities, teamwork and case studies were extremely useful for consolidating knowledge.

2026-01-01T00:00:00Z Hovhannisyan, Stepan Aslanyan, Armine http://repository.usmf.md:80/handle/20.500.12710/33785 2026-10-21T16:22:18Z 2026-01-01T00:00:00Z

Title: Stress, burnout, anxiety and depression among school teachers in Armenia Authors: Hovhannisyan, Stepan; Aslanyan, Armine Abstract: Introduction Teacher mental health is an increasingly recognized public health concern worldwide. Chronic occupational stress, high workload, and emotional demands place teachers at risk of burnout, anxiety, and depression. However, data on the prevalence and associated factors of these conditions among school teachers in Armenia remain limited. Prolonged exposure to workplace stressors may negatively affect teachers’ emotional well-being, professional performance, and overall quality of life. Chronic stress can gradually lead to burnout syndrome, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. In addition, persistent occupational pressure is closely associated with increased levels of anxiety and depressive symptoms, which may further impair teachers’ productivity, interpersonal relationships, and job satisfaction. Poor mental health among teachers can also indirectly influence students’ academic achievement, classroom climate, and the overall effectiveness of the educational system. Aim of the study To assess the prevalence of stress, burnout, anxiety, and depressive symptoms among school teachers in Armenia and to examine their association with socio-demographic and occupational factors. Material and methods A cross-sectional anonymous online survey was conducted among 151 school teachers using Google Forms. The questionnaire included socio-demographic data (sex, age, marital status, work experience, subject area, school location, presence of students with special educational needs) and Likert-scale items evaluating stress, burnout, anxiety, and depression. Composite scores were calculated as percentages of maximum possible scores. Comparative analysis was performed by sex, work experience, school location, and other occupational factors. Results Among respondents, 88.1% were female and 77.5% worked in rural schools. Moderate to high levels of psychological distress were identified: stress – 56.1%, burnout – 51.3%, anxiety – 57.9%, depression – 57.9%. Female teachers demonstrated higher levels across all domains compared to males. Teachers with 11-20 years of experience had the highest stress levels, while those with over 20 years showed higher burnout and anxiety. Urban teachers reported higher stress than rural teachers. Working with students with special educational needs was associated with increased stress. Frequent somatic complaints included headaches, musculoskeletal pain, sleep disturbances, and cardiovascular symptoms. Conclusion Armenian school teachers experience considerable psychological distress influenced by occupational and demographic factors. Preventive interventions and school-based mental health support programs are recommended.

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