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What is Magnetic Resonance?
Rezonanca MagnetikeRezonanca Magnetike
Magnetic resonance imaging is a medical, non-invasive examination, causing no pain and helping doctors in diagnosing various deceases when the other radiologic methods are not sufficient.  
Magnetic Resonance, MR, uses a powerful magnetic field, radio waves and a computer to produce detailed images or organs, soft tissues, bones and virtually all the other internal body structures. MR does not use iodinated radiation (x rays).
The detailed MR images enable the doctor to better assess the parts of the body and to diagnose special deceases which cannot be determine in a suitable way by other imaging methods, such as the x rays, the ultrasounds or computerized tomography (also called CT).
Currently, MR is the most sensible examination of head imaginary (of brain in particular), which has now become a routine in the medical work.

MR is the best solution for the examination of:
 main body articulations, such as the knee, shoulder, the hand and the foot bones, etc.
The spinal column for disc deceases
Soft tissues of extremities (muscles and bones)

Which are some of the usual uses of the procedure?
Brain magnetic resonance is realized in helping diagnosing:
 brain tumors
 abnormalities of brain development
 head vascular pathologies (such as aneurismas)
 disorders of eyes and middle ear
 cerebral infarction
 traumatized patients (in special patients)
 decease of the hypophysis gland
 some chronic disorders of the nervous system, such as multiple sclerosis  

Magnetic Resonance of the muscular-skeleton system is used to diagnose or assess:
 the degenerative disorders of the joints, such as arthritis, tear of the menisci
 fractures (in special patients)
 joint pathologies due to trauma (for example tearing of the tendinitis)
 pathologies of the spinal disc (for instance the disc hernia)
 damage of the spinal cord after trauma
 damages connected to sport and disorders related to constant strained work, vibration, powerful hits,
infections (for instance, the osteomyelitis)
 tumors (for instance initial tumors and the metastasis) including bones and joints
pain, swallowing or hemorrhage in tissues within and around joints and bones

Magnetic resonance is also used to diagnose:
 tumors of chest, abdomen, or pelvis
deceases of the coronary arteries and heart problems, including the aorta, coronary arteries and blood vessels, examination of dimensions and thickness of the heart chambers and extension of the damage caused from the myocardial infarction or progressive heart deceases.
 functional pathologies and heart abnormalities.
 tumors and other abnormalities of reproduction organs (i.e the uterus, the ovaries, testicles, prostate).
 lesions of the kidney or of other bodies (when the diagnosis is not achieved by other techniques).
 abnormalities of vascular, arterial and venous congenital deceases (i.e. the arteriosclerosis) of the chest, the abdomen, the pelvis (MR angiography) abnormalities.
Through magnetic resonance, it is possible to visualize the internal roads in a non-invasive manner and with no need of contrast. This modern method is called MRCP and is an alternative to the invasive ERCP used in diagnosing the pancreas channel stones or tumors.

Breast Magnetic Resonance offers valuable information on pathologies of the mammo glands that cannot be achieved through other imaging modalities, such as mammography, or the breast echo, leading to the accurate diagnosis. This method is recommended in particular in patients suffering from breast cancer for planning their surgery and at the post-operation phase for diagnosing recourses or a new cancer hearth in the other breast.
The Breast MR is recommended in particular for screening the highly at risk groups for breast cancer, such as patients with a cancer history in the family (the mother, sister, etc.).
This method comes for the first time and is the only one of this kind in Albania; you can find it only in the American Hospital.

Whole Body MR is a full body control from the head to the foot toe, making use of the modern MRs TIM system and is used to discover metastasis in patients when the primary malign focus is recognized and the other way around to identify level of spreading of the decease and to localize infiltrative pathologies of the spinal column, to find the degree of the muscular decease spreading, such as the polymiosis and other systematic deceases as an alternative to scintigraphy and PET-CT.
This examination is currently carried out only in the American Hospital.
Heart Magnetic Resonance
This examination is used for diagnosing several cardiac pathologies and is useful in particular for diagnosing congenital heart deceases in children, given that it contains no radiation, therefore it is safe even for the young ages.
Another important use is assessment of the myocardial function and viability after the cardiac infarction, which foresees the patient prognosis and profits from surgery or insertion of the stent.
The heart MR is realized by state-of-the-art appliances, offered for the first time by the American Hospital.
How to prepare for the procedure?
You can be asked to dress an apron during the examination or you can be allowed to be dressed in your clothes if they are loose and have no metallic part.
If you are not advice to behave differently, you can keep with your daily routine and can take your medication as usual once the procedure is over.
Some MR examinations can require the patients to take contrast substances or to have them injected in an intravenous route. Please inform the radiologist or the technician on the various allergy forms, such as urticaries, allergic asthma or allergy from food or different medicaments. Anyhow, the contrast substance used in the MR examination, called gadolinium, does not contain iodine for causing an allergic reaction.
The radiologist should also know if you have a serious health problem and what operations you have gone through. Some pathologies, as the kidney decease and the sickle cell anemia can prevent you from having an MR with a contrast substance.
Women should inform the doctor or the radiologist on potential pregnancies. Given that the MR risk for the fetus is not known, this examination is recommended to be carried out by pregnant women, except for indispensable cases.
If you are a claustrophobe or in a state of deep anxiety, you can ask your doctor for a light tranquilizer.

Jewelries and other accessories should be left home if possible, or should be removed prior to the MR examination. Due to the interference with the MR, metallic and electronic objects are not allowed in the examination room. These objects include:
 jewelry, watches, credit cards or hearing aid devices which can be damaged from the magnetic field, metallic necklaces and other similar metal objects which reduce the diagnosing effect of images
 portable dental proteses
 ball point pens, pocket knives and glasses

In most of cases an MR examination is not harmful for patients with metallic implantations, except for some parts
In most of cases the MR examination is not harmful for the patients with metallic implantations, except for some kinds. Patients with the following implantations cannot enter the MR area:
 defibrillating implantation
 cochlear implant
 aneurysmatic cists  
You should tell the technician if you have medical or electronic devices in your body, because they can distort the examination quality and can impose risks to your life.

Examples include:
 artificial heart valves
 infusion catheter
 intrauterine appliances
 electronic implanted devices, such as a cardiac pacemaker
 metallic prosthesis, etc.
 metallic parts,
 surgical layers.

In general, the used metallic objects in orthopedics do not impose any risk during the MR. Anyhow, an prosthesis inserted a short time ago, can require the use of another imaging procedure. If there is a question on their presence, a radiography is needed to uncover the presence of any metallic objects.
People dealing with the metal processing or others suspecting of carrying metallic parts in their bodies might need a radiographic examination prior to the MR. The colors used for the tattoos can contain iron and can warm the place up during the MR, but they are rarely a problem. The teeth fillings and prosthesis can rarely be affected by the magnetic field, but they damage the quality of images in that portion of the face or brain they are located adjacent to, therefore, the radiologist should be informed of their presence.

How does the MR look like?
The traditional MR unit is in the shape of a cylindrical tunnel composed of a circular magnet. You will be lying in a movable examination table sliding to the center of the magnet.
The computer center processing the image information is located in a special room (the control room).

How does the procedure function?
Different from the conventional examinations with x rays and the CT (computerized tomography), the MR has no radiation. It uses the magnetic field gained from the electric current.
While you are lying within the MR unit, the radio waves are addressed to the protons in the area of your body that shall be subject of study. Under the impact of the magnetic field, these protons change their positions, producing signals seized by the bobbins.  
Afterwards, it is the computer that processes signals and produces series of images, each of which shows a thin layer of the body, which is later processed in multi-plan 3D views.
Given that protons are more numerous in the water molecules, the MR images show differences in the water content in various tissues of the body. As a result, MR is in particular suitable to discover disorders in the sick areas of the body, such as for instance, areas affected by tumors, infections and inflammations that have an impact in distorting the equilibrium of liquids in the cells and outside it. In general, the differentiation of abnormal (sick) tissues from the normal tissues is in particular easier with an MR, rather than with the other imaging modalities, such as the X rays, CTs and ultrasounds.  

How does the procedure take place?
You shall be put in a loose movable table. Belts can be used to help you stay immovable and to keep the right position while taking the images.
The small devices bobbins, capable to send and receive radio waves shall be put around the area of the body that shall be examined.
If a contrast substance is used in an MR examination, a nurse or a technician shall put an intravenous tube in the vein of your hand or arm. The contrast substance shall be injected through the vigon after scanning. Other series of images shall be received after the injection.
When the examination is over, you might be asked to stay for as long as the radiologist controls the images, to make sure if he needs other images.
The full examination is completed usually within 30 minutes.
The MR spectroscopy, which offers additional information on the present metabolite in the body cells, can also be performed during the MR examination and shall add an additional 15 minutes to the examination time.

What does the patient feel during the procedure?
The MR examination causes no pain.
Anyhow, some patients cannot stay immovable during the examination time. The others have a feeling of being enclosed into something (claustrophobia). Tranquilizers or anesthesia can be used in such cases for the anxious patients and young children.
It is normal to feel a slight heat in the part of the body the examination takes place, but if this feeling worries you, please inform the radiologist or the technician. It is important to stay immovable during the image registration, which usually lasts for some seconds up to some minutes each time. You will know when images are registered, as sounds shall be heard from the equipment. You could take time to calm down in between the image sessions.
During the MR you will be alone, but the technician can see you, listen to you and talk to you all the time using a two-way communication. If you so wish, a family member or a friend could stay with you in the room during the examination period.
You can ask for headphones to limit the equipment noise as scanning takes place. Our MR equipment is air-conditioned and is well lit. It has also got music to help you be distracted and not listen to the noises.
When the contrast substance is injected, it is normal to have a feeling of coldness and bleeding for one or two minutes. The intravenous injection can cause discomfort when it is gauged in and out of the vein, and sometimes even bruises can occur.
In case you have not taken tranquilizers or anesthesia, it is not necessary to stay and recover after the examination. You can immediately get back to your daily routine after the examination. A few patients can suffer side-effects from the contrast substance, such as nausea, local pains, etc. Very rarely, patients are allergic to the contrast material, and have eye irritation.
Brest-feeding mothers are recommended to not to breast-feed their babies for 36 to 48 hours after the MR with a contrast substance.

Advantages of MR
The Magnetic resonance is a non-invasive technique of imaging not including exposure to radiation.
 Images of the brain MR and of the other cranial structures are clearer and more detailed than the other methods of imaging. This detail renders MR an irreplaceable means for assessing several brain pathologies, tumors included.  
The MR does also give functional information (fMR) of various brain parts.
 MR enables discovery of pathologies masked by bones with other imaging methods.
 The MR is the most sensible examination for brain tumors.
 The MR Angiography provides detailed images of the blood vessels in the brain, having no need for the contrast substance.  
 The MR of soft tissues of the baby, such as the heart, liver, and many other organs have a high sensitiveness to identify and characterize local pathologies and lesions compared to other imaging methods. This detail renders the IMR an irreplaceable means for early diagnosing and assessment of many focal and tumor lesions.
MR has been tried as the most valuable method in diagnosing many pathologies, including cancer, heart deceases, blood vessel deceases and deceases of the muscular-skeleton system.
The MR gives detailed information not only on the structure of an organ, but also on its functioning.
MR - MRCP allows the doctor to asses tempia, pancreas and the hepatobiliary routes in an invasive manner and with no contrast injection.

The MR offers a quick non-invasive alternative to diagnose heart problems and problems of the entire cardio-vascular system.
The contrast substance used in the MR examination has less chances to generate allergic reactions than the iodine-based contrasts used in the conventional radiography with x rays and the CT.

MR does not impose any risk for the patient when safety instructions are appropriately followed.
 If a tranquilizer is used, a risk can arise regarding the tranquilizer overdose. The technician or the nurse are there to monitor your life signs to minimize the risk.
Although strong magnetic field is not vary harmful in itself, the medical devices containing metals can mal-function or can cause problems during the MR examination.
There is a very low risk of allergic reaction if a contrast substance is injected. Such reactions are usually light and are under good control by the medicaments. There is also a small risk of infections in the injection place. The nephrogenic fibrosis is actually a rare MR complication thought of being caused of several injections of contrasts (but not all the injections) in patients with low functioning of kidneys.

What are the MR limitations?
Images of a high quality are achieved only if the patient stays immovable when images are registered. If you are anxious, confused or have considerable pains, it is difficult to stay rigid during the image taking.
A patient that is very obese cannot enter into the MR space.
Presence of a plant or of a metallic object often renders it difficult to take clear images and the patient movements can have the same effect.
Annihilation can cause damages to the image quality during the breast, abdomen and the pelvic MR. In such cases, you will frequently be asked to hold your breath.
Lung control is limited.
Discovery of calcium (in tumors and other tissues) is limited by MR.
The MR can take more time compared to the other imaging modalities.

Vendosja e stentitVendosja e stentitCoronary angioplasty can be described as a procedure of a balloon dilatation. A small balloon placed in the peak of the catheter, is blown up inside the coronary artery, exactly in the place where there is a narrowing or blocking of the artery. Afterwards the balloon is blown down and removed, and an influx improvement in the coronary artery is remarked.
The stent is a metallic cylindrical net placed in a balloon, which can be used to assist the coronary angioplasty. It stays all the time within the arteries, preventing its narrowing or blocking.

Angioplasty with or without stent placement is similar with the coronography procedure, but it requires more time. You should at least be hospitalized for 24 hours.

Before the procedure:
You will have to sign a note of approval prior to having the angioplasty.
You should have not eaten for at least 6 hours before the procedure, but you can drink water.
You should have taken all the medicaments prescribed by your cardiologist, including aspirin (medicaments like Sintrom, Cumadin, Varfarin should have been ceased some days prior to the procedure). You should carry with you the medicaments you use.
The electrocardiogram and the laboratory analysis shall be required by the cardiologist before the procedure.
You should have taken a shower before the procedure and should be depilated in both sides of the upper leg parts.
before the procedure, you can take a tranquilizer, which will calm you down from stress, but you will be awaken during the coronography procedure.
Plan to have someone drive your car when you leave the hospital.  
You will be laying in a mobile table and your rhythm shall be monitored by an EKG apparatus all the time.
Try to stay immobile during the procedure and follow the cardiologist instructions.
The zones where the catheters shall be inserted will be cleaned up with iodine and shall be covered by sterile clothes. Local anesthesia is applied there and a short sheath will be inserted within the artery.  
During the procedure you will feel nausea, disordered heart beats, thorax pain, heat in the body, a feeling of urination, etc. These complaints last only for some seconds.
After the procedure:
You will be transferred to your room once the coronary angioplasty has finished.
Given that the tube (sheath) placed at the leg edge shall be there for 5-6 hours, you will lie in the bed.
1 hours after the procedure you can eat and should consume 1 liter of water to wash the contrast off.
You will be regularly monitored by EKG, TA, and the leg impulses.
Some EKG registrations shall be made after the angioplasty.

Be careful/ You should immediately inform the doctor in case of:
thoracic pain
breathing difficulties
disordered heart beats/ quick heart beats
Bloodshed from the leg edge
pain, sweating or feel of uneasy in the leg.
In case you do not feel well, etc.

- The tube shall be removed when the level of blood dilution has been normalized.
- A pressure will be exerted in the puncturing place for 30 minutes for blocking the hemorrhage.
- A bandage shall be wrapped up against the leg once the hemorrhage finishes.
- You should be laid back for 8 12 hours after the tube displacement.
- The cardiologist shall control you before you leave the hospital and shall prescribe your medicaments.
The coronary angioplasty does not CURE THE CORONARY ARTERIES, but only treats them.
Modification of the living style is the best way to treat the decease.

Information valuable when leaving the hospital:
Plan to have someone drive you home.
You should not drive the car for 48 after the procedure, neither should you have an exaggerated physical activity.
The wrapping up bandage can be removed 24 hours after the intervention and wash it slowly with water and soap.

Be careful/See for such events as:
Intensification of sweating, reddening or heating of the puncture place.
Massive bloodshed from the leg edge (if this is the case, exert pressure on the wound, be calm and ask for help)
In case a hematoma is created in the puncture place.

Tell your doctor about any of these complaints and any other complaint you might have.

Cardiac CT - Score and CT Coronarography
CT kardiake
TheCardiac CT is an non-invasive method of examination, realized by amodern scanner with several detectors equipped with special proragmmes,with no complications, quick, which shows in a detailed way not onlythe coronary arteries, but also gives a detailed information on theheart anatomy and on the chest vascular vessels. Also, via specialprogrammes which are contained only in the modern CT equipments (whichcontain several detectors, such as Somatom Sensation 64), it ispossible to make a dynamic functional heart decease control renderingpotential measurements with those of the heart echo possible. Despitethis, the Cardiac CT, different from invasive coronagraphy, can alsoenable diagnosis of other chest pathologies.


TheCardiac CT is a non-invasive examination exploring localization andextension of the calcified layers in the coronary arteries; the bloodvessels nourishing the heart walls. The layers are composed of fat andother substances, including calcium, which, with the passing of timenarrows the arteries, risking even their entire blockage. Thissituation is manifested by anginous pain in the chest area.
Giventhat calcium is an index of coronary arteries decease, the amount ofcalcium detected in this examination is a valuable diagnosing test. Thefindings in Cardiac CT are classified in the form of calcium scorevalues.
The aim of the examination and of receiving these values isto diagnose the coronary arteries decease in the early phases when thepatient has no clinical signs and to determine the degree of thecoronary decease. This is a control examination that can be recommendedby the doctor for the sick people with a high risk level of coronarydeceases who have no clinical signs. This examination is more frequentin men above the age of 35 and women above the age of 40 and after themenopausal period. Some sick people do voluntarily undergo thisexamination in order to diagnose the coronary artery deceases thequickest possible, although not recommended by the doctor.
if you have a high level cholesterol
if you have relatives suffering of coronary deceases
if you suffer from diabetes
if you have a high blood pressure
if you smoke
if you are overweight
if you run a sedentary life
Youcan come to our hospital to have the examination and to diagnose thecoronary arteries decease at an initial phases; appropriate medicationshall be prescribed by our cardiologists according to the outcomes ofthe examination.

Lack of calcifications within the coronaryarteries shows that the atherosclerotic layers are minimal and thepossibility of coronary deceases after 2-5 years is low.
Whencalcification is evident, it means that the coronary decease ispresent, despite clinical or lack of clinical signs in the patient.Calcium Score amount of calcifications expressed in points foreseesthe potential risk of the myocardial infarction risk in the years tocome. 
Calcium Score Risk for the coronary arteries decease
0 very low, < se 5 %  
1-10 minimal, < se 10 %
11-100 low, minimal risk for the coronary deceases
101-400 moderate, possible significant stenosis 
Over 400 high, decease of coronary arteries have a high probability 
 * There is no need for intravenous contrast material in this case.

Thisexamination serves for the early diagnosis of coronary deceases inthose patients who have moderate symptoms or atypical clinical signs.CTKG gives us not only information on the degree of the stenosis andthe character of the arterosclerotic layers causing them, but, alsoshows in details the heart anatomy, manages to diagnose variousvariations and abnormalities that can cause atypical symptoms and shedslight to the cases when the catheter coronography is insufficient.

Accordingto a study realized by ACC (the American College of Cardiology) 1/3 ofpatients having a cardiac infarction have no previous symptoms or riskfactors. The importance of CTKG increases constantly as it is becomingone of the most important early diagnosing methods of coronary deceasesin the entire world.

With the multi-detector tomographyequipments (above 64 detectors) it is possible, via special 3 and 4Dprogrammes, to make specific measurements similar to the ones of heartecho, giving information even about the heart function. This is how thefunctional analysis of the left-side ventricular, function of thecardiac valves can be made and how information can be delivered on theperfusion, the myocardial viability, etc.

CTKG is also used tosee progress of patients with stent by-passes, as it gives detailedinformation on their functioning, and to diagnose possible stenosis andocclusions.

CTKG gives information even on other cardiacstructures, such as the pericardium, the aorta, the arteries and thepulmonary vessels and non-cardiac structures, such as the mediastine,the pleura, the pulmonary included in the examination and diagnosingother chest pathologies.

Patient preparation for this examination
there is no need for preparation prior to this examination. You cankeep using your medicaments, but you should stop using beveragescontaining cocaine (coffee, Coce) or smoking cigarettes four hoursbefore the examination. In case the number of heart beats is over 70beats per minute, a medicament shall be given to you to reducefrequency of heart beats.
metallic objects, like jewelry, glasses,dental prosthesis and others can have a negative impact during theexamination, and this is the reason why you should not carry them withyou during the procedure.
women have to inform the doctor or the technician of a current or potential pregnancy.

How is the examination realized?
The technician puts you in the correct position in the examinationtable. During the examination, a supporting pillow can be used in orderfor you to maintain the same position during the examination.
several EKG electrodes shall be put to register the electric heart activity. 
the nurse or the technician shall put a vigon in the vein.
the table shall move in and out the equipment during the procedure,whereas the contrast substance shall be injected through an automaticsyringe.
You will be asked several times to hold your breath for a few seconds.
This procedure lasts for about 5 minutes.

You can go back to your daily routine after the examination.

Imagesreceived during the examination shall be processed and commented by theradiologist, and shall afterwards be printed for you in a film andsaved in CD, which will be given to you together with the diagnosingreport.  
1. Patients with symptoms of the coronary decease are not candidates for catheter coronography 
2. Patients with atypical symptoms or suspicious effort test 
3.Patients of the age of 40 and above, who have slight or asymptomaticsymptoms and a tendency of coronary deceases such as hypertension,diabetes, obesity, hypercholesterolemia, family history, etc.
4.Taking into consideration that 1/3 of patents suffering cardiacinfarction have no symptom or preliminary risk, a CTKG examination issuggested for an early diagnosis of the coronary decease.
5.Patients with by-passes or a coronary stent are recommended to takethis examination in order to see the post-operative developments 
6. Congenital heart deceases.
7. Early diagnosis of coronary artery abnormalities which are an important cause of unexpected deaths in young people. 
Do you now that coronary artery abnormalities cause 15% of immediate deaths at young ages?

1. It is a brief (5-10 min), non-invasive examination, with no complications and which needs no preliminary preparations.
2. The patient can get back to the daily routine immediately after the examination.
3.Since at the early stages, it diagnosis the coronary deceases viameasurement of the amount of calcium in the artery, therefore, it canbe used in the cardiac check-up for the IM prevention. 
4. Diagnoses with accuracy up to 95% of the coronary artery stenosis even in the smallest branches.
5.CTKG gives detailed information on the heart anatomy, different fromthe catheter coronography, by diagnosing the malign variations ofcoronary arteries, such as the LCA and RCA origin from the pulmonaryartery and their intra-arterial location, myocardial bridging, coronaryfistulas and the congenital heart deceases, such as the aortacoarctation, tetralogy of Fallot, etc. 
6. CTKG is used forfollowing the by-passes and coronary deceases as it gives sufficientdata on their situation, stenosis, potential occlusions as analternative for the invasive coronography for the post-operativepatients.
Pregnant women should not have this examination.
the high cardiac frequency and the arrhythmias can negatively affect the examination outcome.

Eagle Mobile launches along with 23 companies and businesses the initiative Business in support of the orphan children
Konferenca per shtyp me femijet jetime
The newest company of mobile telephony in Albania Eagle Mobile, launched on Monday the initiative Business in support of the orphan children along with 23 companies, businesses and well known organizations in the country. It is the first time that a company undertakes such an initiative in Albania. Initially, in a mutual meeting, the participants decided to establish a joint structure to contribute for the orphan children during year 2009. 

This is a joint project not solely of Eagle Mobile. We thank all the colleagues for their presence here by showing a unique example that business may contribute for the other parts in need of the society. Eagle Mobile shall donate 20 scholarships, 10 for studies in high schools and 10 for studies in universities CEO of Eagle Mobile Mr. Ali Taskin said among others. 

Also, managers of the other companies, businesses and universities like Alpet, Agna Group, Tirana Chamber of Commerce and Industry, Konfindustria, FIAA, Turkish Colleges, Vrioni Cliniques, Epoka University, American Hospital, ZKT etc. expressed their support by offering aids and direct projects for the albanian orphan children. On behalf of Fmijt Shqiptar(Albanian children) foundation, Mrs. Elvana Hana greeted the initiative by assuring full support and the necessary assistance for its realization. The General Director of the National Institute of the Albanian Children Integration Ilir umani said that this development should be taken as an example from all the companies and businesses in the country.  

In the Press Conference organized at Sheraton Hotel, participated 20 orhan children as well of high results in school. In the end, the top managers of the companies had lunch together with the orphan children and journalists. 

The list of the participant companies in the innitiative:
1. Agna Group , Mr. Vasil Nai 
2. Aksoy Group , Mr. Ibrahim Pozhari
3. Alpet , Mr. Ibrahim Aktoz
4. Tirana Chamber of Commerce and Industry , Mr. Gjok Uldedaj
5. Eagle Mobile , Mr. Ali Taşkın
6. Epoka University , Mr. Ferdinand Gjana 
7. FIAA Mrs. Marinela Jazoj
8. Hotel Sheraton , Mr. Andrew Henning
9. Huawei Technologies , Mr. Xiao Yong Shun
10. EducationalInstitutions Turgut Ozal -Glistan , Mr. Hamza Tok
11. Interalbanian , Mr. Bardhyl Minxhozi
12. Konfindustria , Mr. Gjergj Buxhuku
13. Vrioni Cliniques , Mr. Rasim Vrioni
14. Living Room Club , Mr. Blendi Bombaj 
15. LTB Shop Network , Mr. Altin Hysa
16. Tirana American Hospital , Mr. Klodian Allajbeu
17. Durres Tropikal Resort , Mr. Bledar Shima
18. Turkish Airlines , Mr. Mustafa Konuk
19. UPIM , Mr. Besnik Leskaj 
20. Zaka,Kosta & Tashko - Attorneys at Law , Mr. Floran Pustina
21. Citizen Protection Office , Mr. Aldo Shala
22. Media Partner: Panorama , Mr. Kasem Hysenbelli
23. Media Partner: M shum Dashuri (More Love), Mrs. Vera Grabocka  
24. , Mr. Ilir umani,National Institute of the Albanian Children Integration
25. Mrs. Liri Berisha, Fmijt Shqiptar(Albanian Children) Foundation (Mrs. Elvana Hana)
26. Mrs. Valentina Leskaj, Chairwoman of SP Parliamentary Group 
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