4th Asia-Pacific Global Summit & Expo on Healthcare July 18-20, 2016 Brisbane, Australia

Biography:

Bumani S Manganye is a Lecturer in the Department of Public Health of University of Venda. He has 10 years of experience as an Operational Manager (Nursing) of the PHC facility in Vhembe District. He completed his MPH in 2010 and currently doing PhD at the University of Venda.

Abstract:

The aim of the study was to determine the views of professional nurses on the manifestations of HIV and AIDS stigma and discrimination and their influence on the quality of care rendered to people living with HIV and AIDS in three rural hospitals of Limpopo province, South Africa. The study was qualitative, exploratory, descriptive and contextual in nature. The population included all professional nurses registered with the South African Nursing Council who were working with confirmed HIV-positive patients in those three hospitals and had received specialized training in Voluntary Counseling and Testing (VCT), Antiretroviral (ARV), Prevention of Mother-To-Child Transmission (PMTCT) and couple counseling. A purposive sampling method was used to select both the wards and participants, based on set criteria. A total of 9 wards (6 adult medical and 3 maternity) and 37 participants were selected. Group discussions, semi-structured and key informant interviews were conducted. Data were analyzed using a combination of data heir wards and regarded these as bad and improper care of HIV-positive patients. Behavior included leaving care analysis guidelines from different sources. Results revealed that professional nurses were aware of the existence of HIV and AIDS stigma and discrimination of HIV patients to junior members of staff with limited skills and knowledge of HIV and AIDS; showing HIV-positive patients that their disease was dangerous and contagious; judgmental behavior towards and stereotyping of HIV-positive patients; and regarding patients with HIV and AIDS as uncooperative and problematic in the wards.

Biography:

Denise Cummins has been working as a Clinical Expert in the area of HIV disease for over 20 years, in acute and ambulatory care settings. Currently, she is working in community health. She has a Master’s in Public Health and perusing her PhD at the University of Sydney. She has published 19 articles and has been the primary investigator in several research projects. She has experience developing and facilitating workshops in Thailand, Nepal, Papua New Guinea and Myanmar in a voluntary capacity and was co-author for Asia Pacific Manual and Training Resource on counseling skills for HIV support workers.

Abstract:

The Human Immunodeficiency Virus (HIV) epidemic has evolved long back. At present, hospitals admissions have declined as People Living with HIV (PLHIV) have improved HIV health outcomes. But now as PLHIV are ageing they are developing other health conditions which may require hospital admission. Some nurses may not have experience in providing care to PLHIV, with limited knowledge of HIV infection which could impact negatively on patient care. During educational sessions to nurses, knowledge was varied like 37% thought insects transmit HIV, 17% from sharing a cup with a PLHIV, 12% said you could tell someone had AIDS because they looked tired and ill and 71% were unaware of post exposure prophylaxis for an exposure to HIV. This presentation will discuss the background and development of an online HIV nursing module, by nurses for nursing staff and undergraduate nurses to access whilst on clinical placement at a large area health service in Sydney, Australia. The module provides a brief history of the epidemic and HIV nursing, relevant HIV information, infection control and first aid, case studies and media of PLHIV sharing their stories, as many PLHIV have experienced stigma and discrimination in the health system. A pre and post knowledge test will ascertain evidence of change in knowledge and provide information for future areas of education. It is believed that this online education which will be accessible to a large number of nurses will lead to improved HIV knowledge and confidence of nurses providing care for the PLHIV.

Biography:

Sukdev Nayak is the Past President of Indian Association of Palliative Care and a member Review Committee, Indian Journal of Palliative care and a member, Curriculum Development committee in Palliative Medicine, also a member of abstract review committee, World Cancer Congres, Melbourne, 2014. He has received 15 fellowships from WHO/UICC etc. He is the life member of ISA, ISSP, IAPC, IMA, Association of UICC Fellows, Association of British Scholars and National Organization of Tobacco Control. He was the Ex-Director of AHR Cancer Centre. He is presently Professor and Head, Anesthesiology, AIIMS, Bhubaneswar.

Abstract:

Elderly population in India is rising and is projected to further increase rapidly than many other developed countries in the coming decades. Dementia in elderly is emerging as a major public health problem due to increase in prevalence and lack of effective disease modifying treatment. As human being gets older, changes occur in all parts of the body including the brain. Alzheimer’s disease accounts for 60% to 70% of cases of dementia in the elderly. It is a chronic neurodegenerative disease that usually starts slowly and gets worse over time. Loss of short term memory is the first sign, following with language problems, decline in non-memory aspects of cognition, such as word finding, vision/spatial issues, and impaired reasoning or judgment, may signal gradual progress, ultimately leading to death. Although the speed of progression can vary, the average life expectancy following diagnosis is three to nine years. It starts in the mid 60 and is very common cause of death in elderly next to cancer and heart disease. The cause for most Alzheimer's cases is still mostly unknown except for 1% to 5% of cases where genetic differences have been identified. Performance measures of cognitively normal group steeply worsened with increasing complexity. With receiver operating characteristic curve analysis, patients with mild Alzheimer's disease were poorly differentiated from cognitively normal group according to their Tower of Hanoi performance. This is a progressive disease, which are the most common form of dementia and the sixth leading cause of death in the United States. While there is no cure for Alzheimer’s, research suggests yoga and meditation may play a role in the treatment. There are studies to suggest that memory loss may be reversed, yoga and meditation were included as part of a complex, 36-point therapeutic program. Moreover yoga and meditation may help Alzheimer’s and dementia patients and their caregivers socialize and feel better. Our experience: We tried yoga for 100 Alzheimer’s disease in our palliative care OPD. The control group was asked to watch spiritual discourses in TV and the test group was asked to practice simple yoga and pranayam procedures. The cognitive function was evaluated at 4, 6, 8, 12, 24 weeks. There was significant improvement in cognitive functions.

Biography:

Nada Eltaiba has a PhD in Social Work and Social Policy, a Master’s degree in Counseling and a BA in Social Work. She has an extensive experience as a social work practitioner, researcher and as an educator. She worked as an academic at The University of Western Australia, Curtin University of Technology in Australia and at Al-Balqa Applied University in Jordan. She also worked as a practitioner in various settings in mental health, cross- cultural practices, families, and refugees. Her main research interest is in mental health, cross-cultural practice, ethics and refugees.

Abstract:

Appreciation of religion and spirituality is considered a fundamental source of insight into human beings coping with challenges related to mental health problems. For the majority of Muslims, religious beliefs are essential in their ways of coping with various psychological problems. Islamic texts provide a rich context within which to cope with difficulties. This paper aims to discuss the concept of hope and change in relation to religious and spiritual healing in the Islamic texts the Qur’an and the Hadith. Content analysis is the method applied in this research. Hope and the changing of the self are considered important values of the journey of people with individuals with mental health problems. The paper will provide some implication for practice.

Biography:

Fatma Jobran is currently an assistance professor at Taibah University, Department of Interior Design. Previously, she was the Chair of the Academic and Professional Development Commission at Texas Tech University Graduate Student Advisory Council (GSAC), April 2014-presnt. Her current research interest involves the impact of Sustainability and Places of Respite: Saudi Arabia Healthcare Environment and the Traditional and Modern Built Forms in Saudi Arabia. Fatma Jobran earned her M.S in Environmental/Interior Design in 2013 from Texas Tech University, Lubbock, TX. She honoured the outstanding academic record as an excellent candidate for the Honours College. After she moved to Texas in 2009, Fatma served as a faculty member of the school of Design at Taibah University in KSA in 2012 to present. In her professional career she served as a lecturer in King Abdul Aziz University - KSA 2005-2007. Early graduate work (MFA degree, 2005) was completed at King Abdul Aziz University. BA work was completed at the School of Fine Arts. Fatma Jobran honoured fifth times as the “outstanding achievements at Texas Tech University”, Government & Public Service Intern Program and scholarship offered by the Texas Tech University Office of the President, at Washington DC, Austin, and Huston (2009-2014).

Abstract:

Background: This study presents how comfortable lighting luminance in a waiting room can add more relaxation to patients before going to the (surgical operations) at the Orthodontist’s office. The objective of this study is to provide a full review of comfortable lighting luminance in the health care environment. This study proposes a new luminance system in an existing health care facility based on limitations presented in the literature review, suitable design alternatives, localized lighting, use of phototropism, and the use of wall washing. The methodology is based on case studies using behaviour and environmental conditions. Colour appearance, colour contrast, colour rendering, control, horizontal and vertical illuminance, and equipment are primary variables to consider when looking at quality and quantity of lighting. Introduction: The lighting in the waiting room and other rooms in the healthcare environment have a challenge according to evidence based design. Patients are very nervous when entering the waiting room as they are awaiting their operation. This healthcare facility includes a variety of seeing conditions and present many concerns and challenges for the lighting design of the waiting room Problem/Question: This study will focus on current findings and the use of Evidence Base Design (EBD) as extrapolated from this study to inform design decisions. In addition, this study addresses the impacts of the physical environmental change on people’s behaviour. Methods: The information gathered has been evaluated and structured using case studies from the literature review. The present case studies were analyzed to determine patients’ needs. Then, adjustments on existing waiting room lighting were made and the current plan was made according to lighting application and lighting calculation with a concentration on phototropism and patient stress relief. Finding: The findings of this study suggest the following: 1) A larger, low brightness source appears to be less distracting, 2) Human phototropism is an explanation of movement in a space using light. Using of ceiling mounted lighting is to clearly define the space and create a transparent room impression should not exceed the S/MH ratio. 3) The use of wall washing technique will create the impression of pleasantness when applied to the lobby area, and 4) The use of concentrated light on sculpture, flower, murals, and paintings will create the impression of pleasantness through wall washing in the lobby area and glare can be controlled by the shielding angle. The aforementioned findings will necessitate the following specifications: Anti-Glare Metal Halide Down lights, placed into the ceiling, at the lobby area, and above the desk area. Moreover, The study suggested using florescent lighting, it is a wide light distribution with high degree of glare control, the benefit of using a florescent lamp as following; 1) generates radiant energy, 2) most beneficial for plant prorogation, and 3) enhances vegetative and reproductive growth in many plants. In addition, Phototropism findings used lighting to: 1) direct human movement, 2) using wall washing and non-uniform lighting treatments to break up the space and provide a feeling of warmth and pleasantness. Conclusion: One of the problems that were noted in these cases is that hospitals do not want to spend funding on changing the lighting. The particular problems related to the design space were related to problems of not having much space according their needs. It is also necessary to show how best to furnish and make the space a less scary place for the visitors. Also lighting must be designed according to the lighting applications.

Biography:

Daniel Tekie Ghebreselasie is an Eritrean Citizen, graduated his Medical studies and earned Degree of Doctor of Medicine from Latin America school of Medicine (ELAM), Cuba in 2009 at the Age of 26. He has recently completed his Masters studies in field of community medicine from University of Gezira, faculty of medicine in March, 2015. He is currently pursuing his PhD studies in field of Community Medicine at the University of Gezira, Sudan. As young junior doctor, he is always interested in research and publications. He has published three original articles in Gezira Journal of health science as lead author and presented an article in the Gezira first international Family & community medicine conference, under the theme“ Partnership & Integration towards comprehensive health care for families and communities” 26-28th, March, 2015, Wad-Medani city, Sudan. In Addition He has also Co-Authored an article in Journal of Eritrean Medical Association. He is so much interested in medical researches focusing mainly on Non-Communicable diseases.

Abstract:

The burden of non-communicable diseases is on the rise in middle and low income countries on top of the existing infectious diseases. Recently in Sudan NCDs accounted for a total of (44%) of the overall mortality. Moreover, the distributions of the specific risk factors are not systematically identified in the country, which hinder the designing of appropriate preventive and control strategies. The objective of this study was to describe the distribution & prevalence of risk factors for non-communicable diseases. This is a descriptive cross-sectional analytic community based study conducted from October to December, 2013 in Wad-Medani city, Gezira State, Sudan. In this house to house survey, data was collected using structured questionnaires, anthropometric measurements & Blood pressure apparatus. A total of 380 individuals of age 30 years & above were selected for the study by stratified proportional random sampling technique. Data was analyzed using SPSS for Windows version (16.0). The distributions of the various categories of risk factors were identified. The prevalence of smoking for males & females were (18.4%) & (0.3%) respectively, alcohol consumption (3.9%), only among males, consumption of fruits and vegetables below adequate level (72.9%), physical inactivity (75.0%). This study showed Cigarette /tobacco use & personal documented history of NCDs were associated and was found highly statistically significant (p-value <0.005). Similarly there was a statistical significance between association of physical activity with both age & educational level (p-value of 0.003 & 0.011) respectively. Mean systolic & diastolic blood pressures were 135.5 mmHg & 85 mmHg respectively for both sexes. The prevalence of hypertension was (29.7%) on physical assessment for both sexes. Based on BMI criteria, (1.6%) were underweight, (35.5%) were overweight and (22.6%) were obese & (0.8%) were severely obese. The prevalence of central obesity measured by waist circumference revealed that almost a quarter (24.7%) and above half (51.5%) of study participants were having an increased and a substantial increased values respectively. In this study, association between physical inactivity and central obesity was found statistically significant (p-value=0.002). This study also found statistically significant association between personal and family history of NCDs (p-value=0.00).In conclusion, the magnitude of risk factors for non-communicable diseases is considerably high in the study population.

Biography:

Maria Maldonado-Vega his graduate of Ph.D. in Science, specialization Toxicology has received his Ph.D. and Master of Science in Research and Advanced Studies Center-Politecnical National Institute (CINVESTAV-IPN) México, D.F. Research lines: Toxicology labor groups exposed to heavy metals. Environmental pollution by solid waste; currently works microbiological aspects of air quality and phytoremediation processes of industrial effluents. His research has several awards such as Prize 2006-2007 ADIAT. Technology transfer mode to companies PyME and Technical merit recognition. First award in the research occupational risk from 1999, 2000, 2001 y 2007 Health Sector Veracruz, The Mexican Association of Biochemistry, FESORMEX y FENASTAC. She has Development different projects research and technology, which have resulted in forum disclosure of more papers, technical report and technology transfer. Currently has 18 papers refereed journals and 20 internationally papers, the publication of two books by threshing’s on the subject of specialized footwear for diabetics, as wells as lead toxicology, books chapters heavy metals. Management studies thesis of undergraduate, master´s and Ph.D. She has participated with other research groups in short Ales School of Mines in France, The University of the Environment UFZ-Leipzig in Germany, in Mexico involved with biomedical researchers at the Institute of UNAM, CINVESTAV-IPN Mexico unit and Irapuato, also University of Guanajuato. She is serving as an editorial member of several reputed journal like Journal of Nuclear medicine & Radiation Therapy, Journal International Pollution, Medical Journals and Magazine of Biochemistry Education. She is a member of Mexican Society of Biochemistry and Member Research Ethics Committee.

Abstract:

The tanning process has preservation of the hide of the animal. The industrialization of animal skins corresponds in its great majority to the skin of bovines. Indoor the tanneries the presence of 11 contamination indicator species in the tanning work environment with pathogenic potential are the following: Bacterium pumilus; Bacterium subtilis; Bacterium cereus; Cladosporium lubricantis, Cladosporium cladosporioides; Penicillium commune; Penicillium echinulatum; Penicillium chrysogenum; Penicillium crustosum; Candida parapsilosis, and Candida albidus. The microorganisms could compromise the state of health of tanning workers due to their incidence, propagation and concentration. This work showed that samples of nasal and oropharyngeal mucosa taken from the tanners (the sentinel group) demonstrated a high burden of bacteria and yeasts, with values up to 76 × 107 CFU/ml for bacteria and 80 × 107 CFU/ml for yeasts, observing bacterial and fungal growth in all of the participants. The nasal-mucosa results of the second group of tanners and of the control group, in which the sample was taken at the clinical laboratory, confirmed the presence of bacteria and fungi previously observed in the first tanners group; however, the concentration was less with respect to the sentinel group of tanners, with values of 1.5 × 103 CFU/ml and 1.9 × 103 CFU/ml for bacteria and yeasts, respectively. In that prior work, the identification was carried out of bacteria, fungi, and yeasts. The bacterial families identified were Bacillaceae, Corynebacteriaceae, Enterobacteriaceae, Moraxellaceae, Nocardiopsaceae, Pseudomonadaceae, and Staphylococcaceae. The genera of fungi identified were mainly Aspergillus and Penicillium, which are considered the most significant allergenic fungi in air, and these have been associated with adverse effects on human and animal health. The yeasts identified were Candida krusei and Candida glabrata, which have been associated with adverse effects on the health of immunosuppressed individuals

Biography:

Dr. Chao’ major research fields are public health, social medicine, health Administration and hospital management. Recent researches focus on the elderly health management, project evaluation, community health service. The rapid increase in the elderly population not only greatly influences the development of the social economy, but also poses significant challenges to health care in China. Health management has been looked upon as a way to deal with these challenges. We evaluated the effects of community-based health management on the health of the elderly and conducted the evaluating methods research.

Abstract:

The aim of this study was to assess the long-term effects of community-based health management on elderly diabetics using a Markov model. A Markov decision model was used to simulate the natural history of diabetes. Data were obtained from our randomized trials of elderly with type 2 diabetes and from the published literature. One hundred elderly patients with type 2 diabetes were randomly allocated to either the management or the control group in a one-to-one ratio. The management group participated in a health management program for 18 months in addition to receiving usual care. The control group only received usual care. Measurements were performed on both groups at baseline and after 18 months. The Markov model predicted that for every 1000 diabetics receiving health management, approximately 123 diabetics would avoid complications, and approximately 37 would avoid death over the next 13 years. The results suggest that the health management program had a positive long-term effect on the health of elderly diabetics. The Markov model appears to be useful in health care planning and decision-making aimed at reducing the financial and social burden of diabetes.

Biography:

Dr. Stefanie Adams, doctor of pediatric department at Ulm University in Germany, studied at Giessen University, Germany. She presented her research in various platform , Poster presentation at the 58. Congress of Gynaecology and Obstetrics in Munich, October 2010 , Poster presentation at the 25. Congress for Perinatal Medicine in Berlin, December 2011, Presentation at the XXIII. European Congress of Perinatal Medicine in Paris, June 2012, Presentation at the 59. Congress Congress of Gynaecology and Obstetrics in Munich, October 2012 are some of the conference she presented her research.

Abstract:

Objective: Introduction of Quality Assurance in Obstetrics including continuous collection of obstetrical data in rural hospitals is aimed at reducing maternal and neonatal morbidity and mortality. Method: Since January 2008 data on maternal and neonatal mortality and morbidity were aggregated on a monthly basis for ten hospitals in Kano and Kaduna State in northern Nigeria. In 2011 the project was extended to five hospitals in Abuja and in 2013 in Ondo State. Audits were used to assess these hospitals in terms of equipment status and hygiene conditions and condensed into a rating score. All data were centrally collated in tables and graphs not revealing individual hospital‘s identity by the Institute of Quality Assurance in Kano State. Results: 151,738 deliveries were analysed between 2008 and 2014. Kano and Kaduna State initially showed a continuous fall in MMR from 2008 to 2011, followed by a gradual increase in 2013 and finally a decrease in 2014. Hospitals in FCT Abuja and Ondo State showed lower MMR. Overall MMR was roughly related to the total number of deliveries increasing in hospitals with fewer deliveries. Conclusion: Obstetric quality assurance involves continuous processing, analysis and discussion of MMR and FMR administered by the Institute of Quality Assurance. Seven years of data collection in 4 Nigerian states showed that a comprehensive quality assurance for improving maternal and child health in low-income countries extends well beyond the focus of maternal and fetal mortality. In order to achieve persistent improvement of maternal and child health, improvements in infrastructure and hygiene, continuous improvements in obstetrical practise, regular training of health care professionals, conduction of community dialogues and regular discussion of the results at bi-annual review meetings is of essential importance. This embracing approach which proves successful in Nigeria may also be seen as a model for reduction of unacceptable high MMR and FMR in other low income countries.

Biography:

Ediscyll Lorusso has completed her Bachelor degree in Nursing at the age of 19 years from University of Perpetual in Philippines and had her Coronary Care studies from St George’s University Hospitals in London. She has been working as Thromboprophylaxis Clinical Nurse Specialist and Anticoagulation Sister since 2009 in the same hospital. She and her team was awarded second place in the Best Obstetrics VTE Prevention Programme category in 2012. This abstract “ Low Molecular Weight Prophylaxis Adherence in Postnatal Women “ have won the People’s Choice poster award on 4th December 2015 presented by St Georges University hospitals.

Abstract:

The prothrombotic state of pregnancy is part of the normal physiological adaptation and is thought to have evolved in order to meet the haemostatic challenges of childbirth. It has also been attributed to some women’s predisposition to maternal venous thromboembolic (VTE) disease and this in itself remains one of the leading causes of maternal deaths in Europe and the USA (Van De Velde, 2013). A recent introduction of VTE risk assessments and national venous thromboembolism prophylaxis guidance for use during childbearing had resulted in an initial fall in maternal deaths compared to previously reported trends (CEMACE, 2011 & Knight, 2014). Of the women who died of VTE in the UK, 56% of them received substandard care (CEMACH, 2011 & Knight, 2014). A package of poor VTE risk assessment, inadequate thromboprophylaxis and a failure to robustly investigate women’s newly presented symptoms suggestive of VTE, all contributed to that substandard care (CEMACE, 2011). Of the women who died of pulmonary embolism, 79% of them had identifiable VTE risk factors (RCOG, 2009). Engagement with VTE prophylaxis requires childbearing women who have been assessed as having a high risk of developing thrombosis to self-administer a low molecular weight heparin (LMWH) by subcutaneous injection, with drug Dalteparin the primary LMWH stocked by this hospital trust. Currently 34% of all postnatal women at St George’s hospital require VTE prophylaxis. As adequate

Biography:

Azadeh Memarian has completed her Forensic and legal medicine spiciality at the age of 34 years from Tehran University of medical sciences.

Abstract:

Autism consists of a group of developmental brain disorders, collectively called autism spectrum disorder (ASD). Teenagers with learning and physical disabilities are more likely to have menstrual problems than the general populations. The parents of a 12-year-old girl with ASD and intellectual disability requested that she undergo hysterectomy because of her numerous problems of puberty (menstruation), including poor hygiene and polluting herself and the environment, not allowing anyone to place or change the pads, and changes in mood and physical health before her period. After the legal medicine organization reviewed her medical records, physical examinations, and medical consultations with a gynecologist and psychiatry, surgery was not accepted. Hysterectomy (surgery) performed because of the age of the child is not recommended, either physically or morally. The use of hormone replacement therapy has side effects, such as osteoporosis. In these cases, it seems that noninvasive methods (behavioral therapy and learning care skills) under the care of welfare experts are more effective and morally acceptable. In our Islamic society, we attempt to provide justice and prevent any assault to intellectually disabled females. We emphasize individual and social benefits and make decisions about each case separately due to the range of IQ, physical ability, social and cultural level of the family, and ethical principles. This review emphasizes that care must be individualized. The decision for treatment must rest on a multidisciplinary team consisting of gynecologists, psychologists, and forensic specialists and is based on Islamic and ethical law in legal medicine organizations .

Biography:

Jeongsoo Kim has completed his Ph.D. at 2011 from Ewha Womans University and Postdoctoral studies from Ewha Womans University in Seoul. She is the associate professor of Pukyong National University in Busan, Korea

Abstract:

This study was to describe and understand the experiences of the physical disabled adult attending in public welfare program. The interview data were collected from nine persons and analyzed by using descriptive phenomenology of Colazzi. The procedural steps were that described the phenomenon of interest, collected participants' descriptions of the phenomenon, extracted the meaning of significant statements, organized the meanings into them clusters, wrote exhaustive descriptions and then incorporated data into an exhaustive description. The finding in 129 re-statements, 63 constructed meanings, 41 themes, 15 theme clusters, and six categories were deduced. The six categories were ‘Life patterns exclusive health’, ‘Powerlessness in physical disability’, ‘Living with acquaintances’ helps’, ‘Motivated positively’, ‘Seeking to be holistic health’, and ‘Sense of accomplishment’. The study identified that social welfare program for the disabled necessities for health, learning, economy and their future in success. Therefore, we suggest there may be a need for supplying professional program for their health and welfare.

Biography:

Lindsay McCallum is a Ph.D. (Candidate) conducting doctoral research in the area of Health Impact Assessment (HIA). Specifically, Ms. McCallum is developing methods for assessing the potential community health impacts associated with major infrastructure projects. Ms. McCallum has presented her research at numerous international conferences including IAIA (International Association for Impact Assessment) in both Chile and Italy. Ms. McCallum also has 5 years of experience working as an Environmental Health Scientist for Intrinsik, a consulting firm in Canad

Abstract:

Health care is a broad term that includes the improvement or maintenance of health, not only through diagnosis and treatment, but also through prevention. Health Impact Assessment (HIA) is defined by the World Health Organization as a combination of procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population. HIA is an important component of preventative health care in its ability not only to identify and evaluate potential impacts (both positive and negative) on community health, but also in its capacity to affect change. When the results of an HIA suggest that there are potential community health impacts, recommendations are provided to promote beneficial outcomes and minimize negative outcomes. Although HIA is still considered an emerging field, it has been successfully applied in numerous jurisdictions around the world including Australia, the UK, Canada and the US. However, a more transparent, reproducible and systematic approach to HIA is needed. Recent developments in the field of HIA, including specific methodologies developed by the authors, are presented.

Biography:

Dr. Abdulrahman Al Nemri Chairman of pediatric department at King Khalid University Hospital King Saud University Medical City . He was the Deputy of Clinical Director of Pediatric Department (AFHSR).He is a Member of Scientific Board of Pediatric & Neonatology Fellowship Program at Saudi Council for Health Specialization (SCHS).

Abstract:

Congenital laryngeal clefts are rare developmental disorders of the upper airway accounting for 0.3% to 0.5% of all congenital anomalies of the larynx. The study is reporting the research team’s first experience with this anomaly at the Armed Force Hospital Southern Region to emphasize the difficulties and the challenges in the diagnosis as well as the treatment of such infants. This is a 32 week preterm female infant with antenatal ultrasound diagnosis of isolated esophageal atresia. After delivery the team faced a great difficulty in intubation and passing nasogastric tube. A large NGT size 12FR passed to the stomach, and contrast study showed abnormal anteriorly located esophagus, which suggested a common esophageo-tracheal tract. Esophagogram and soft fibro-optic endoscopy was done by ENT consultant which confirmed the presence of long segment laryngotracheaesophageal cleft. The infant was transferred to tertiary center where she died from respiratory failure at the age of 6 months.

Biography:

Prof (Dr) Alhad Anant Pawar is a graduate of Armed Forces Medical College, India. He graduated in 1979 and later i.e. in 1988, completed his postgraduation in Psychiatry from the same institution standing first in the MD Psychiatry exam conducted by University of Pune. Subsequently he has served as a psychiatrist in various hospitals of the Indian Navy. He is a recognised postgraduate teacher and examiner and has served in the faculty of Armed Forces hospitals in Mumbai, Delhi and Pune. Currently he is serving as Director and Professor of Psychiatry of the naval hospital Asvini at Mumbai. His interests mainly involve community psychiatry. Towards this he has conducted numerous workshops on stress management, mental health and maintaining harmony in married life. He has co-authored five books, written chapters on mental health and has over twenty five publications to his credit. He is currently exploring the effect of meditation in coping with stress.

Abstract:

Marriage as an institution has existed since antiquity across all regions and all cultures. This is the family relationship on which the foundation of our society rests. Yet today the institution is under crisis. An indicator of that is the increasing number of divorces taking place among the youth all over the world. The average duration of a marriage is only 4-5 years for the first one and 3-4 years for the second one. It seems no coincidence that with the soaring in the divorce rate, the rates of mental illnesses especially depression has also increased. A bad marriage is also related to adverse health outcomes not only for the partners but also for their children. The harmful effects tend to persist over generations as children of divorcees also tend to get separated thus leading to cascading effect on society’s health. Public health interventions are thus necessary. Few such interventions are discussed

Biography:

Yeonsoo Jang is an Assistant Professor in Yonsei University, College of Nursing, Seoul, South Korea. She is interested in researches related to clinical symptoms and self-management behaviors of patients with chronic diseases.

Abstract:

The purpose of this study was to examine the relationship of perceived fatigue, cortisol, and cytokine in patients with HBV. The severity of fatigue was measured with the revised Piper Fatigue Scale among 143 subjects, and the cortisol and cytokine levels were measured using the serum samples of the subjects. The revised Piper Fatigue Scale consisted of 22 numerical items. A descriptive analysis was performed to determine the subjects general and disease-specific characteristics; the correlation of the level of fatigue, the serum cortisol level, and the serum cytokine (IL-6 and TNF-α) were examined using Pearson’s correlation coefficient; and quantile regression analysis was used to estimate the changes in the cortisol and cytokine levels, depending on the fatigue level.The mean score of overall fatigue was moderate. There were no statistical differences of serum cortisol, IL-6, TNF-α level by fatigue groups. The overall fatigue score increased as the cortisol level decreased, it was significantly negative correlation (r = -0.178, p = 0.031). The overall fatigue score increased as the IL-6 and TNF-α level increased. However, it was not statistically significant. TNF-α was only significant as a predictor on fatigue. The cortisol level depending on fatigue in cognitive/mood was significant in the 70th, 80th, 90th quantile which were severe levels of fatigue. The IL-6 level depending on fatigue in overall and cognitive/mood were significant in 90th quantile. Cortisol, IL-6 and TNF-α were related with perceived fatigue, particularly, in cognitive/mood dimension in patients with HBV. This suggests that the fatigue patterns of patients with HBV are related to mental and mood states and physical responses such as cortisol and cytokine are correlated with their nature of fatigue. In clinical, the intervention to manage fatigue should be developed based on the characteristics of fatigue in patients with HBV.

Biography:

Jianqian Chao is currently working in the university as a Professor at School of Public Health, Southeast University China. His major research fields are public health, social medicine, health administration and hospital management. Recent researches focus on the elderly health management, project evaluation, community health service. The rapid increase in the elderly population not only greatly influences the development of the social economy, but also poses significant challenges to health care in China. Health management has been looked upon as a way to deal with these challenges. We evaluated the effects of community-based health management on the health of the elderly and conducted the evaluating methods research.

Abstract:

The aim of this study was to assess the long-term effects of community-based health management on elderly diabetics using a Markov model. A Markov decision model was used to simulate the natural history of diabetes. Data were obtained from our randomized trials of elderly with type 2 diabetes and from the published literature. One hundred elderly patients with type 2 diabetes were randomly allocated to either the management or the control group in a one-to-one ratio. The management group participated in a health management program for 18 months in addition to receiving usual care. The control group only received usual care. Measurements were performed on both groups at baseline and after 18 months. The Markov model predicted that for every 1000 diabetics receiving health management, approximately 123 diabetics would avoid complications, and approximately 37 would avoid death over the next 13 years. The results suggest that the health management program had a positive long-term effect on the health of elderly diabetics. The Markov model appears to be useful in health care planning and decision-making aimed at reducing the financial and social burden of diabetes.

Biography:

Dr. Anil Mandal is a native of India and a naturalized citizen of the United States . He graduated from Calcutta National Medical College and is a diplomate of the American Board of Internal Medicine. He is the author of many books and articles on research in Diabetes and Kidney Disease. He is a two time Fulbright Scholar to India and Visiting Professor to 24 countries where he has lectured on diabetes, high blood pressure and kidney disease. Dr. Mandal began the Mandal Diabetes Research Foundation for the prevention and treatment of diabetes based on his knowledge that diabetes is the most common cause of kidney failure worldwide. Dr. Mandal’s conviction are that, in the office, patients come first and in the home, children come first. He is dedicated to helping diabetic patients live a good life and not enter dialysis.

Abstract:

We previously reported that dglucose is a strong predictor of renal function change in diabetes. This study is an expansion of a previous study but with longer duration. Datawascompared between first and last visits. Eighty five diabetic patients were treated with a combination of glargine or detemir and regular or fast acting insulin for 26.3 ± 24.6 (SD) months. Blood pressure was controlled by beta blockers, calcium channel blockers, sympathetic inhibitors or a combination, and chlorthalidone in resistant cases. Angiotensin converting enzyme inhibitors and receptors blockers (ACEI/ARB) were excluded in order to reduce the risk of acute and chronic renal failure.Objectives were to determine if this paradigm of treatment prevents progression of diabetic nephropathy. Fasting (F) and 2-hour postprandial (2hPP), glucose, serum creatinine (Scr) and estimated glomerular filtration rate (eGFR); hemoglobin A1c(HbA1c); and sitting systolic and diastolic blood pressure (SBP) were recorded for first and last visits. Mean blood pressure (MBP) and differences (d, 2hPP-F) were calculated for glucose, Scr, and eGFR. Parameters between first and last visits were compared using a paired t-test adjusted for age, gender and duration of treatment with P<0.05 considered significant. No significant differences were found between first and last visits for F and 2hPP glucose, F and 2hPP Scr, and F and 2hPP eGFR, and HbA1c.dglucose, sitting SBP and MBP were significantly lower at last compared to first visit. Combining both visits, dglucoseand HbA1c showed a direct and positive correlation with dScr.Change in post minus pretreatment values weresignificantly positively correlated between HbA1c and FBG, 2hPPG or dglucose. In conclusion the current study emphasizes the importance of control of dglucose (2hPP-F) with insulin in preserving renal function in diabetes when ACEI/ARB are not used.

Biography:

Vice-president 2001-2004, President 2004-2007, Past president 2007-2010 of European Association of Cardiothoracic Anaesthesiologist. Honorary memberships of Association Latinoamericana de Anestesiólogos Cardiotorácicos 2005 and European Association of Cardiothoracic Anaesthesiologists 2015. Heart Group of National board of Health (1997-2011); Danish Heart Registry (1997-2011); Advisor to the National Health Insurance system (2007-2012); Speciality advisor in Anaesthesiology to the National board of Health (2012-till ).More than 150 publications mostly in international journals. Co-author of more than 75 free presentations. Received several prizes. Author of book chapters: Anaesthesia and monitoring in cardiothoracic surgery. Anaesthesia for the cardiac patient in non cardiac surgery.

Abstract:

The short time outcomes from cardiac surgery has changed dramatically during the last decades. Despite an increasing elderly population and more complex surgery the 30-day mortality has in many institutions been halved the last 10 years, but the one-year mortality remains. Risk prediction systems like the EuroSCORE is a valuable tool in control of the quality of cardiac surgery, but the validity of the risk score for the individual patient may be questioned. Further most scoring systems only take the patients preoperative state and the intended surgery into consideration, and hardly handle the procedure and perioperative complicating factors. Thus we have very poor tools to predict the longer term mortality. The presentation is based on cohort studies of more than 25.000 patients handling and evaluating different factors in an attempt to isolate factors with independent impact on postoperative complications and survival. The studies demonstrate that both co-morbidity and age has great impact on 30-day mortality. In longer time outcomes the impact of co-morbidity seems less, while the impact of age increases together with perioperative intervention I.e. use of inotropes and vasoconstrictors, use of haemostatic drugs and blood transfusion. Except that age in elderly people has an important role in survival the unequal developments in short and longer term mortality are not readily explained.

Biography:

Dr. Keerti Jain is currently working as Lecturer at Department of Pharmaceutics in NIPER, Raebareli, INDIA. She earned her B. Pharm., M. Pharm. (with merit position and Honors Division) and Ph.D. from Department of Pharmaceutical Sciences, Dr. H. S. Gour Central University, Sagar, INDIA. Dr. Jain is author of more than 30 international manuscripts in peer reviewed-high impact journals, including publications in Progress in Polymer Science (Elsevier) and chapters in international books. She has been recipient of several prestigious grants, fellowships and awards. Her research interests include Dendrimers, Quantum Dots, Nanoparticles and CNTs based drug delivery systems, Anti-angiogenic activity of Dendrimers, and Pharmaceutical Nanotechnology.

Abstract:

Formation of new blood vessels from pre-existing blood vessels i.e. angiogenesis play crucial role in the metastasis and growth of tumor, and hence inhibition of neo-vascularization could be a lucrative approach in the successful treatment of cancer. Numerous preclinical investigational studies showed that the combined treatment of cancer with angiogenesis and chemotherapy/radiotherapy could result in improved outcomes as compared to chemotherapy and/or radiotherapy. In this regard we could postulate that the designing of a nano-material with anti-angiogenic activity and potential to deliver anticancer drug selectively to cancer cells may emerge as a promising therapeutic approach for treatment of cancer. Dendrimers represent a well defined three-dimensional macromolecular structure synthesized in a step-wise controlled manner with nearly mono-disperse polymeric architecture. Some dendrimer molecules including poly-L-lysine (PLL) dendrimers, poly-arginine dendrimers with glycine core, poly(propylene imine) (PPI) dendrimers with surface arginine groups have shown intrinsic anti-angiogenic activity in previous reports including from our laboratory. Particularly PLL dendrimers have been investigated thoroughly for anti-angiogenic activity and showed reduced vascularization, significant reduction in apoptosis/necrosis of tumor tissue and moderate regression effect on tumor growth equivalent to commercially available antiangiogenic agent, Avastin (anti-VEGF antibody bevacizumab) without significant toxic effect on non-cancerous tissues. In this presentation I will enlighten the progress made in design of anti-angiogenic dendrimers, dendrimers as nano-carrier for delivery of anticancer drugs and future possibilities to improve treatment strategies for cancer via two pronged attack on cancer with anti-angiogenic dendrimers and chemotherapeutic agents including reports from our laboratory and other laboratories as well.

Biography:

Vice-president 2001-2004, President 2004-2007, Past president 2007-2010 of European Association of Cardiothoracic Anaesthesiologist. Honorary memberships of Association Latinoamericana de Anestesiólogos Cardiotorácicos 2005 and European Association of Cardiothoracic Anaesthesiologists 2015. Heart Group of National board of Health (1997-2011); Danish Heart Registry (1997-2011); Advisor to the National Health Insurance system (2007-2012); Speciality advisor in Anaesthesiology to the National board of Health (2012-till ).More than 150 publications mostly in international journals. Co-author of more than 75 free presentations. Received several prizes. Author of book chapters: Anaesthesia and monitoring in cardiothoracic surgery. Anaesthesia for the cardiac patient in non cardiac surgery.

Abstract:

The short time outcomes from cardiac surgery has changed dramatically during the last decades. Despite an increasing elderly population and more complex surgery the 30-day mortality has in many institutions been halved the last 10 years, but the one-year mortality remains. Risk prediction systems like the EuroSCORE is a valuable tool in control of the quality of cardiac surgery, but the validity of the risk score for the individual patient may be questioned. Further most scoring systems only take the patients preoperative state and the intended surgery into consideration, and hardly handle the procedure and perioperative complicating factors. Thus we have very poor tools to predict the longer term mortality. The presentation is based on cohort studies of more than 25.000 patients handling and evaluating different factors in an attempt to isolate factors with independent impact on postoperative complications and survival. The studies demonstrate that both co-morbidity and age has great impact on 30-day mortality. In longer time outcomes the impact of co-morbidity seems less, while the impact of age increases together with perioperative intervention I.e. use of inotropes and vasoconstrictors, use of haemostatic drugs and blood transfusion. Except that age in elderly people has an important role in survival the unequal developments in short and longer term mortality are not readily explained.

Biography:

Dr. Mohammad Amjad Kamal is a Distinguish Adjunct Professor at King Fahd Medical Research Center, King Abdulaziz University, Saudi Arabia. His overall biochemical research output had culminated in more than 200 publications. His research was pivotal in supporting the development of the novel anti-Alzheimer's agents from the laboratory to the clinic via collaboration with Dr Nigel H. Greig (Chief of Laboratory of Neurosciences in USA). He had migrated to Australia in 1998 and awarded a prestigious U2000 Postdoctoral Fellowship in 2000 by the University of Sydney, School of Molecular and Microbial Biosciences. This three years highly competitive award funded his research on “Inhibition of amido phosphoribosyltransferase by new antifolates: Design and mechanism of action of purine antagonists". He also collaborated in one of the research project (Type 2 diabetic and Alzheimer’s disease) at the University of Technology Sydney. He obtained training in different health care related programs such as Dr. Vodder MLD. Furthermore, he is serving several reputed journals on an honorably basis.

Abstract:

There are different levels and factors of positive and negative stresses that vary according to the individual, their ethnic, cultural background, and the unique circumstances that may arise at each stage of one’s life. Chronic stress that causes one to remain in high anxious state over long period of time can be risky for our health and is scientifically proven to negatively impact the central nervous system. There is lot of scientific information in the literature about the findings in neuroscience research related to mechanism of stress on cognitive activity, personal conduct and linkage to psychiatric health issues. The treatment and prevention process of stress has been widely researched across numerous disciplines of the academia. It is my pleasure to share a spiritual-scientific strategy of stress treatment via demonstration to volunteers in upcoming workshop in subject to availability of its facility. Scientists all-around the world have been currently undertaking numerous research projects to find out novel stress control strategies for humanity. However, there is yet to prove guarantee safe results for complete permanent solution. Therefore, it is my pleasure to introduce preventive stress strategies through healthy lifestyle living tips in this upcoming conference.

Biography:

Abstract:

Background Currently there is one women-only prevention and recovery centre (WPARC) in Australia. This is a sub-acute residential setting for vulnerable women recovering from acute mental health issues. The established literature emphasizes the importance of gender-specific recovery services for women, especially biological differences, expectations of recovery by men and women, and environmental safety. There is little literature about ‘how’ occupational therapists and other health practitioners might provide gender-specific care for women and if changing to a women’s only recovery space will significantly improve recovery outcomes. Hence, the need for resources and research in this area is increasingly acknowledged. Method The resources available at the WPARC were evaluated using qualitative analysis. Gender-specific methods and ways of improving quality of care for vulnerable women were identified. Discussion/outcomes The goal is to improve the quality of services for women in single gender recovery settings and enhance the physical environment to better meet women’s needs, to improve their mental health status and outcomes. Increasing the knowledge and capacities of occupational therapists about gender-sensitive and safe practices is key, as is increasing the opportunities for women to engage in meaningful occupations in gender-specific settings. Conclusion Widely recognizing the importance of a safe gender-specific environment and improving service provision is critical to women participating fully in the recovery process. Information from this research will support occupational therapists working in gender-specific mental health services.

Biography:

Allison Wiseman is a qualified Nurse with 20 years of experience in Intensive Care and was awarded a Doctorate of Clinical Practice in 2015. She has worked in Higher Education for the last 16 years firstly as a Lecturer, Practitioner and now as a Senior Teaching Fellow at the University of Surrey, UK. She is the Director of Studies for BSc & MSc professional practice and Lead for Recognition of Prior and Certificated Learning. Her area of expertise is Interdisciplinary Simulation in Healthcare to promote safe practice. She has presented her work on simulation internationally and has published in peer reviewed journals.

Abstract:

Safe medicines management is a priority nationally and internationally. Professional and regulatory bodies such as the Nursing & Midwifery Council (NMC) mandate safe medicines management for pre-registration students and registrants. Evidence highlights medicines management adverse events continue to raise despite quality assurance initiatives such as medicines management competency assessments of registrants and students. Similarly student nurses are involved in medicines management and adverse events under the supervision of their mentors. Educators have dual responsibility with placement providers to deliver safe and efficacious learning experiences. The PAMMO was designed to develop student nurse’s medicines management skills and knowledge, including error identification, problem solving, decision making, assessment and feedback in a safe and supported learning environment. Phase 1- evaluated the inter-rater reliability of student nurses PAMMO criterion referenced and global scores of safety. Phase 2- identified what informs student’s global scores of safety design and a mixed method exploratory sequential study which evaluates Peer Assessed Medicines Management Objective (PAMMO), as a structured clinical examination for student nurses. Results revealed that phase 1- criterion assessing five rights of medicines management demonstrates the exact agreement (Cohen’s kappa 1.0), global scores demonstrated poor reliability (Cohen’s kappa 0.02) and phase 2- students judgment making fell within two theoretical frameworks in which firstly, social constructivism where assessments were based upon their learning on theoretical and practical basis and views on safe care and secondly, the cognitive continuum- nine modes (Standing, 2010) based on five modes of judgment making. Finally it was concluded that PAMMO may offer educators a cost effective and efficacious way to develop students’ safe medicines practice.

Biography:

Taha Hussein Musa currently was PhD students at the Department of Epidemiology and Health Statistic, School of Public Health, Southeast University, China. Before graduation he joined University team as a volunteer to support Refuges and IDPS in Eastern Sudan. After graduation from 2006-2009 he worked as programme assistant among the IDPS in Darfur crises with national (KSCS) and international UN organization (WFP, UNHCR, MSF, RI and CHF), and then he accelerated to livelihood programmer officer at Oxfam GB. Musa was published over 13 papers in international journals.

Abstract:

Overweight and obesity are the leading health risk factors throughout the world. Recent studies showed that obesity among Chinese students are continuously increasing in children and adolescents. The aim of the study was to evaluate the prevalence of overweight and obesity among students in Jiangsu province, China, from 2010 to 2013. Data were obtained from Jiangsu provincial department of education in Nanjing city, using multistage stratified cluster sampling in 13 districts. Students were classified as normal weight, overweight and obese according to the body mass index (BMI). A total of 255,581 students from 82 school and 10 universities were involved in the study, 50.03% of them are males and 49.97% are females within the age 7–22 years. The anthropometric measures body height, weight, BMI and bust were 1.57(m), 49.89 (kg), 19.66(kg/m2) and 76.88(cm), respectively. Males significantly shows higher estimates than females (P<0.001). The prevalence of overweight and obesity for all students were 12.4% and 5.7%, respectively. The prevalence was significantly higher for males 16.0% and 7.9% compared with females 8.7% and 3.5%, respectively. The prevalence of overweight boys was 16.55% in city and 13.53% in county, while the prevalence of overweight girls was 10.40% in city and 9.30% in county. Obesity was positively decreases by increasing of age. Obese boys were 8.50% in city and 6.10% in county, while obese girls were 4.53% in city and 3.55% in county. The study revealed a high prevalence of overweight among aged groups and different district in Jiangsu province. It is highly recommended to reduce the prevalence of overweight and obesity among students’ by changing lifestyle, daily health activity related to fitness and increasing students’ awareness through effective health education program.

Biography:

Christine Pabico is the Director of ANCC’s Pathway to Excellence program. Christine has vast experience in the creation and maintenance of positive practice environments, and expertise in quality improvement strategies, staff engagement, collaborative practice, and evidence based practice. Christine provides leadership for all local and international activities of the Pathway to Excellence® and Pathway to Excellence - Long Term Care® programs. Christine seizes every opportunity to cultivate collaborative partnerships with professional organizations, governmental entities, academic centers, commercial businesses and national and international health care entities that recognize the important role nurses play in all aspects of healthcare delivery.

Abstract:

Studies show that environments with certain characteristics help improve nursing satisfaction and retention. The Pathway to Excellence® framework helps organizations develop those characteristics. Pathway standards represent traits that nurses and researchers agree are critical to an ideal practice environment. Recognition of these positive characteristics objectively demonstrates to consumers, health care providers, third-party agencies, and potential accountable care organization (ACO) partners that processes are in place to support a culture of safety, wellbeing, excellence, interprofessional collaboration, and innovation. Presentation includes case studies and testimonials of how a more satisfied and motivated nursing workforce led to better results for long-term-care organizations around the country. Broward Health Imperial Point nursing leaders sought ANCC’s Pathway to Excellence® framework as a blueprint to deliver high-quality, cost-effective care in a rapidly changing environment which led to marked improvements in several nursing measures and outcomes: • 40% decrease in patient falls in 2 years • 36% reduction in CAUTI rates in 1 year • 33% reduction in CLABSIs in 1 year, with a projected annualized rate of 60% fewer CLABSIs through 2015 • Zero CLABSIs in the ICU for more than 18 months • Zero HAPU, CAP, and post-op VTE for more than 2 years • Significant improvement in engagement scores, up to 98%.

Biography:

Sandeep Sherlekar, M.D., was born and raised in Hong Kong and did his Medical Education at Delhi University in New Delhi, India. He was chosen among a few elite groups of applicants to do residency in Anesthesia at the highly acclaimed “All India Institute of Medical Sciences.” After moving to the United States, he re-certified in Anesthesiology Residency at Hahnemann University Hospital in Philadelphia. He was chosen to serve as Chief Resident and helped establish the Pain Clinic during his tenure. Dr. Sherlekar went on to do his specialty fellowship in Interventional Pain Management at Harvard Medical School at Brigham and Women’s Hospital in Boston. Dr. Sherlekar began his esteemed career as a Pain Management Specialist and Anesthesiologist in Maryland in 1996. He founded Capital Area Pain Management Associates and was the Chairman of Anesthesiology for 10 years at Civista Medical Center. To keep updated with current trends in Anesthesiology Dr. Sherlekar continues to work part-time at Johns Hopkins. He is Board Certified in Pain Management and actively participates in International Society of Minimally Invasive Spinal Surgery, The American Society of Interventional Pain Physicians, American Pain Society, and North American Spine Society. Dr. Sherlekar has been working for many years with patients with low back, neck pain and spinal pain. He has a special interest in spine pain but has been managing patients with a myriad of symptoms and complaints that include pelvic pain, headaches, fibromyalgia, He has been publishing articles in Pain Management Journals over the years and has written and lectured extensively on the subject around the country. Dr. Sherlekar and all the physicians, surgeons, and anesthesiologists at American Spine, place a high value on patient education. Dr. Sherlekar enjoys educating doctors and patients alike about herniated disc, bulging disc, spinal arthritis, foraminal stenosis, and other back and neck problems so that patients can find relief from pain and other debilitating symptoms.

Abstract:

From 2004 FDA approved percutaneous nerve root decompression. In 1995, Dr. Said Osman, presently with the American Spine Center, had published one of the earliest studies on the safety of this approach. From early 2013, the American Spine ambulatory spine surgery center has been leading the way for this procedure in Maryland, USA Methods: 150 cases who underwent endoscopic lumbar spine surgery from March 2013 ( 139 single level endoscopic discectomies, 41 two level endoscopic discectomies) were reviewed. The percutaneous transformational approach was used after determining the side from MRI evaluation. 4% patients underwent bilateral discectomies. Lidocaine was used to infiltrate the incision site and the area of surgical approach. Totally intravenous anesthesia ( TIVA) with Barbiturates, Propofol and Ketamine were the drugs used for all cases. All cases were operated with intraoperative neuromonitoring using free running EMG of the lower extemities. L5-S1 was the commonest level operated ( 49 patients). All patients went home the same day. 1 patient complained of severe radicular pain of a VAS level higher than pre-operatively. 2 patients developed a collection at the incision site due to infection, and required post-operative drainage at 2 weeks. The Median ODI score was 65% before surgery and 48% at 6 months. There was an average 3 point reduction in VAS at 6 months after surgery. Conclusion: Ambulatory Percutaneous Disc Surgery is an alternative to open surgery with the benefits of low post-operative morbidity and early mobility. Patient reported scores have shown satisfaction with the procedure.

Biography:

Fabio Festa has always shown interest in the management of healthcare systems, obtaining a Master of Health Administration and, especially focusing on the management of hospitals, other health care organizations and consulting company. Afterwards, he has concentrated its efforts on project management in the healthcare sector, obtaining the PMP certification, issued by the Project Management Instutute. He currently works as a project manager at the Department of Clinical Medicine and Surgery - University of Naples Federico II (Italy).

Abstract:

In today's global health system, it is necessary for all professionals with managerial functions, the acquisition of methodological skills in the design, functional to a gradual shift from a job "for the tasks" for a job "for projects and aims". It must aim at offering an adequate methodology in the context of project management qualifications through professional activities, because it is applicable to all sectors of the Health Science. A good experience in the planning, implementation and review of the project is behind the creation of a network of expertise and skills, targeted to take advantage of the resources provided by national and international institutions, public and private. Project management fits organically in this modern corporate vision. A project is fundamentally characterized by the final result to be achieved, that is unique, and that dedicated resources are temporary and which are available for the duration of the project. The projects are born to solve problems or enhance opportunities (Hynes, 1994).

Biography:

Denise Cummins has been working as a Clinical Expert in the area of HIV disease for over 20 years, in acute and ambulatory care settings. Currently, she is working in community health. She has a Master’s in Public Health and purusing her PhD at the University of Sydney. She has published 19 articles and has been the primary investigator in several research projects. She has experience in developing and facilitating workshops in Thailand, Nepal, Papua New Guinea and Myanmar in a voluntary capacity and was a co-author for Asia Pacific Manual and Training Resource on counseling skills for HIV support workers.

Abstract:

Background: As People Living with HIV (PLHIV) are susceptible to chronic and comorbid health conditions, including an increased risk of cognitive impairment, HIV Associated Neurocognitive Disorder (HAND) can affect up to 50% of PLHIV causing various levels of disability. HAND is difficult to identify as signs and symptoms are nonspecific and diagnosis is by exclusion. The study is on how health professionals collect information which can show impact on patient’s current and future clinical care. Aim: The aim of this study was to review protocols for which patient information from two specialist HIV interdisciplinary community teams in Sydney, Australia was collected to ascertain if the patient data methods could identify individuals at risk of HAND. Results: A total of 262 files were audited to determine patient demographics, clinical and social history. Results showed mean age of 50 years, a HIV diagnosis of 15 years, 74% lived alone and 45% referred for case management. Those older than 50 years were more likely to have hypertension p=0.057, hyperlipidaemia p=0.04 and hypercholesterolemia p=0.007. HIV clinical risk factors for HAND (CD4 Nadir, current CD4 count, HIV viral load) were inconsistently collected. Conclusion: PLHIV are an ageing population and may develop chronic conditions potentially increasing their risk of HAND. Routine collection of accurate information is important to assist clinicians to identify PLHIV at increased risk of HAND. Additionally, community care teams providing care to PLHIV may be well placed to notice cognitive changes in PLHIV who live alone and may have no other means of continuous clinical observation.

Biography:

Li-Ya Lin is an Educator and Researcher not only in nursing practice, but also in health promotion, workplace health and safety among healthcare workers. She began her career as Registered Nurse and has continued to maintain active professional practice in a range of research related to the needs of occupational health improvement and effective strategies development of health promotion to address the best interests for workers in health care institutions.

Abstract:

This study explored the common concerns or worries about the potential risk of occupational exposure in emergency department (ED) workplaces in Taiwan. Issues of workplace violence (WPV) from patients or their family members and job stress were the top priority. In general, the concern about WPV can be attributed to the disadvantages of the physical environment design in EDs and dissatisfaction with the existing arrangements for prevention and management of WPV. The empirical findings in this study provide additional evidence with respect to further improvement of workplace interventions, including policy making, equipment and training provision, and environmental modifications, to minimize the risk of ED violence for health care workers (HCWs). Regarding job stress, workplace issues-including unreasonable expectations from the public, patients’ prolonged stays in EDs, and medical malpractice suits and disputes-were common causes of worry, nervousness or stress for HCWs. In addition, self-reported mental health–related problems among HCWs had significant associations with certain workplace stressors, including unreasonable expectations, shift work and excessive workloads. The evidence from this study suggested the importance of addressing job stress in improving occupational health among HCWs in EDs. However, current strategies for reducing stress among HCWs in Taiwanese EDs are predominantly worker-focused interventions, rather than organisational interventions to address the sources of stress and provide support for effective stress management by HCWs. The findings contribute substantially to understand the most common concerns about WPV and job stress in Taiwanese EDs, and have important implications for developing integrative strategies to address the multiple determinants of these workplace concerns.

Biography:

H N Shilubane has completed her PhD from Maastricht University, Netherlands in 2013. She is a senior Lecturer at the University of Venda, South Africa and has published more than 20 papers in reputed journals.

Abstract:

Provision of quality patient care is a strategy to reduce maternal and child mortality rate in the maternity wards. The purpose of this study was to determine factors influencing sub-standard care in the maternity ward of the selected hospitals of Mopani District, Limpopo Province. A qualitative, descriptive design was used. 10 midwives and 24 delivery records in maternity wards were purposely selected. Data collection was through structured face-to-face individual interviews and evaluation of records. Data was analysed through open coding method by using Tech’s eight steps. Trustworthiness was ensured. Ethical considerations were adhered too. One theme and two sub-themes emerged, namely; human resource factors determinant for provision of quality care, existence of ward staff coverage versus increased workload and primary health care nurses’ competencies as viewed by hospital nurses. Recommendations included, ensuring staff coverage in maternity ward for provision of quality care and extension of community service for nurses. The attendance of perinatal review meetings should include managers of Primary Health Care (PHC) facilities and to be strengthened at the hospitals.

Biography:

Pei Liu is a Professor of Epidemiology and Biostatistics in the School of Public Health, Southeast University, P R China. He completed his PhD Major in Biostatistics, School of Public Health, China Medical University, Shengyang, China.

Abstract:

The study objective was to investigate the effect of integrated health management model on the satisfaction among Chinese elderly. Using a randomized controlled trial, 600 people who are 60 and over have signed the informed consent in China were randomly assigned into management and control group. The management group received care integrated individual health management with community health management model in the follow-up 6 months. The individual health management included establishing health record, performing health evaluation, giving individual instruction, carrying out telephone consultation and follow-up. The community health management includes lectures on health knowledge, distribution of health education materials and physical fitness exercise kit. Factor analysis, t-test, x2-test and logistic regression models were used. The average satisfaction scores of baseline and final of management or control group were calculated through factor analysis. The management group has shown a significant improvement in satisfaction score, no difference in control group. Logistic regression analysis of influencing factors of the elderly satisfaction showed that the satisfaction score of male, individuals without chronic disease and management group was higher. These results suggest that integrated health management model can improve the elderly satisfaction in China through realizing good communication between the elderly and medical staff in community.

Biography:

Dr Avi’s unique career began as a medical doctor in the UK and Australia, practising in both the public and private sectors. After a Masters in Business Administration (Honours), he ventured into biopharmaceuticals with responsibilities from researching ‘Viagra’, to acting as Chief of Staff and strategy advisor to the CEO of industry leader Pfizer Australia, a $1 billion business. Dr Avi is now the CEO of Energesse, a specialist firm providing innovative technology solutions and consultancy services to the industry. As a former medical practitioner, corporate strategist and technology innovator, he is making a difference in the world by advising teams, organisations, businesses and governments.

Abstract:

The ‘Future Solutions in Australian Healthcare White Paper’ has been developed in collaboration with 21 key healthcare thought leaders to help solve Australia’s major health challenges and guide the future of the healthcare system leading up to 2020. This White Paper offers a ‘big picture’ perspective on future trends. It is a resource for organisational strategy or government policy with provocative ideas for change, which could be utilised by any healthcare leader, organisation or government body in Australia. The scope of this paper is focused more on “what we could be doing”, rather than “how we should be implementing it”. In addition, two specific guidelines have been produced for ‘Prevention Strategies’ and ‘Partnership Development’ as these were common priority areas for many leaders interviewed in the development of this Paper. Collectively, these healthcare thought leaders manage over $8 billion of Australian healthcare expenditure and hold roles that influence over $30 billion of healthcare industry annual turnover. Two practical tools and processes have been developed by Energesse to assist leaders, organisations and governments implement some of the recommendations from this Paper immediately. They are guidelines focused on ‘Prevention Strategies and Wellness Programs’ as well as a ‘Partnership Development Guideline for Healthcare Projects’ to help achieve exponentially positive results. Healthcare leaders can therefore achieve markedly improved health outcomes and return on investment by tailoring relevant ideas and strategies for their own situations and make a positive difference in the health and wellbeing of all Australians.

Biography:

Prof. Dr. Murali Raman received his PhD in Management Information Systems from Claremont Graduate University, USA. He is a Rhodes Scholar and a Fulbright Fellow. His other academic qualifications include an MBA from Imperial College of Science Technology and Medicine, London, an MSc in HRM from London School of Economics. Dr. Murali Raman is currently a Dean in the faculty of Management, Multimedia University Malaysia, where he conducts research in the area of Knowledge Management, Management Information Systems, Project Management and E-Business Models. He has published more than fifty papers in International Journals and Conference proceedings.

Abstract:

Fatigued and frustrated employee is a result of poor ergonomic quality. Pretty much summarizes the way of life of an Information and Communication Technology (ICT) employee. Current method of working especially in the ICT environment has demanded great deal of time using various sophisticated technological gadgets. Korunka & Hoonaker, (2014) claimed that long hours dedicated to work and prolonged usage of sophisticated technological gadgets has lead to various issues pertaining to the work-life balance and well-being of employees in the ICT sector. The persistent and permanent use of Information Systems (IS) and the lack of ergonomic quality for the gadgets used might have a negative impact on employee wellbeing. Given the serious importance of wellbeing amongst ICT employees there may be a possible lead to high level of strain and inequity between employment and life obligations. In this circumstance, ease of use, ease of navigation, and the comfort ability of the user may play a clear responsibility in ensuring minimal stress and strain. Ergonomics has grown to be a fashion due to demand from the workforce who desire for further individual comfort when working. Ergonomically premeditated, user friendly system and equipments with a comfortable working environment may be a possible way in balancing an employee’s work and life as it might preserve a healthy workforce, in turn achieving superior employee productivity and minimize turnover (Wells, 2010).

Biography:

Ms. Hina Usman is doing her PhD from the Department of Microbiology and Molecular Genetics, University of the Punjab, Lahore, Pakistan since 2012. She is working in the field of tumor metabolism. She has published one research paper and two review articles in reputed journals and is involved in finding new directions of her related field. She is much interested in investigation of the abnormalities in lipid metbolism of cancers.

Abstract:

Background: Previous studies appreciate the leukemia-associated alterations in plasma lipid profiles but fail to provide a consistent pattern of lipid anomalies in leukemia patients. These inconsistencies could be due to overlooking the effects of related confounding risk-factors and comorbidities. Methods: The plasma lipid profiles of acute-leukemia and control groups were compared. Results: We observed that acute lymphocytic leukemia (ALL) patients display significantly higher triglycerides and very low-density lipoproteins, whereas, acute myeloid leukemia (AML) patients display significantly lower high-density lipoproteins. To assess the confounding effects of related risk factors gender-, age- and BMI-based analyses were performed. We observed that the aforementioned significant differences in the lipid profiles of leukemia patients were restricted to female participants of the respective groups. Moreover, a significant decrease in total cholesterol and low-density lipoprotein levels was observed only in male participants of the AML population. Various age-specific trends in plasma lipid profile of the leukemia patients were also observed. BMI-based analysis did not display many significant differences from the overall analyses. In addition to comparing the absolute values of plasma lipids in leukemia and control groups we also compared and observed significant differences in prevalence of various isolated- and mixed-dyslipidemias in these groups. Conclusions: These findings may help in outlining the prevalence and types of dyslipidemia in leukemia patients that may emerge as diagnostic/prognostic factors for the management of acute leukemia.

Biography:

Amber McCall is an Assistant Professor at Augusta University’s College of Nursing. She earned her BSN from the Medical College of Georgia, PhD from Georgia Health Sciences University, and FNP certification from Georgia Regents University. Prior to academics, she worked in the intensive care/medical-surgical units and hospice/palliative care. She currently teaches in AU’s Clinical Nurse Leader Program and Nurse Practitioner Programs. She has experience in clinical, simulation, lab, and lecture. She uses innovative teaching strategies for student engagement, including new-edge technology and interactive lectures. She was recipient of the 2014 AACN Novice Faculty Excellence Didactic Teaching Award.

Abstract:

An anticipated world-wide nursing shortage has been well-documented. Nursing educators report multiple generational differences among current students and seasoned faculty. This trend will likely continue to unfold as digital natives, fully equipped with mobile learning wants and needs, and seek to become nurses. Thus, updated and innovative teaching methods are needed in nursing education with efforts to engage Millennial and Generation Z nursing students. The objectives of this presentation/workshop is to discuss the mindset needed for innovative teaching success, for views that are easy-to-duplicate examples of innovative teaching methods used in simulation environments, skills lab, clinical (or hands-on learning), lecture/didactic content delivery, online courses, and for research/practice and to provide templates and facilitate processes to help attendees to brainstorm and create their own innovative teaching resources.

Biography:

Dr. Richard Dickey, is a diplomate of the American College of Obstetrics and Gynecology, and Clinical Professor of Obstetrics and Gynecology at Louisiana State University New Orleans and Tulane University School of Medicine. He is the author of many articles and book chapters on contraception and safe treatment of infertility. He has served on the US Food and Drug Administration Medical Device Committee and as Consultant to the US Agency for International Development Population Program in the Philippines and Pakistan. His book ‘Manual of Intrauterine Insemination and Ovulation Induction' with Dr. Peter Brinsden, Cambridge Press 2010 has a Chinese translation.

Abstract:

Population expansion is a major concern of all countries and governments. Effort to limit growth often results in the consequence that when pregnancy is desired women may not be able to conceive. Modern technologies, ovulation induction [OI] and in vitro fertilization [IVF], egg or embryo freezing, and even older methods of infertility treatment like clomiphene often result in multiple pregnancy. Choice of birth control method and intelligent use of infertility treatment are essential components of population growth management. Hormonal and mechaninal methods to prevent pregnancy and birth can adversly affect future fertility in different ways. The main cause of infertility following delay in child bearing is age. The ‘biological clock is real. Even the most advanced methods may often are not successful after age 38 and are associated with twining rates of 10 to 30% and triplet or higher order births of 0.5 to 20% before age 38. Embryo cryopreservation is very successful and egg cryopreservation is becoming more so, but are not practical when applied to large populations. Selection of safe and effective birth control methods when future fertility is desired, and correction of medical and weight disorders followed by mild ovarian stimulation with clomiphene and similiar drugs instead of IVF are the prefered route to birth of a single healthy child. IVF should be reserved for severe male infertility, fallopian tube obstruction, preservation of reproductive ability before cancer treatment, medically indicated preimplantation genetic diagnosis, and to prevent when using gonadotropins in women at high risk for multiple pregnancy.

Biography:

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Biography:

Dr. Mohammad Amjad Kamal is a Distinguish Adjunct Professor at King Fahd Medical Research Center, King Abdulaziz University, Saudi Arabia. His overall biochemical research output had culminated in more than 200 publications. His research was pivotal in supporting the development of the novel anti-Alzheimer's agents from the laboratory to the clinic via collaboration with Dr Nigel H. Greig (Chief of Laboratory of Neurosciences in USA). He had migrated to Australia in 1998 and awarded a prestigious U2000 Postdoctoral Fellowship in 2000 by the University of Sydney, School of Molecular and Microbial Biosciences. This three years highly competitive award funded his research on “Inhibition of amido phosphoribosyltransferase by new antifolates: Design and mechanism of action of purine antagonists". He also collaborated in one of the research project (Type 2 diabetic and Alzheimer’s disease) at the University of Technology Sydney. He obtained training in different health care related programs such as Dr. Vodder MLD. Furthermore, he is serving several reputed journals on an honorably basis.

Abstract:

There are different levels and factors of positive and negative stresses that vary according to the individual, their ethnic, cultural background, and the unique circumstances that may arise at each stage of one’s life. Chronic stress that causes one to remain in high anxious state over long period of time can be risky for our health and is scientifically proven to negatively impact the central nervous system. There is lot of scientific information in the literature about the findings in neuroscience research related to mechanism of stress on cognitive activity, personal conduct and linkage to psychiatric health issues. The treatment and prevention process of stress has been widely researched across numerous disciplines of the academia. It is my pleasure to share a spiritual-scientific strategy of stress treatment via demonstration to volunteers in upcoming workshop in subject to availability of its facility. Scientists all-around the world have been currently undertaking numerous research projects to find out novel stress control strategies for humanity. However, there is yet to prove guarantee safe results for complete permanent solution. Therefore, it is my pleasure to introduce preventive stress strategies through healthy lifestyle living tips in this upcoming conference.

Biography:

Thiwawan Thepha is a PhD candidate of University od Aberdeen, School of Medicine and Dentistry. She is a Lecturer at Department of Midwifery, Khon Kaen University Thailand. She is running project about exclusive breastfeeding for six months in Northeast Thailand. She has an experience of more than 10 years about midwifery and breastfeeding and would like to share and exchange her experience in order to develop exclusive breastfeeding situation, especially in Thailand.

Abstract:

The six month exclusive breastfeeding (EBF) rate in the Northeast of Thailand has significantly decreased while in other regions of Thailand it has not. It is unknown what the cause of this decrease was or what could improve the situation. The aim of this study was to identify perceived barriers and facilitators to six month EBF in Northeast Thailand of the main stakeholders, namely breastfeeding mothers. Six focus group discussions comprising of 30 participants were conducted. The eligibility criteria for participants in the focus groups was Northeastern-Thai mothers aged 20 to 40 years with children aged between four and six months and currently breastfeeding their children. The participants were recruited through self-selection sampling from Khon Kaen Hospital, Num-phong Hospital and private hospitals in Khon Kaen, Thailand. Thematic analysis was employed to analyse the data. Three themes were identified: knowledge and belief, environment, and support. Most mothers mentioned that knowledge about the advantages of breast milk and how to produce breastmilk were facilitators to six month EBF. Relating to the support theme, the use of social media emerged as a facilitator of six month EBF. The identified facilitators and barriers can inform the development of relevant intervention(s) to improve the six month EBF rate in the Northeast of Thailand, as well as in other countries.

Biography:

Jessica Covino has recently completed her graduation and currently, she is a research student at Bond University. She has interest in the analysis of female growth parameters, and in particular, bones development and formation.

Abstract:

This study aims to identify variations in growth parameters in the metacarpal (MTC) bones of young females living in Papua New Guinea (PNG) and Australia. X-Rays of the left hands were taken annually over five years from juveniles living in three regional areas of PNG, and Australia. There was a significant difference in growth between females living in coastal regions compared to the highlands in PNG, with coastal females being taller and heavier. The length, cortical thickness, width and diaphysis lengths were larger in coastal residents for the second and third MTCs. There were fewer differences between coastal females and Brisbane females. All comparative measurements were different between highlands and Brisbane populations. In regards to longitudinal growth, annual increases in female stature between 8-17 years old and anthropometrical measurements were apparent in height (4.19±1.72) and weight (3.95±2.21). The second MTC also increased in length (0.24±0.16), width (0.04±0.03) and diaphysis length (0.25±0.15), while the third MTC increased in length (0.23±0.14), width (0.04±0.04) and diaphysis length (0.21±0.14). There were associations between anthropometric measurements and development of MTCs. Correlations were observed (n=53) between stature, and the second (r=0.96, P<0.01) and third (r=0.829, P<0.01) MTC length. In addition, there was significant elongation associated with height in both the second MTC (r=0.829, P<0.01) and third MTC (r=0.784, P<0.01). A female juvenile’s height can be determined through metacarpal length, width and diaphyseal length, with an appropriate degree of accuracy. The metacarpals demonstrated consistent growth throughout development and can be used as a measure to determine stature, although regional differences in growth need to be taken into consideration.

Biography:

Ramesh Kumar is a public health professional with sound expertise in Health Systems Dynamics especially health systems governance and policy planning concerning hospital management, infection control, environmental and occupational health, human resources in health, RH, health policy, hospital management, administration, strategic planning, financing, reforms and capacity building. He demonstrated an exceptional understanding of different public health facets such as hospital management, human resources for health, maternal & child health, reproductive health, social marketing of health, social determinants of health, and health systems analysis. He is carrying a diverse experience of research, advocacy and service in public health and been involved in qualitative as well as quantitative analysis and research works. He has worked in various projects on health systems, HRH, environmental health, RH, quality of care, health education, promotion and communication for international and national public health and social development organizations. He has worked as Consultant (team leader) with World Health Organization, UN Organizations, GHWA, USAID and WHO/EMRO. His flagship work on hospital infection control, hospital waste management and human resource for health has become a cutting edge in the field. His research work is extensively disseminated through more than 50 peer reviewed publications in both national and international indexed journals. He has vast teaching and research supervision experience for undergraduate and postgraduate public health, health policy and management graduates.

Abstract:

Objective: The aim of this study was to evaluate the sustainability and effectiveness of training as an intervention to improve the knowledge, attitude and practices of hospital workers on health care waste management. Method: We conducted this quasi-experimental study in two tertiary care teaching hospitals in Rawalpindi in October 2013. Training, practical demonstrations and reminders on standard waste management were given to 138 hospital workers in one hospital and compared with 137 workers from the control hospital. We collected data 18 months after intervention through a structured questionnaire to assess the impact of the intervention. We used paired t-test to compare the scores on knowledge, attitude and practices at baseline and first follow up and final impact assessment. Chi square test was used to compare group variables between intervention and control groups. Results: After 18 months since intervention the mean scores on knowledge attitude and practices differed statistically significantly since baseline and intervention group had statistically significantly better knowledge positive attitudes and good health care waste management practices (p<0.001). Health care and sanitary workers in intervention group scored statistically significantly higher (p<0.001). Conclusion: Trainings of health and sanitary workers on health care waste management guidelines were sustainable among the intervention group after 18 months which shows the positive impact of our intervention. It is recommended that the trainings as intervention be included in the overall policies of the public and private sector hospitals in Pakistan and other similar settings.

Biography:

Soumya Guha is working as a General Surgeon at Safdarjung Hospital and Sr - Rml Hospital. He is currently pursuing a super speciality residency program in Cardiothoracic Vascular Surgery. He has published many articles on his research in national and international journals.

Abstract:

Introduction: Cervical aortic arch is a rare anomaly where-in the ascending aorta arises normally from the left ventricle and extends in such a fashion that the aortic arch is situated high in the neck on either side. This anomaly should be suspected in any child exhibiting a pulsatile swelling in the neck. Case commentary: An 8 year old child presented with a pulsatile swelling on right side of neck since birth. CT angiography revealed right sided cervical aortic arch at C4-C5 level. The left common carotid artery arose from ascending aorta at D4 with the right external and internal carotid arteries originating separately from cervical arch. The right and left sub-clavian arteries arose from descending aorta at D1 and D4 respectively. Discussion: Although most patients with cervical aortic arch are asymptomatic, some have dysphagia from oesophageal compression and respiratory distress from tracheal compression. There are many anatomical variations in cervical aortic arch. What makes this case unique is that apart from the presence of right cervical aortic arch, 2 additional oddities in the form of abnormal origin of the left common carotid artery from ascending aorta and absence of right common carotid artery are noted. Conclusion: To our knowledge, this is the first report of right cervical aortic arch with this unique anatomy where there is an anomalous left common carotid artery and absent right common carotid artery.

Biography:

Reza Chaman is the Head of Community Medicine Department at Yasuj University of Medical Sciences. He has 12 years of Teaching Experiences in Universities. He has published/Translated more than 10 books. He has published more than 70 research papers and presented his research in 36 national and international conferences. He is a part of 57 investigations and Research Projects as Investigator or Cooperator.

Abstract:

Background: Breast cancer is the most common cancer in women worldwide with a rising incidence rate in most countries. Considering the increase in life expectancy and change in lifestyle of Iranian women, this study investigated the age-adjusted trend of breast cancer incidence during 2000-2009 and predicted its incidence to 2020. Materials & Methods: The 1997 and 2006 census results were used for the projection of female population by age through the cohort-component method over the studied years. Data from the Iranian cancer registration system were used to calculate the annual incidence rate of breast cancer. The age-adjusted incidence rate was then calculated using the WHO standard population distribution. The five-year-age-specific incidence rates were also obtained for each year and future incidence was determined using the trend analysis method. Annual percentage change (APC) was calculated through the joinpoint regression method. Results: The bias adjusted incidence rate of breast cancer increased from 16.7 per 100,000 women in 2000 to 33.6 per 100,000 women in 2009. The incidence of breast cancer had a growing trend in almost all age groups above 30 years over the studied years. In this period, the age groups of 45-65 years had the highest incidence. Investigation into the joinpoint curve showed that the curve had a steep slope with an APC of 23.4% before the first joinpoint, but became milder after this. From 2005 to 2009, the APC was calculated as 2.7%, through which the incidence of breast cancer in 2020 was predicted as 63.0 per 100,000 women. Conclusions: The age-adjusted incidence rate of breast cancer continues to increase in Iranian women. It is predicted that this trend will continue until 2020. Therefore, it seems necessary to prioritize the prevention, control and care for breast cancer in Iran.

Biography:

Aslinna bte Abdul Jabbar is a nurse with 30 years’ experience working in KK Women’s & Children’s hospital. She is a Nurse Clinician, qualified midwife with BHSc (Nursing) and MHSc (Education). She joined Adolescent Medicine Service in 2008 and won merit award for her poster on ‘Role of Resource Nurse in Adolescent Sexual Health’ in KKH annual Scientific Meeting in Singapore Y2011. She received second prize for her oral presentation on ‘HPV Education & its Effect on Knowledge & Potential Vaccination Uptake among Teenagers in Singapore’ in Alexandra Health Forum in conjunction with AH Nursing Fest 2014.

Abstract:

The medical opinions for adolescent during his or her hospital stay by healthcare professionals differ each day. It does not contribute to the consistency of treatment required for this specific group of patients. Adolescents have developmental characteristics and health care desideratum that are quite distinct from those of children and adults. They are unique both in the nature of their problems and as reluctant consumers of traditional health services. Providing developmentally appropriate health care to adolescents presents a number of challenges. Not only must health care providers be professionally skilled and knowledgeable, but they must also be sensitive to how threatening and confusing health care systems can appear to vulnerable adolescents. It is not possible to effectively plan, implement or evaluate programme of care for adolescents without consulting the experts – adolescents themselves! Aims A Singapore children hospital is conducting a needs assessment and patients’ experiences survey to find out: (1) health care service for adolescents and (2) in relation to the current children wards, adolescents’ experiences of environment. Methods A descriptive research with a cross sectional sample size of 200 will be used. All inpatient adolescents between 12 and 16 years of age, during a one-year period will be enrolled in this research. A self-administered questionnaire will be used. Conclusion Descriptive data analysis will be conducted. The results of the survey, which would be used to improve the quality of some of services offered to adolescents and their families, will be presented.

Biography:

Ibrahim Awad Eljack Ibrahim is Assistant professor of Family and Community Medicine Al-Baha University Faculty of Medicine, Saudi Arabia. He was the Director of Department of Organizations and Voluntary Agencies, Khartoum State Ministry of Health, Sudan during 2012- August 2013. He was also the Director of Planning Department and Deputy Director of Primary Health Care General Directorate, Khartoum State Ministry of Health, Sudan , Responsible for Planning, Quality management, Researches, Training and Monitoring and Evaluation activities for the Primary Health Care in Khartoum State, Ministry of Health, 2008-2012.

Abstract:

Summary Background: Hymenolepis nana is among the most common intestinal parasitic infections causing a public health threat in poor communities in Sub-Saharan Africa. The present study was conducted to determine the prevalence of H. nana infections and associated risk factors among preschool children of displacement communities in Khartoum state, Sudan. Methods: A cross-sectional survey was conducted in May 2013 in displacement camps, Khartoum state, Sudan. A simple random sample of preschool children from the displacement camps, aged between 1 and 5 years, were included. Information was collected by presenting a questionnaire and taking 500 fresh stool specimens, which were examined microscopically for the presence of eggs, using direct saline and formal-ether concentration techniques. Results: The prevalence of H. nana was determined to be 32.6% (163/500), 95% CI (28.5% e36.9%). Infections of H. nana were more prevalent among males than females, and this association was statistically significant (P < 0.001, OR Z 2.125, 95% CI Z 1.452e3.108). H. nana infections were significantly prevalent among the older age group (2.6e5.0 years) (P < 0.001, OR Z 2.909, 95% CI Z 1.914e4.420). Approximately 76.7% of infected preschool children had diarrhea and it was significantly associated with H. nana infection (P < 0.001, OR Z 9.45, 95% CI Z 6.10e14.64). None of the preschool children had access to a clean water supply. No significant association was found between use of latrines and infections of H. nana (P Z 0.56, OR Z 0.880, 95% CI Z 0.73e1.763). Conclusions: There was a high prevalence rate of H. nana infection among preschool children of displacement camps in Khartoum state, Sudan. Being male, aged between 2.6 and 5.0 years, and having diarrhea were identified as important risk factors for H. nana infection. Measures including health education, environmental hygiene, water supply and treatment should be taken into account to reduce the high prevalence of H. nana.

Biography:

Atif Malik, M.D., grew up in Houston, Texas, where he obtained his Bachelor of Science degree at the Houston Baptist University. Graduating with Cum Laude honors in Fine Arts, Biology and Chemistry, Dr. Malik went on to finish his Medical Degree from St. George’s University School of Medicine. Dr. Malik completed his residency training in Physical Medicine and Rehabilitation at Baylor College of Medicine where he was then chosen to serve as Chief Resident. He then went on to sub-specialize by completing an Interventional Pain Fellowship from Harvard Medical School at Beth Israel Deaconess Medical Center in Boston. He further trained in percutaneous and endoscopic spine surgery under world renowned spine surgeon, Dr. Thomas Hoogland of the Alpha Klinic in Munich, Germany and fellowship trained in advanced spinal surgical technique developed by Wooridul Hospital in Soul, Korea. Dr. Malik has been one of the first physicians to educate and train endoscopic spine surgeons in the United States in a bloodless and minimally invasive technique to preserve normal disc tissue. As one of the of the original founders of Spine PulseTM treatments, Atif B. Malik, MD, has dedicated his practice to the advancement of minimally invasive spinal surgery and endoscopic spine surgery. Additionally, he has served as a spinal consultant to numerous companies related to minimally invasive spine products and has also been involved in the development of intradiscal transplantation of stem cells and platelet-rich plasma, laser thermodiscoplasty, percutaneous and endoscopic discectomy / foraminotomy, and the use of laser, radiofrequency and bipolar technology. He is an advocate of redefining the algorithm for the treatment of degenerative spinal disorders and the preservation of spinal segmental motion using minimally invasive techniques. Furthermore, he has authored peer-reviewed research journal articles, scientific abstracts, reviews, and book chapters in the field of pain and spine medicine.

Abstract:

Participants Adults with chronic (≥6 months), moderate-to-severe nascent lumbar discogenic pain that was unresponsive to conservative treatment including spinal injections. Methods Participants received 2 cc of intradiscal PRP using standard diskography technique. Data on pain, physical function, and participant satisfaction were collected at 2 week, 3 months, 6 months, and 1 year. Main Outcome Measures Oswestry Disability Index (ODI), , and Visual Analague Scale (VAS) for pain were used. Results Data were analyzed from 18 patients (11 men, 7 women; mean age 38.2 years-old) who had completed 1 year follow-up. No patient showed adverse events, significant increase in pain for more than 2 weeks or new MRI changes. For patients who received autograft with PRP, the mean VAS improved by 4.9 points (p < 0.01), and mean ODI improved by 29 points (p < 0.001). Conclusion Participants who received intradiscal PRP showed significant improvements in VAS and ODI at 3, 6 and 12 months post injection. Although these results are promising, further studies are needed to define the subset of participants most likely to respond to biologic intradiscal treatment based on anatomic classification system.

Biography:

Steve is an Accredited Exercise Physiologist (AEP) and Exercise and Sport Science Australia (ESSA) Member (Exercise Scientist). He has worked extensively in clinical cardiac rehabilitation and heart failure exercise programs/services over the past 13 years. Currently he works with the Ipswich Cardiac Rehabilitation and Heart Failure Service, a role held for the past eight years. Steve is also the current President of the Australian Cardiovascular Health and Rehabilitation Association, a position held since August 2013. Through this role, Steve represents ACRA on numerous groups including the International Council of Cardiovascular Prevention and Rehabilitation, the Global Alliance for Secondary Prevention and the Secondary Prevention Alliance of Australia.

Abstract:

Background: Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants. Methods: The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia’s leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence. Results: Five (5) core components for quality delivery and outcomes of services were identified and are recommended; 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement. Conclusions: ACRA seek to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of Hospitals and Health Services should use these core components to aid decision-making about the development and maintenance of these services.

Biography:

Daniel Tekie Ghebreselasie has completed his graduation in Medical studies and earned Degree of Doctor of Medicine from Latin America School of Medicine (ELAM), Cuba in 2009. He has recently completed his Master’s in the field of Community Medicine from University of Gezira. He is currently pursuing his PhD studies in the field of Community Medicine at the University of Gezira, Sudan. As a young Junior Doctor, he is always interested in research and publications. He has published three original articles in Gezira Journal of Health Sciences as lead author and presented an article in the Gezira first International Family & Community Medicine conference, under the theme “Partnership and integration towards comprehensive health care for families and communities”, Wad-Medani city, Sudan. In addition to that, he has also co-authored an article in Journal of Eritrean Medical Association. He is so much interested in medical researches focusing mainly on NCDs.

Abstract:

The burden of Non-Communicable Diseases (NCDs) is on the rise in middle and low income countries on top of the existing infectious diseases. Recently in Sudan, NCDs accounted for a total of 44% of the overall mortality. Moreover, the distributions of the specific risk factors are not systematically identified in the country, which hinder the designing of appropriate preventive and control strategies. The objective of this study was to describe the distribution and prevalence of risk factors for NCDs. This is a descriptive cross-sectional analytic community based study conducted from October to December, 2013 in Wad-Medani city, Gezira State, Sudan. In this house to house survey, data was collected using structured questionnaires, anthropometric measurements and blood pressure apparatus. A total of 380 individuals of age 30 years and above were selected for the study by stratified proportional random sampling technique. Data was analyzed using Statistical Package for the Social Sciences (SPSS) for Windows version (16.0). The distributions of the various categories of risk factors were identified in which the prevalence of smoking for males and females were (18.4%) and (0.3%) respectively, alcohol consumption (3.9%) only among males, consumption of fruits and vegetables below adequate level (72.9%) and physical inactivity (75.0%). This study showed cigarette/tobacco use and personal documented history of NCDs were associated and was found highly statistically significant (p-value <0.005). Similarly there was a statistical significance between association of physical activity with both age and educational level (p-value of 0.003 & 0.011) respectively. Mean systolic and diastolic blood pressures were 135.5 mmHg and 85 mmHg respectively for both sexes. The prevalence of hypertension was (29.7%) on physical assessment for both sexes. Based on BMI criteria, (1.6%) were underweight, (35.5%) were overweight and (22.6%) were obese and (0.8%) were severely obese. The prevalence of central obesity measured by waist circumference revealed that almost a quarter (24.7%) and above half (51.5%) of study participants were having an substantial increased values respectively. In this study, association between physical inactivity and central obesity was found statistically significant (p-value=0.002). This study also found statistically significant association between personal and family history of NCDs (p-value=0.00). In conclusion, the magnitude of risk factors for NCDs is considerably high in the study population.

Biography:

Eric Boateng, is a student (Japan Development Scholarship Fellow on Health Policy) pursuing Master’s in International Development Programme at the Graduate School of International Relations, International University of Japan. The above abstract is from proposal on a research he intend to conduct in fulfilment for the award of Master’s Degree at the International University of Japan.

Abstract:

The National Health Insurance Scheme (NHIS) free maternal healthcare programme was introduced in July 2008 to help Ghana meet Millennium Development Goals (MDG) 4 and 5 which are to reduce child mortality and improve maternal health. Under the NHIS programme pregnant women are to receive free full package access to antenatal, prenatal and postnatal care. The global MDG 5 target for maternal health is to reduce the number of women who die in pregnancy and child birth by three-quarter between 1990 and 2015. In the period 2007-2012 Ghana had reported maternal mortality ratio of 450 deaths per 100,000 live births (this figure was estimated at 350 deaths per 100,000 by UN agencies/World Bank in 2010). The Government of Ghana declared maternal mortality a national emergency in 2008, developing the MDG Acceleration Framework with the aim of improving maternal health and giving it the level of urgency required. It is in line with this that the government of Ghana through NHIS introduced the free maternal healthcare programme in July 2008 to give all pregnant mothers free full package access to antenatal, prenatal and postnatal care. This study thus seeks to assess the impact of NHIS free maternal healthcare policy on utilization of maternal care services in Ghana after six years of implementation of the policy. The study is intended to improve policy formulation and assist the NHIA to evaluate the impact of the free maternal healthcare policy based on utilization of maternal care services as a measurement of success (or failure) in improving maternal health in Ghana.

Biography:

Ibrahim A Eljack is Assistant Professor of Family and Community Medicine, Al-Baha University Faculty of Medicine, Saudi Arabia. He was the Director of Department of Organizations and Voluntary Agencies, Khartoum State Ministry of Health, Sudan during 2012- August 2013. He was also the Director of Planning Department and Deputy Director of Primary Health Care General Directorate, Khartoum State Ministry of Health, Sudan, responsible for planning, quality management, researches, training and monitoring and evaluation activities for the primary health care in Khartoum State, Ministry of Health, 2008-2012.

Abstract:

Background: Hymenolepis nana is among the most common intestinal parasitic infections causing a public health threat in poor communities in Sub-Saharan Africa. Aim: The present study was conducted to determine the prevalence of H. nana infections and associated risk factors among preschool children of displacement communities in Khartoum state, Sudan. Methods: A cross-sectional survey was conducted in May 2013 in displacement camps, Khartoum state, Sudan. A simple random sample of preschool children from the displacement camps, aged between 1 to 5 years, was included. Information was collected by presenting a questionnaire and taking 500 fresh stool specimens, which were examined microscopically for the presence of eggs, using direct saline and formol-ether concentration techniques. Results: The prevalence of H. nana was determined to be 32.6% (163/500), 95% CI (28.5% e36.9%). Infections of H. nana were more prevalent among males than females, and this association was statistically significant (P<0.001, OR Z 2.125, 95% CI Z 1.452e3.108). H. nana infections were significantly prevalent among the older age group (2.6e5.0 years) (P<0.001, OR Z 2.909, 95% CI Z 1.914e4.420). Approximately 76.7% of infected preschool children had diarrhea and it was significantly associated with H. nana infection (P<0.001, OR Z 9.45, 95% CI Z 6.10e14.64). None of the preschool children had access to a clean water supply. No significant association was found between use of latrines and infections of H. nana (P Z 0.56, OR Z 0.880, 95% CI Z 0.73e1.763). Conclusions: There was a high prevalence rate of H. nana infection among preschool children of displacement camps in Khartoum state, Sudan. Being male, aged between 2.6 and 5.0 years, and having diarrhea were identified as important risk factors for H. nana infection. Measures including health education, environmental hygiene, water supply and treatment should be taken into account to reduce the high prevalence of H. nana.

Biography:

Jeong-Soo Kim has completed his PhD from Ewha Womans University (2011) in Seoul. She is currently working as an Associate Professor at Pukyong National University in Busan, Korea.

Abstract:

This study was to describe and understand the experiences of the physically disabled adult attending in public welfare program. The interview data were collected from 9 persons and analyzed by using descriptive phenomenology of Colaizzi. The procedural steps described the phenomenon of interest, collected participants' descriptions of the phenomenon, extracted the meaning of significant statements, organized the meanings into the clusters, wrote exhaustive descriptions and then incorporated data into an exhaustive description. The finding in 129 re-statements, 63 constructed meanings, 41 themes, 15 theme clusters, and 6 categories were deduced. The 6 categories were ‘life patterns exclusive health’, ‘powerlessness in physical disability’, ‘living with acquaintances helps’, ‘motivated positively’, ‘seeking to be holistic health’, and ‘sense of accomplishment’. The study identified that social welfare program for the disabled need necessities for health learning and economy for their future in success. Therefore, we suggest that there may be a need for supplying professional program for their health and welfare.

Biography:

Maitali G has 10 years of experience working in one of Singapore's highly regarded medical institutions, The Singapore General Hospital. On the third year of her tenure as a Nurse she was offered by Ngee Ann Polytechnic, Singapore to pursue her Diploma in Health Sciences, where she graduated and attained Diploma with merit which is awarded by the educational institution only to those with outstanding academic performance. She was also in the Director's list consecutively for three years from 2008 to 2010 for five semesters. She was recognized by SINDA for her outstanding performance in attaining Diploma in Health Science (Nursing) and was awarded the prestigious SINDA Excellence Award.

Abstract:

Background: Nurses play an important role in implementing medical and nursing educational interventions for Chronic Kidney Disease (CKD) patients as to reduce or prevent complications of the disease. With increasing number of CKD patients both locally and globally, it contributes to increased healthcare utilizations. Even though current literature suggested that appropriate nursing management and patient education are required to meet specific demands of patients with CKD; limitations of evidence and literature had demonstrated on the aspects of nurses’ challenges with regards to the process delivering patient education. Aims: The aim of the study is to explore and understand nurse’s perceptions in respect to patient education for CKD in Singapore. The research questions were directed towards understanding of patient education process, identifying barriers and facilitators of patient education and both nurses and patient’s perceptions of patient education. Methods: A qualitative descriptive design using semi-structured face to face interview was conducted to gather contextual data. Sample sizes of 20 registered nurses working in a renal ward setting at one of tertiary hospitals in Singapore were recruited until saturation is reached. The participants were selected using purposive sampling technique and were based on inclusion and exclusion criteria. The interview process lasted for 20 to 60 minutes and was audio-taped. Audio-taped interviews were transcribed in English. Thematic analysis was employed. Results: Nurses have a key role in implementing medical educational interventions for Chronic Kidney Disease (CKD) patients while employing effective management strategies to reduce or prevent complications of the disease. The main central concerns were knowledge level, self confidence level, and time availability with their patients. Conclusions: These results enable healthcare professionals to understand the significance to maintain and improve patient education and management for patients who are clinically diagnosed with CKD. In addition, it would also provide an understanding of expectations, clinical expertise, challenges, difficulties and scope of practice of renal ward nurse. As limited evidence from current literature was noted on the essential components of patient education, this study would give an opportunity to identify the core teachings that should be implemented. It could also be a good basis for policy-making in hospitals. It could be a guide for future studies such as education for other chronic conditions or educational program interventions.

Biography:

Shu Ting Yen has completed her Master’s degree from I-Shou University. She is now the registry staff of trauma team in National Cheng Kung University Hospital and published trauma related manuscripts during the past 4 years.

Abstract:

Objective: The purpose of this study was to determine trauma patient length of stay (LOS) and the association between LOS and trauma patient demographic and clinical characteristics. Methods: This was a retrospective study. We ascertained the differences and correlations between gender, age, injury severity score (ISS), surgical status, and intensive care unit (ICU) stay and LOS among trauma patients admitted to a Tainan medical center in 2013. Results: The ISS was significantly correlated with ICU stay and LOS. The ICU stay and LOS in patients with extremely severe trauma (ISS≧25) who underwent surgery were significantly longer than any other group. In addition, the ICU stay and LOS increased by 0.496 and 0.656 days per incremental increase in ISS. The ICU stay and LOS of patients who underwent surgery were 3.432 and 3.12 days longer than patients who did not have surgery. Conclusions: The ISS in trauma patients who underwent surgery was a major predictor of ICU stay and LOS. The results of this study can serve as a reference for managing LOS of trauma patients in medical centers.

Biography:

Allison is a qualified nurse with 20 years’ experience in Intensive Care and was awarded a Doctorate of clinical Practice in 2015. She has worked in Higher Education for the last 16 years firstly as a lecturer practitioner and now as a Senior Teaching Fellow at the University of Surrey, UK. She is Director of Studies for a BSc & MSc professional practice and lead for Recognition of Prior and Certificated Learning. Her area of expertise is interdisciplinary simulation in healthcare to promote safe practice. She has presented her work on simulation internationally and has published in peer reviewed journals.

Abstract:

Safe medicines management is a priority nationally in the United Kingdom [UK] and internationally. Professional and regulatory bodies such as the Nursing & Midwifery Council [UK], mandate safe medicines management for pre-registration students and registrants. Evidence highlights medicines management adverse continue to rise despite quality assurance initiatives such as medicines management competency assessments of registrants and students. Similarly student nurses are involved in medicines management adverse events under the supervision of their mentors. Educators have dual responsibility with placement providers to deliver safe and efficacious learning experiences. The PAMMO was designed to develop student nurses’ medicines management skills and knowledge, including error identification, problem solving, decision making, assessment and feedback in a safe and supported learning environment. Phase 1: Evaluated the inter-rater reliability of student nurses PAMMO criterion referenced and global scores of safety Phase 2: Identified what informs students’ global scores of safety Design: Mixed methods exploratory sequential study evaluating Peer Assessed Medicines Management Objective Structured Clinical Examinations [PAMMO] for student nurses. Results Phase 1: Criterion assessing ”five rights” of medicines management demonstrated exact agreement (Cohens kappa 1.0), global scores demonstrated poor reliability (Cohens kappa 0.02) Phase 2: Students judgement making fell within two theoretical frameworks. Firstly Social constructivism, whereby assessments were based upon their learning (theoretical and practical) and views of safe care. Secondly the cognitive continuum- nine modes (Standing, 2010) based on five modes of judgement making. Conclusion: PAMMO may offer educators a cost effective and efficacious way to develop students’ safe medicines practice

Biography:

Dr. MohammadAli Hosseini is Associate Professor of University of Social Welfare and Rehabilitation Sciences (USWRS). BSN, RN, MSN, MS in Medical Education, PhD in Higher Education Administration and Postdoctoral Fellow of Knowledge Transfer in Cardiac Rehabilitation from UTS, Sydney, Australia. Head of Rehabilitation Administration Department of USWRS. He have Published more than 140 articles in Persian and English journal.

Abstract:

Introduction: Resiliency capacity as a predictor to prevent and reduce work stress is considered. In this context, one of the most important skills that can predict and improve the resiliency, having emotional intelligence. This study aimed to determine of effects of emotional intelligence training on nurses' resiliency in Department of Psychiatry (1393). Methods: In this semi experimental study, the study population consisted of nurses working in the psychiatric hospital Rouzbeh. 76 persons were that selected, that is based on input standards and calculation of volume sample. The people divided two groups. Intervention and control groups in sample random method. Data were collected with Demographic, Bar-on emotional intelligence and Conner and Davidson resiliency questionnaires. At first both groups were asked to fill in questionnaires. Then a one-day work shop was held for Intervention group then essential training about emotional intelligence and its skill with operational action was represented. After that internalization has been followed with written means such as educational pamphlets about Bar-on emotional intelligence skill for six weeks. At last, both questionnaires were filled again by two both Intervention and control groups. SPSS statistical software SPSS19 data using fisher, covariance, independent t-test, paired T was performed. Results: Results showed that no different between two group of intervention and control about demographic characteristics. The mean emotional intelligence Score was 329/72± 29/91 in intervention group, and 326/73± 36/55 in the control group before intervention, which respectively reached to 354/51± 37/27 in intervention group and 325/92± 34/92 in the control group after implementation of the intervention and this difference was Significant in intervention group (p=0/003). The mean resiliency Score was 61/71± 12/47 in intervention group, and 57/70± 15/14 in the control group before intervention, which respectively reached to 70/40± 13/48 in intervention group and 58/92± 13/71 in the control group after implementation of the intervention and this difference was Significant in intervention group (p=0/001). Conclusion: The result revealed that emotional intelligence skill training can improved nurse's resiliency in department of Psychiatry.

Biography:

Dr. McCall is an assistant professor at Augusta University’s College of Nursing. She earned her BSN from the Medical College of Georgia, PhD from Georgia Health Sciences University, and FNP certification from Georgia Regents University. Prior to academia, Dr. McCall worked in the intensive care/medical-surgical units and hospice/palliative care. She currently teaches in AU’s Clinical Nurse Leader Program and Nurse Practitioner Programs. She has experience in clinical, simulation, lab, and lecture. Dr. McCall uses innovative teaching strategies for student engagement, including new-edge technology and interactive lectures. She was recipient of the 2014 AACN Novice Faculty Excellence Didactic Teaching Award.

Abstract:

An anticipated world-wide nursing shortage has been well-documented. Nursing educators report multiple generational differences among current students and seasoned faculty. This trend will likely continue to unfold as “digital natives”, fully equipped with mobile learning wants and needs, seek to become nurses. Thus, updated and innovative teaching methods are needed in nursing education with efforts to engage Millennial and Generation Z nursing students. The objectives of this presentation/workshop are 1) to discuss the mindset needed for innovative teaching success, 2) view easy-to-duplicate examples of innovative teaching methods used in simulation environments, skills lab, clinical (or “hands-on” learning), lecture/didactic content delivery, online courses, and/or research/practice and 3) provide templates and facilitate processes to help attendees brainstorm and create their own innovative teaching resources.

Biography:

biography

Abstract:

Overview: Standardized testing is used across the BSN curriculum in this School of Nursing located on three campuses in two states. The standardized exam represents the final examination in all courses (with the exception of Nursing History and Informatics) and is worth 25% of the overall course grade. While cumulative standardized testing is also a requirement for program completion, these exam scores are not used to determine the individual’s subsequent eligibility to graduate and to sit for the NCLEX examination. Standardized exit examinations are administered in order to benchmark cumulative learning and to provide the student with a content directed ‘road map’ from which to prepare for success on the NCLEX examination. Aggregate standardized test results are not used as a component of the formal faculty evaluation but are useful to many faculty in their own personal self-assessment. Objectives: 1) The reader will understand the many benefits (to faculty and students) of implementing standardized testing throughout the curriculum of the undergraduate nursing program 2) The reader will learn how standardized testing can be incorporated across the curriculum Background:The requirement to pass a standardized test as a prerequisite for student progression in nursing programs is an intensifying trend. Because the test scores can sometimes result in course failure, block graduation or deny eligibility to take the NCLEX exam, such testing is called "high stakes."Though licensure exams such as NCLEX are themselves high-stakes, for students, faculty, and schools of nursing, there is no debate about the need to protect the public through standardized evaluation measures of nursing competence (National League for Nursing, 2010). Test results can be used to provide students with information about their knowledge as compared to other students using national norms, to benchmark student performance internally, and to help faculty identify curricular strengths and weaknesses in the spirit of continuous quality improvement. Most commercially available standardized predictive tests provide individual student scores that are linked to a probability of passing the NCLEX-RN. Research has shown that while predictive tests often work well in identifying high-performing students likely to pass the licensing exam, they are much less precise in identifying individual students who will fail the NCLEX. Results:Standardized tests are designed to measure learning and testing abilities at a point in time. They also serve to identify nursing knowledge deficiencies and to aid in the development of student self-remediation plans. Through regular exposure to computerized testing, students also gain confidence with this testing format. Faculty need to be mindful that tests and evaluative measures are used not only to evaluate student achievement, but also to support student learning through remediation, and evaluate and improve teaching and program effectiveness. The NCLEX pass rate improved from 72% to 91% in one year with the implementation of standardized testing across the curriculum. NCLEX scores have remained consistently above state and national scores and this has largely been attributed to standardized testing as implemented in the SON. 100% of the SON faculty across the three individual campuses supports standardized testing as a component of student evaluationrecognizing thatmultiple sources of evidence are fundamental in evaluating basic nursing competence. Conclusion: There are benefits to both students and to faculty when standardized testing is incorporated into the curriculum. Faculty need to be informed about the purpose, use, scoring and results of standardized tests and testing methods within a program and this information needs to be shared with students to minimize the apprehension often associated with standardized testing. The effective implementation of standardized testing in the SON can provide evidenced based data to support ongoing quality improvement in teaching and learning, andcreate a climate where results from the assessment can be used in the aggregate to inform program improvements.

Biography:

John P. Higgins is an Associate Professor of Medicine at The University of Texas Medical School at Houston, Chief of Cardiology at Lyndon B. Johnson General Hospital, and Director of Exercise Physiology, Institute for Sports Medicine and Human Performance, Memorial Hermann. He is also a Sports Cardiologist and works with the Houston Rockets and Rice Athletics. Dr. Higgins received his medical degree from the University of Queensland, Australia. He holds a Masters in Philosophy from the University of Cambridge, England; and an M.B.A. at The George Washington University, Washington, DC graduating with Honors & Inducted into Beta Gamma Sigma, The International Honor Society, recognizing business excellence.

Abstract:

Healthcare providers are often looking for ways to objectively monitor and improve their patients' health and fitness, especially in between patient visits. Some insurance companies are using applications data as incentives to improve health and lower premiums. As more and more people start to use smartphones, they may provide a tool to help improve a patient's health and fitness. Specifically, fitness applications or "apps" on smartphones are programs that use data collected from a smartphone's inbuilt tools, such as the Global Positioning System, accelerometer, microphone, speaker, and camera, to measure health and fitness parameters. The apps then analyze these data and summarize them, as well as devise individualized plans based on users' goals, provide frequent feedback, personalized coaching, and additional motivation by allowing milestones to be shared on social media. This article introduces evidence that apps can better help patients reach their health and fitness goals. It then discusses what features to look for in an app, followed by an overview of popular health and fitness apps. Last, patient scenarios with app recommendations, limitations of apps, and future research are discussed.

Biography:

Dr. Yan He was educated and trained in College of Stomatology. Majored in Orthodontics, she obtained her Master in 2010, Sichuan University, China. Then, she was supported by the Chinese Scholarship Council and W.J.Kolff Institute, University of Groningen to work in the Netherlands. Dr. He carried out a series of studies of oral biofilms both in vitro and in vivo aiming for a further understanding of mechanism of the interaction between oral biofilms and antimicrobials (in form of mouthrinse). In 2014, she was entitled with doctor degree after three publications in top 25% journals and several academic presentations domestically (the Netherlands) and internationally. At the moment, Dr. He works at James Cook University as a Lecturer in Orthodontics, where her job is to participate in academic lectures to undergraduates, supervise students in clinic and fundamental/ clinical research studies.

Abstract:

Oral cavity creates natural and artificial habitats for biofilm. Accumulated biofilm raises the incidence of caries and periodontal disease. Meanwhile, oral biofilm is a source of pathogens directly and indirectly responsible for many systematic diseases, e.g. infective endocarditis, diabetes mellitus, pneumonia and low birth weight. Hence, it becomes crucial to emphasize the control over biofilm especially in oral cavity. However, conventional control methods of tooth brushing and mouth rinsing have never shown 100% removal of biofilm. Here, we approached from a distinct perspective to understand the mechanism of the interaction between biofilm and antimicrobials aiming to provide a better control over biofilm in the future. Biofilm is widely accepted as a viscoelastic material. The mechanical analysis of viscoelasticity unveils the features of biofilms in a quantitative level. In this study, we discovered that certain components of the biofilm, determined as E1, had a negative impact on the antimicrobial penetration. Meanwhile, bacteria in biofilm, noted as E3, had a positive impact on the antimicrobial penetration (Figure). These relations have been extensively verified in several biofilm models, e.g. in vitro/ in vivo biofilms, single/ dual/ multi species biofilms, static/ flow/ compressed biofilms and brushed/ un-brushed biofilms. Besides that, the relations were also verified with antimicrobials in different mouthrinses. Considering the essential role that viscoelasticity plays in the quantitative determination of antimicrobial penetration into biofilm, we propose that the viscoelasticity should be viewed as a virulence factor of biofilm. Taking together, our findings could not only be helpful to prevent infections caused by oral biofilm in the oral cavity, but also could be useful to control biofilm preventing systematic diseases. Penetration ratio of antimicrobials as a function of components in biofilm determined as E1, E2 and E3, representing the water/light molecules, extracellular polymeric substances and bacteria of a biofilm, respectively. Dashed lines represent the 95% confidence intervals.

Biography:

Dr. Mohamed Suhood Mohamed Shiffa Member of the Pharmacopiea Committee of Department of Ayurveda, Ministry of Health and Indigenous Medicine, Government of Sri Lanka, Member of the College and Hospital Board , Member of the Unani Sectional Committee. He is now working as the Head of the Department of Surgery in the Institute of Indigenous Medicine, University of Colombo, Sri Lanka.

Abstract:

Leech therapy is used traditionally in which leeches are applied (artificial infestation) to a particular area for treating certain ailments such as skin disease, inflammatory disorders, varicosities, chronic wounds, etc. It is also being used in modern surgery; especially in reconstructive and microvascular surgery. Avicenna, Galen, Broussais, Von Ronsenstein and several other physicians treated many diseases by applying leeches. Leech species such as Hirudo medicinalis, Hirudinaria manillensis, Hirudo michaelseni, Hirudo nipponia, Macrobdella decora (American medicinal leech), Hirudo verbena, Hirudo orientalis and Hirudinaria granulose are commonly used in the medical field. When leech tends to suck the blood, it injects anaesthetic agents, anticoagulant and some other substances, in order to have the meal continuously without any interruption. In other way, leech saliva contains bioactive substances that would help to dilate blood vessels, decreases the blood viscosity, and deaden the pain of the bite. Scientific researches revealed that the beneficial effects of leech therapy occur due to injection of these bioactive substances. They are proteinase inhibitors: bdellins, hirustasin, tryptase inhibitor, eglins, inhibitor of factor Xa, hirudin, inhibitor of carboxypeptidase, decorsin, gelin, and inhibitor of complement component C1s and also other bio-active substances such as prostaglandins, vasodilators, anesthetics and proteins like calin, apyrase, hyaluronidase, destabliase, histamine-like vasodilators, collagenase, piyavit, ghilanten, guamerin A, piguamerin, gamma-glutamyl transpeptidase, platelet activating factor antagonist, bufrudin and poorly characterized anaesthetic and analgesic compounds. Arthralgia is the term used for pain in the joints commonly occurs due to inflammation, accumulations, depositions and other disorders of the joints. Recent researches support that the leech therapy relieves pain, stiffness, inflammation, joint dysfunction and other symptoms in patients with joint disorders due to its anti-inflammatory, antiseptic, vasodilatation, thrombolytic, antibacterial and analgesic actions. Backer Marcus, et al. and Michalsen, et al. found that the leech therapy was more effective in controlling pain and disability in individuals with joint pains. Abbas Zaidi, et al. and Mohamed Shiffa, et al. found that the leech therapy seemed to be an effective symptomatic treatment for osteoarthritis of the knee. Therefore, this therapy can effectively be used to treat arthralgia in joint disorders.

Biography:

Dr. Sugalski completed his residency training at Rutgers New Jersey Medical School in 2009 and served for four years on active duty with the United States Army. Currently, he serves as the Chief of Service and Medical Director for Emergency Medical Services at University Hospital in Newark, NJ. Dr. Sugalski played a key role in New Jersey’s response to the Ebola epidemic where his Emergency Department screened more potential Ebola patients than any department in the United States.

Abstract:

Ebola virus disease (EVD) has been the subject of recent attention due to the current outbreak in West Africa, as well as the appearance of a number of cases within the United States. The presence of EVD patients in the United States required health care systems to prepare for the identification and management of these patients. The presence of confirmed EVD patients in the United States identified an urgent need for planning and preparation throughout the health care sector. The challenge for most health care systems is the identification and management of EVD cases presenting unidentified and unannounced. To evaluate patients with recent travel to Ebola-affected countries, it was essential to provide the highest degree of safety while minimizing unnecessary exposure to other patients and staff. It was also critical to have the least possible effect on normal workflow and operations throughout the facility. In response, our Emergency Department (ED) used a unique approach to the screening and care of these patients in a location that was detached from the hospital. Among the challenges in the development of the detached location was the need to create a suitable treatment area with the requisite isolation capabilities. Hospital leadership believed a location remote from the main ED would be the least disruptive to the daily functions of the hospital. This presentation discusses the use of mobile containment units (MCUs) in an extended treatment area (ETA) as a novel approach to isolation and screening of potential EVD patients.

Biography:

Neelam Doshi is a locum staff specialist in Microbiology at the Gold Coast University Hospital, where she is active in laboratory and clinical teaching across the continuum of medical learners. She also is designated as Associate Professor of Pathology at the Bond University Medical School, Gold Coast. She has both domestic and international medical training and work experience including India, UK & Saudi Arabia. She trained as a General Pathologist in India in 1994, then specialised as a fellow in Microbiology & Virology in UK/Australia. She was the Clinical Lead Consultant for Infection Prevention and Control at Stockport NHS Foundation Trust hospital, UK and played a key role in developing laboratory and infection control protocols for the UK NHS Influenza Emergency Preparedness in 2010.

Abstract:

Aim: Medical students find the transition from preclinical learning to clinical rotations as quite stressful. Case Based Learning (CBL) using the Bond Virtual Hospital (BVH) app in our new undergraduate medical program has enabled a smoother transition – in part through explicit correlation between basic science and clinical applications. This process requires team work between skilled facilitators. This will also highlight the effective usage of mobile app in adult learning. Method: In this integrated educational approach, the audience will experience a Bond Virtual Hospital ward round and learner’s feedback. This will follow a faculty led ‘debrief’ and learners personal experience on this ‘virtual teaching app’. Participants can reflect on this experience of integrating the scholar and scientist, practitioner and health professionalism themes of the medical curriculum. Finally, participants will consider the qualities and training required for effective educators, delivering this holistic learning. Results: Workshop will give a platform for the participants to discuss how linkages can be made between foundational year basic sciences with clinical knowledge in clinical care. Learners will share their experience on whether this tool improves their clinical reasoning and prepares them for ward work. Discussion will be shared between the participants, facilitators and the medical students on the qualities of facilitators for effective inter-professional teaching Conclusions: The workshop will consider how CBL can be used to encourage students to apply foundation science knowledge into clinical relevance using virtual ward rounds. It will also explore whether the usage of mobile app is helpful in students learning in this modern age of technology. Feedback of medical students and facilitators on this learning method looks promising.

Biography:

Dr. Amira Alshowkan received the BSc in Nursing from King Faisal University, Saudi Arabia in 2006 and the PhD degree in Mental Health Nursing from the University of Sydney, Australia in 2012. Currently she is working as assistant professor at the University of Dammam and Internship Coordinator at the King Fahd Hospital of the University. Her current field of interest is quality of life, schizophrenia, women, religion and stigma.

Abstract:

Background: Clinical experience is identified as a vital part in nursing education. It allows students to merge the knowledge with practice. Understanding the contextual factors that may interfere or enhance enrichment of psychiatric mental health nursing experience is very important. Aim: To explore the experiences of nursing students who completed their psychiatric clinical practice at a Saudi Arabian University. Method: Data were collected thought the use of focus group discussion. A total of 20 third year female nursing students who completed the Psychiatric and Mental Health Nursing Course were agreed to participated and divided into 4 focus groups. Data were transcribed and thematic analysis was done through the use of Nvivo 9. Result: Three main themes were identified and under each theme a number of subthemes were emerged. The main three themes are: factors related to the student, factors related to the clinical supervisor, and factor related the clinical environment. Conclusion: The result of this study indicated that nursing students facing many obstacles during their clinical experience. A number of recommendations were supposed in order to support psychiatric nursing clinical practice.

Biography:

Maria Maldonado Vega is a graduate of PhD in Science with specialization in Toxicology. She has received her PhD and Master of Science in Research and Advanced Studies Center-Polytechnical National Institute (CINVESTAV-IPN) México, D.F. She received several awards for her research such as Prize 2006-2007 ADIAT, Technology transfer mode to companies PyME and Technical merit recognition. She has developed different projects in research and technology, which have resulted in forum disclosure of more papers, technical report and technology transfer. Currently, she has 18 papers refereed journals and 20 international papers. She is serving as an Editorial Board Member of several reputed journal like Journal of Nuclear medicine & Radiation Therapy, Journal International Pollution, and Medical Journals and Magazine of Biochemistry Education. She is a member of Mexican Society of Biochemistry and Member Research Ethics Committee.

Abstract:

The tanning process has preservation of the hide of the animal. The industrialization of animal skins corresponds in its great majority to the skin of bovines. Indoor the tanneries the presence of 11 contamination indicator species in the tanning work environment with pathogenic potential are the following: Bacterium pumilus; Bacterium subtilis; Bacterium cereus; Cladosporium lubricantis, Cladosporium cladosporioides; Penicillium commune; Penicillium echinulatum; Penicillium chrysogenum; Penicillium crustosum; Candida parapsilosis, and Candida albidus. The microorganisms could compromise the state of health of tanning workers due to their incidence, propagation and concentration. This work showed that samples of nasal and oropharyngeal mucosa taken from the tanners (the sentinel group) demonstrated a high burden of bacteria and yeasts, with values up to 76 × 107 CFU/ml for bacteria and 80 × 107 CFU/ml for yeasts, observing bacterial and fungal growth in all of the participants. The nasal-mucosa results of the second group of tanners and of the control group, in which the sample was taken at the clinical laboratory, confirmed the presence of bacteria and fungi previously observed in the first tanners group; however, the concentration was less with respect to the sentinel group of tanners, with values of 1.5 × 103 CFU/ml and 1.9 × 103 CFU/ml for bacteria and yeasts, respectively. In that prior work, the identification was carried out of bacteria, fungi, and yeasts. The bacterial families identified were Bacillaceae, Corynebacteriaceae, Enterobacteriaceae, Moraxellaceae, Nocardiopsaceae, Pseudomonadaceae, and Staphylococcaceae. The genera of fungi identified were mainly Aspergillus and Penicillium, which are considered the most significant allergenic fungi in air, and these have been associated with adverse effects on human and animal health. The yeasts identified were Candida krusei and Candida glabrata, which have been associated with adverse effects on the health of immunosuppressed individuals

Biography:

Yvonne Brunetto is working as a professor at School of Business and Tourism in the Southern Cross University. Yvonne have been research on healthcare management issues over more than a decade across 5 countries: Australia, Italy, USA, UK: Brazil. Yvonne have published may research articles in national and international journals.

Abstract:

Delivering healthcare that leads to higher wellbeing for patients requires a positive care framework. In particular, healthcare professionals will be most engaged in management provides them with effective organisational support and healthcare professionals have high levels of individual attributes. My presentation will firstly discuss the importance of organisational support from managers built on adequate resourcing and rewarding of employees such that over time these relationships develop mutual reciprocity. I will compare healthcare management across public, private and not-for profit sectors across Australia, Italy, UK, USA and Brazil. The quality of healthcare management support predicts the outcomes of professional healthcare employees- their wellbeing and engagement, affective commitment and turnover intentions. I will show how outcomes change for employees across countries based on the quality of management support. My presentation will then discuss the importance of individual attributes that is within each person. I have measured this using Psychological Capital (PsyCap). PsyCap is a socio-emotional resource within humans. Those who have high levels of PsyCap have a natural buffer against stress, and perceive the “glass as half full”. Specifically they have high levels of self-efficacy (they have self-confidence to take on challenges); optimism (they are positive about succeeding); hope (they persevere toward a goal) and resilience (they bounce back after a setback). High PsyCap also predict employee’s work outcomes, including engagement, wellbeing and reduced turnover. I will show my findings about the impact of Psycap on healthcare professionals’ outcomes across sectors and countries and explain the implications of both in making employees effective.

Biography:

Liu Hsing-Yuan has completed her PhD from National Taiwan University School of Nursing. She is an Associate Professor and Dean of Student Affairs School of Nursing, Chang Gung University of Science and Technology, Taiwan. She has published more than 30 papers in reputed journals and contributes her effort in gender studies and education.

Abstract:

The prevailing gender bias and gender unawareness has been a suffering in our society. Since gender mainstreaming has become an important policy in Taiwan, we foresee challenges in health professional curriculum and gender equality education. The research design combines both quantitative and qualitative approaches. Purposive sampling will be used to select two medical technology colleges in north and central Taiwan. According six-step curriculum (self-understanding of gender, self and personal relationships of the gender and self-breaking competence indicators of gender equity education) developed by professionals at Johns Hopkins University in the United States, the research material from theories and studies, as well as local teaching practices will be derived. In the first year, a Delphi method was applied to construct the competence indicators of gender in health professional education. The second year, we revised the foundation of the study results of the first year to explore the effectiveness of learning and knowledge construction in health professional college students. In the third year, a large scale sample development and testing in Taiwan was done. The substantial research goals are the following: (a) to develop social justice-oriented service-learning curriculum, (b) to construct the competence indicators of gender for health professional education, connected with the upper secondary schools which has features of continuity, depth and stage specific, (c) to explore the learning effect from the gender course and (d) to develop the competence indicator scale of gender and teaching materials for health professional education. Therefore, the results will be useful reference for health professional education and gender education.

Biography:

Jacinta Fa’alili-Fidow is Manager of TAHA Well Pacific Mother & Infant Service based at the University of Auckland. Jacinta was born in Samoa and was raised and still lives in South Auckland. She has held roles in primary care quality coordination (Pasifika Healthcare, now called West Fono Trust), research funding processes (Manager Pacific Health Research, Health Research Council) and public health services policy, funding and planning (Portfolio Manager, Ministry of Health). With a Masters of Public Health, married to Abba and now mother of three sons: Cisco, James and Peter, Jacinta is able to translate her passion for maternal and infant health into action through TAHA’s focus on improving Pacific pregnancy and parenting.

Abstract:

Pacific women and infants experience high rates of gestational diabetes, neonatal encephalopathy and perinatal mortality (PMMRC 2014). Pacific women have highest fertility and birth rates in New Zealand (MOH 2013) but low uptake of antenatal care and antenatal education(Dwyer 2009) despite benefiting to successful pregnancy and birthing experiences(Ferguson 2013). Improving health outcomes for Pacific families is the motivation behind the Tapuaki e-media tools. The purpose is improving accessibility for Pacific pregnant women and their families, which assists empowerment for this high risk group to talk about pregnancy and parenting, ask questions, and make informed health choices. Talanoa with Pacific womens groups and Pacific Maternal and Child Health experts. Shaped the content and particularly the presentation methodology used in the E-media tools. At each stage of production, the E-tools content, imagery and messaging was reviewed by focus groups. The new Tapuaki smartphone app and website is unique in New Zealand, allowing Pacific mothers and families to find information leading up to, during and post pregnancy. The website is live and the app free to download. Both tools provide a convenient way of learning about oneself and the development of baby through the duration of pregnancy. The Tapuaki smartphone application and website is the only known programme of its kind for Pacific peoples in New Zealand. It has the potential to improve Pacific women’s access to, and use of, maternity services and antenatal education. Through the use of evidence-based and culturally relevant content and materials.

Biography:

Imran Aslan has completed his Ph.D. at the University of Atatürk. He is the Assist Prof, Bingöl University. He has published more than 15 papers in reputed journals . He was the Research Assistant at the University of Erzincan Erzincan Turkey and Advisor of students from Business Administration Department.

Abstract:

The aim of that study is to analyze the effects of Information Technology in healthcare and develop suggestions. Turkish healthcare and Information Technology (IT) in healthcare are explained. Some studies done in healthcare around World are presented and explained in details to see the effects of IT in healthcare. Moreover, Turkish healthcare management and some indices are introduced briefly. Moreover, newly e-prescription implemented in Turkey is examined and a case study done in Istanbul, Erzurum and Kayseri cities is examined. The resistance developed against e-prescription is analyzed according to gender, age, hospital or pharmacy, experience, working time, social status and willingness from 367 surveys. Structural Equation Modelling (SEM) is used to test Technology Acceptance Model (TAM) for e-prescription by using 6 likert-scales. Moreover, suggestions done in open questions are grouped to improve e-prescription. It is found from that study that there are some problems with service quality of e-prescription. To increase the adoption of system, service quality is an important factor to be developed. Users stated that the main reason of high resistance was lack of information given to staff and complexity of program. Moreover, interruptions of system have created huge resistance and dissatisfaction. Improvement of infrastructure and speed up of connectivity are found the best way to increase efficiency by higher quality, better working of medula, and getting more technical support from IT department. Another opinion is that integrated automation among hospitals can help doctors to see old medicines and diagnoses from other hospitals. Furthermore, users stated that security of patient data will not be any problem in future. One of main aims of this study is to find weaknesses and strengths of healthcare industry, by defining problems, finding solutions and suggesting some models through existing studies and analyzing current healthcare system in Turkey. To generalize and learn the existing system of Turkey, two hospitals in Istanbul and one hospital in Bingöl are selected and systems and problems of them are defined. Observations, surveys and interviews are used To learn the existing problems. Surveys and interviews of the hospital are analyzed by statistical tools, Operation Research and some management models. The connections of these hospitals with existing system of overall Turkish Healthcare System are explained. On-going problems are defined. Later, some crucial parts such as queues, wastage of resources, satisfaction, information technologies, emergency room, operating room, dialysis, and routing of ambulances in the hospital are determined. These critical parts are tried to be modeled in case studies in each chapter such as dialysis analysis, breast cancer, congestion of system, stress, queues etc. Main problems depending on hospital type are defined and some solutions are tried to be developed. Later, the existing systems of the hospitals are generalized. Opportunities and threats of specific and general situations are determined in healthcare by SWOT analysis. Moreover, SWOT method and benchmarking are used to deploy strategies by TOWS matrix.