10^th Asia Pacific Global Summit on Healthcare March 12-14, 2018 Singapore

Biography:

Prabhaker Mishra has completed PhD in Statistics entitled “Statistical study of human vulnerability and risk assessment of natural hazards in Orissa” and Senior Research Fellowship project on Natural Hazards and Disasters. He has published 31 research papers in various national/international journals. His expertise area is applied and medical statistics.

Abstract:

A good statistical study is one that is well designed and leads to valid conclusion. The two major factors affecting the power of a study are the sample size and the effect size. The power of a statistical test is the probability that a test will reject the null hypothesis when the null hypothesis is false. Similarly, confidence interval conveys the amount of uncertainty associated with an estimate. It is the chance that the confidence interval (margin of error around the estimate) will contain with estimated value. A narrower margin of error requires a larger sample size. Samples should not be either too big or too small since both have limitations that can compromise the conclusions drawn from the studies. Too small a sample may prevent the findings from being generalized, whereas too large a sample may increase the detection of differences, emphasizing statistical differences that are not clinically relevant. Thus, an appropriate determination of the sample size used in a study is a crucial step since the design of a study to the research outcomes. The aim of this paper is to discuss the major impacts of sample size on research outcomes with some interesting examples.

Biography:

Khadija Moamed Al Busafi holds Master of Nursing Specialized in Disaster and Emergency Management, currently working at Nursing Specialty Institute. Khadija Moamed Al Busafi has completed her BSN in Nursing Science, Post Basic Nursing Specialty Diploma and Diploma of General Nursing.

Abstract:

Background & Aim: Preparedness to face challenges associated with different types of disasters and setting strategies for risk reduction may lessen the stress associated with the response process. Evidence has shown that disaster-resilience education facilitates recovery efforts of health professionals. However, the aspects of ensuring disaster resilience remain unclear and there are questions raised in the peer-reviewed literature promoting disaster resilience of health care professionals. Readiness for disaster resilience may enable healthcare professionals to resist and respond to the shock of disasters, cope with unusual situations and accept innovations to adapt to the new environment after a disaster. This leads to a question of ‘What is the extent, range and nature of resilience education for healthcare professionals working in disaster response?’

Methodology: A scoping review was used to explore the literature on resilience education of healthcare professionals. The Joanna Briggs Institute methodology was used to guide the process.

Results: Four published papers were identified and selected for inclusion in this review. From these papers, data were extracted and common themes emerged. The themes related to the nature of the educational courses for healthcare professionals working in disaster response. The continuing education and degree courses focused mainly on psychological support for healthcare professionals during disaster. The courses included multiple professionals, with half of the studies focusing on all healthcare professionals. The extent of disaster-resilience education reflects the disaster responders’ characteristics of psychological preparedness. The training resulted in a significant increase in knowledge, confidence and self-efficacy.

Conclusion: The disaster-resilience education was geographically well dispersed and covered different fields of responders involved in disaster response. The range of disaster-resilience education included multiple fields of specialties; however, half of the studies focused on all healthcare professionals without separating health professional personnel from other professionals at the hospital, focusing on their behavior towards disaster resilience and self-confidence. The courses found in the included studies were either continuous education programs or degree courses and were mainly concerned with psychological support and preparing professionals to be emotionally ready for a disaster, to have confidence and self-efficacy during a disaster and to cope with the aftermath of a disaster. The findings were not surprising, but the number of studies was fewer than anticipated considering the steady upward trend in incidence of disasters and renewed focus on the disaster workforce. A future direction for research would be a review of the literature on the effectiveness of disaster resilience-training programs for healthcare professionals over a range of disaster types and settings.

Biography:

Jaklina Michael is a Diversity and Inclusion Specialist. Her work is to provide expert advice to the wider organization and its workforce on legislation and government policy that impacts on diversity across all business areas including HR, communications, learning and development, quality and risk in line with the strategic priorities of the business. She has developed, researched, operationalized and published scholarly articles on innovative concepts such as the diversity conceptual model, co-design methods, translation standards, national language line and talking books, accessed from across the world. She serves on federal ministerial, state and local advisory bodies and has received numerous industry awards

Abstract:

Purpose: To develop digital talking books on a range of health topics and in a range of languages, using the latest technology, in partnership with and to a wide range of internal and external stakeholders to ensure relevance, accuracy, acceptability and accessibility for the targeted population groups.

Methodology: The seven talking books were developed and implemented with contribution from 414 community participants who participated in 21 community focus groups. A range of strategies have been used to develop and promote the digital talking books including: Using 3D floppy books software to keep the technology up-to-date with the latest mobile devices and web browsers; ‘Key word’ google search approach for easy access and instruction guide to construct new books and update and maintain existing ones.

Findings: Preliminary qualitative studies reveal that the digital talking books improved health-related literacy amongst older people. Older people are less likely to benefits older people with reading and literacy difficulties or who have vision impairment. use online information and communication technology. However, this barrier can be overcome through the availability of hard copy PDF bi-lingual versions of the content of the talking books.

Conclusion: Analytical data reveals that the talking books are popular. There has been a big increase in visits to the talking books from within Australia and across the world. There is a need to conduct further studies to determine the best way to teach older people how to access the digital talking books. Further studies are also required on how the talking books and their PDF versions are contributing to the health outcomes of older people.

Biography:

Annali Botha has a teaching experience from three South African universities for more than 25 years in different subject areas, including intensive care nursing on master’s level public health and community health nursing and nursing pharmacology. She is currently teaching at UNISA, in the Department of Health Studies. Her work includes teaching an environmental health module and supervision of masters and doctoral students in South Africa and the African continent.

Abstract:

Background: In a distance teaching institution in South Africa, lecturers had to do away with prescribed textbooks to save money. OERs had to be used. The problem was that there was no information available that could guide the process of selecting appropriate OERs in the institution.

Purpose: The purpose of this study was to explore a lecturer’s experience of using OERs in teaching a module that formed part of a nursing program. The lecturer aimed to understand the situation better so that future actions could be informed.

Methodology: The methodology that was used was based on Johns’ model of reflection. According to Horton-Deutsch and Sherwood: Reflection is a systematic way of thinking about our actions and responses that contribute to a transformed perspective or the reframing of a given situation or problem and it determines future actions and responses. The five cue questions that Johns’ model is based on, guided the steps in the research and findings are listed in that order as well (in diagram).

Description of the experience (what were significant factors?): Purchasing textbooks were no longer allowed. Student unrest increased because of the pressure of the cost of higher education.

Refection (what was I trying to achieve and what were the consequences?): The researcher adhered to the new policy but had concerns with implementation.

Influencing factors (what things affected my decision making): Factors included time-pressure, no available examples of similar selections, limited knowledge about OERs and factors influencing students.

Could I have dealt with it better: The researcher critically analyzed the situation and concluded that the situation could have been dealt with better.

Learning: The researcher gained knowledge prescribing OERs and it have value for future practice.

Biography:

Michael Geraghty was the first Emergency Nurse to become a Nurse Practitioner in New Zealand and works in the Adult Emergency Department in Auckland City. He holds a Master’s degree in Nursing, is an honorary professional Teaching Fellow at the University of Auckland and the Editor of the College of Emergency Nurses Journal. He acts on behalf of the Nursing Council of New Zealand assessing portfolios and as a Panel Assessor for nurses who have been mentored to become NP’s.

Abstract:

The Nurse Practitioner as an autonomous advanced nurse is a relatively new concept to the healthcare system of New Zealand. Despite the fact that the role was first developed at the beginning of this century there are still only approximately 300 NP’s throughout the country and in a variety of hospital based or community settings and covering a wide range of specialty areas. Many NP’s in their roles consistently meet government and local health targets managing complex cases, promoting health initiatives and disease prevention but are still a ‘niche’ group and the role poorly understood by employers, organizations and the general public. Whilst the role is slowly making in-roads into traditional healthcare delivery there are a number of legislative and professional barriers to overcome. This presentation will look at: The journey to become an NP from the individual’s perspective, some of the initial barriers that made this a difficult career pathway, some of the funding barriers that exist that often prevent the NP from being able to work at their full potential and the initiatives to addresses in order to have a credible and sustainable work force, workforce development in NZ - is the current model sustainable? How the role is positively impacting on the delivery of health care within this country, and creating a flexible workforce and away from the traditional medical model.

Biography:

Sudip Dasgupta is currently working as an Assistant Professor in Ceramic Engineering at National Institute of Technology, Rourkela, India. He has obtained his PhD degree in Materials Science from Washington State University, WA, USA in the field of nanostructured calcium phosphate based bone substitute materials and drug delivery system. He had also worked as a Research Associate at Central Glass and Ceramic Research Institute, India in the field of synthesis of layered double based organic-inorganic composite nano-vector for delivery of anti-cancerous drug molecule to tumor cells. His research interest is mainly focused on synthesis of nanomaterials using different wet chemical and advanced synthesis routes, its processing, characterization and evaluation of its physical, surface, chemical, mechanical and biological property. He has more than 12 years of experience in mammalian cell culture and other molecular biology based research techniques.

Abstract:

Gelatin, chitosan and bioactive nanoceramic based composite scaffold with tailored architectures and properties has great potential for bone regeneration. Herein, we aimed to improve the physicochemical, mechanical and osteogenic properties of 3D porous scaffold by incorporation of bioactive ceramic phase into biopolymer matrix with variation in composition in the prepared scaffolds. Bioactive nanoceramics such as hydroxyapatite, β-tricalcium phosphate and 58 S bioactive glass were synthesized and used in different concentration varying between 10-30 wt.% to prepare GCH, GCB and GCT scaffolds. GCH scaffold having HA:Chi:Gel ratio of 28:42:30 with 78% average porosity showed a pore size distribution between 75-100 μm and exhibited a compressive strength of 3.45 MPa, which is within the range of that exhibited by cancellous bone. GCH 30 showed the highest average compressive strength of 3.46 MPa whereas the lowest average compressive strength of 2.2 MPa was registered by GCB 30 scaffold. Higher cellular activity was observed in GCB 30 scaffold as compared to GCB 0 scaffold suggesting the fact that 58S bioactive glass nanoparticles addition into the scaffold promoted better cell adhesion, proliferation and differentiation. A higher degree of lamelliopodia and filopodia extensions and better spreading behavior of MSCs were observed in FESEM micrographs of MSC cultured GCB 30 scaffold. Scaffolds prepared from 30 wt% 58S nano bioactive glass exhibited the highest bioactivity among all the scaffolds as evident from MTT assay, RUNX-2 and osteocalcin expression from mesenchymal stem cells cultured on the scaffold. Moreover, by reverse-transcriptase (RT-PCR) analysis, it was observed that the expression of osteogenic gene markers from cultured MSCs were relatively high in GCB30 as compared to GCH30 and GCT30 composite scaffolds. In coherence with the in vitro appearance, histological analysis and fluorochrome study in a rabbit tibia model showed a significantly greater amount of new bone formation in GCB30 compared to another composite scaffold.

Biography:

Syed Hammad Anwar Tirmizi is currently working as Consultant Family Medicine in Primary Healthcare Corporation (PHCC), Qatar. He is a Member of Guidelines Review Committee. He is involved in adaptation of guidelines for PHCC. He has Masters in Evidence Based Healthcare from University of Oxford. He conducts trainings and workshops on evidence based medicine, systematic reviews, translational research for primary care and guidelines adaptation in different countries. He believes use of ADPATE framework for guidelines adaptation not only saves time and energy but also increases the utilization of available evidence.

Abstract:

The aim of this presentation is to demonstrate the method of developing evidence based guidelines using the ADAPTE framework (developed by Guidelines International Network) from existing national and international guidelines. The participants will be introduced and given hands on experience to use the AGREE tool to assess guidelines quality and how to GRADE the recommendations using existing guideline recommendations’ GRADE. ADAPTE framework is a resource light, time efficient way to utilize existing evidence. ADAPTE framework allows the efficient production and use of high quality guidelines. The adaptation process ensures consistency and reliability of methods and allows all key stakeholders to participate, making it an ideal choice for organization that lack resources to develop de novo guidelines. This leads to rapid development of guidelines and enhances the utilization of the existing evidence, thus, reducing the gap between knowledge and practice. ADAPTE frameworks have three distinct phases: (1) Set-up phase: In the set-up phase required skill and resources are identified. (2) Adaptation phase: The second phase deals with main process that entails: Selecting the topic, forming the clinical questions, searching, evaluating and selecting the guidelines, decision making around the adaptation and preparing draft guideline report. (3) Finalization phase: In this final phase, the adapted guideline is sent for stakeholder feedback and external peer review. In this phase, the review and update process of the adapted guideline is also decided. The participant will be taken through an entire journey of guidelines adaptation in this workshop

Biography:

Potent is currently a PhD candidate in Translational Research at Monash University, Australia. After completing undergraduate degrees in Mathematics and
Chemistry, Dr Potent completed his medical degree. He is a practising doctor in Queensland and a keen advocate of patient safety via appropriate clinical
communication and handover

Abstract:

Statement of the Problem: Electronic Discharge Summaries (EDSs) are a crucial process in facilitating a safe and effective clinical handover yet it is often the most junior doctors who author the EDSs. Australia’s National eHealth Transition Authority have defined the criteria for fields that constitute an EDS. The Australian Commission on Safety and Quality in Health Care (ACSQHC) have created an evidence-based self-evaluation toolkit for hospitals to assess their EDSs performance. This audit assessed the quality and timeliness of EDSs.Methodology & Theoretical Orientation: EDSs were assessed using acombined standard based on the self-evaluation toolkit and XX Hospital policies. A retrospective series of 40 finalised EDSs were selected consecutively, as recorded in the iCM database, from each of the General medicine, General surgery, and Mental health departments of XX hospital from 1st April 2012 until the required limit was met. EDSs were excluded if information was suppressed, the discharge summary was of a deceased patient, if the discharge summary had not been finalised, or if the date of completion was not in the period of collection.Findings: Average time for EDSs completion from discharge: General Medicine (1 day), General Surgery (4 days), Mental Health (9 days). Of the 15 quality components, five components (page length, destination on discharge, alerts, education, and recommendations) were less than 70% compliant, seven components (GP details, problems/diagnoses, investigations, examination findings, medications, adverse reactions, and plans/services) 28-39 (70-97.5%) EDS were compliant, and for three components (medical officer, encounter summary, and medical history) 40 (100%) of the EDSs were compliant.Conclusion & Significance: Mismatch between value of timely and quality production of EDSs and education for junior doctors may cost hospitals and patients’ time andmoney.Significant areas of improvement were identified using ACSQHC’s self-evaluation toolkit. Department specific training will give clearer guidance to junior doctors

Biography:

Olatunji Mumini OMISORE obtained B.Tech and M.Tech degrees in Computer Science from Federal University of Technology Akure, Nigeria in 2009 and 2014 respectively. He worked as Software Engineer at HTRDG Computers Limited, Akure, Nigeria in 2010 through 2014 and as Assistant Lecturer in Oduduwa University, Ipetumodu, Nigeria. He has worked as System Analyst at Centre for Information Technology and Systems, University of Lagos, Nigeria. Currently, he is a doctoral student at Shenzhen Institute of Advanced, Chinese Academy of Sciences, Shenzhen, China. He is a member of Nigerian Computer Society, Institute of Electrical Electronic Engineers (Computer Society), and Association for Computing Machinery. His research interests include Computational Intelligence, Surgical Robotics (Automation and Control), and Digital Libraries with specialty in Data and Knowledge Mining

Abstract:

Statement of the Problem: Diabetes is a major health problem that has been found inherent with people of all age groups. As estimated by the International Diabetes Federation in a published report1, 381.8 million of people in the world live with diabetes in 2013, and it has been projected to increase to around to 591.9 million, which is approximately 55% of populationby 2035. Moreover, as one of the top causes of high mortality and morbidity in developing countries, it has impeded the extant purpose of human race. Since medical themes have always advocate earlier detection of diabetes in human as a good medical control, this paper proposes an online procedural model for diagnosis and management of diabetes.

Methodology and Theoretical Orientation: The diagnosis model adopts the fuzzy logic technique to handle imprecise and uncertain information innate with records of diabetes patients. The model was implemented with HTML, Hypertext Preprocessor, JavaScript and XML languages with MySQL taken for backend management. Statistical and sensitivity inferences were drawn from a case study of a dataset from 30 patients, randomly chosen from the patients that were admitted at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, between 1994 and 2013.

Findings: Medical data of different groups of people was considered for the experiment and focus was on patients that are overweight and obese. This was because they could be simply assumed pre-diabetic. On running the raw data through the fuzzy logic system, information of the diagnoses was carried out and result gets displayed on screen. For instance, result of Patient P030 confirms that the patient is normal with a severity level of 23.34%. Statistical analysis carried out on the patients’ records shows that nine of the patients were normal, while twenty one were diabetic. 38% of the diabetic patients had mild cases. The data show that others had either severe or very severe cases. Furthermore, 43.3% of the samples were severely diabetic of which 53.8% are male patients and 57.14% of who were above the age of 54 years. Hence, old people who are old are prone to diabetes. Moreover, sensitivity analysis, computed as (TP⁄_TP+FN)*100%, the proposed system was 73.3% accurate as the diagnosis recorded from the manual method.

Conclusion and Significance: The need for application of artificial intelligence has been perceived in different areas of medicine. This study presents a fuzzy-based online diagnostic model for detecting the level of diabetes in human. The model demonstrates higher values on statistical and sensitivity analysis. Hence, the model responds aptly to changes in the input values from dataset of the 30 patients considered for this study.

Biography:

Bonnie McRae has interest in orthopedics, trauma and sports medicine. She is passionate about the improvement of healthcare through the implementation of virtual clinic models, patient self-care pathways for minor injuries and the use of audits to observe peaks in trauma presentations to hospitals in order to enable adequate resource allocation. She is also involved in the education of junior medical staffs and holds Academic title at Griffith University, University of Queensland and is an Orthopedic Group Tutor for the University of Edinburgh

Abstract:

Introduction & Aim: The tradition model of care of the Orthopedic Fracture Clinic (OFC) is labor intensive, expensive, has poor satisfaction rates from patients and staff and often has minimal impact on management and outcomes of patients with minor injuries. Our aim was to implement a Virtual Fracture Clinic (VFC) in our hospital for the management of minor injuries that is safe, cost effective and improves satisfaction.

Method: All patients presenting to the Emergency Department (ED) with a minor bony injury was referred to the VFC instead of OFC. VFC patient radiographs were reviewed by an orthopedic registrar (patients did not need to attend the hospital for this appointment) and the referral was subsequently sent to allied health (occupational therapy or physiotherapy), discharged to the GP or sent to the traditional Orthopedic Fracture Clinic (OFC) if review of that patient was required.

Results: Over a period of three-month, 634 patients were referred to the VFC instead of OFC. 550 patients (those discharged to GP or allied health) did not need to return to the hospital for unnecessary OFC appointments, which not only reduced the strain on OFC workload, but also was cost effective and improved patient and staff satisfaction levels.

Conclusion: Whilst still in the preliminary stages, we anticipate this service will continue to improve and reduce the workload of both the OFC and the ED for the management of minor injuries. We are optimistic that VFC models will be the way of the future for Australian orthopedic departments.