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

Biography:

Kanittha Rattanakanlaya has her specialty in Surgical Nursing. She has modified hospital flood disaster preparedness instrument based on literature review to best match with Thai context and adopt this instrument to measure flood disaster preparedness among hospitals in the central region of Thailand.

Abstract:

Introduction & Aim: The Thai flood disaster of 2011 has provided impact to various aspects. Hospitals were also hit. The purpose of this study was to propose directions for the improvement and flood disaster preparedness among hospitals in the central region of Thailand.

Method: This study employed explanatory sequential mixed method designs, composed of two phases. In the first phase, survey study had been done among person who were responsible for disaster preparedness of severe, moderate and slight service disruptions in hospitals during the flood disaster in 2011 in the central region of Thailand. The data were analyzed by descriptive statistics. In second phase, semi-structure interviews were conducted with fifteen key informants who were involved in disaster preparedness. The data were analyzed by content analysis.

Result: Twenty-four hospitals had participated in this study. Qualitative findings were used to further explain related issues. The researcher proposed directions for the improvement of hospitals flood disaster preparedness as related to the Ministry of Public Health regarding policy. Hospital experienced severe and moderate service disruption were also suggested to improve aspects of surge capacity, organizing staff/ equipping supply and equipment, exercise and evaluation/ improvement.

Conclusion: The results of this study bring about improvement on hospital flood disaster preparedness to be used to upgrade it in the future.

Biography:

Hissa Mohammed has completed BSc in Diagnostic Radiography from Queen Margaret University, Edinburgh. She is the Radiology Technical Supervisor in NCCR, a National Center for Cancer Care and Research in Qatar

Abstract:

Background: Autism Spectrum Disorder (ASD) characterizes as a mental disorder. According to Johnson et al. ASD is a developmental disorder of the brain that associates with impairments in social interaction, communication, and repetitive patterns of behavior, controlling their behaviors is usually challenging especially in hospitals. Johnson et al. show that children may become anxious in health care setup because of new faces of HCPs making them uncontrollable. Attending to such children would, therefore, need an experienced staff with good communication skills. Radiographers have a responsibility of ensuring smooth and effective communication with their patients to obtain a successful imaging. Mettler et al. present a research done in 2007 indicating that the amount of patients exposed to radiation has increased to a similar level to that of background radiation. It means that radiographers have failed in their responsibility hence putting the ASD children at more risk.

Aim & Method: The objective of the research herein is to evaluate the efficiency of effective communication between radiographers and autism pediatric patient as a tool to reduction of radiation exposure. The study involves a qualitative research with two groups (n=10, 5 radiographers and 5 mothers to ASD children).

Results: The questionnaires were analyzed by 5 data analysis software, STRATA. In results, mothers disclosed how their children behaved in different environments and what makes the children calm while radiologists expressed the challenges they face especially during imaging and gained strategies from mothers’ experiences.

Conclusion: Good communication leads to easy and effective imaging procedure and thus, reduction in radiation dose in ASD patients.

Biography:

Julie Tay has joined Align Technology as Vice President and Managing Director for Asia Pacific in March 2013. She is responsible for Align Technology’s market development and operational execution of all Align Technology products and services in the Asia Pacific region. She has more than 20 years of experience in international management of various segments including consumer healthcare, medical devices and chemical businesses across Asia. Prior to Align Technology, she was Regional Head of Bayer Healthcare (Diabetes Care) overseeing operations across Asia where she grew the business into a sustainable and profitable operation in three years. Prior to Bayer, she spent 15 years with Johnson & Johnson Medical where she was instrumental in establishing the LifeScan franchise and in successfully launching the SmartScan, One Touch Ultra, and One Touch Horizon brands within Asia. She holds an MBA from Curtin University of Technology, Australia and BA degree from the National University of Singapore.

Abstract:

The innovations that distinguish Invisalign from traditional wires and brackets aren’t really about plastic aligners vs. metal braces – they’re about an analog vs. digital approach to treatment. As digital technologies have emerged, we’ve leveraged them. 3D design and 3D printing, digital scanning to digitize physical forms, data mining and complex algorithms, the internet, social media – over the last 20 years we’ve harnessed these and other technologies to create an end-to-end digital process.

Digital imaging: iTero scanner combined with Invisalign Outcome Simulator for best digital imaging and data capture plus chairside visualization of treatment outcome for patients;Ensuring you are moving exactly what you want and helping determine best treatment path

Broad treatment applicability: Treatment options for simple to complex (limited stage and comprehensive) and for patients of every age with features designed especially for teens and kids (mandibular advancement, palatal expander)

Better predictability: Patented Smart Track aligner material is designed for optimal control of tooth movements and on average enables faster treatment than braces.Smart Force attachments and features designed into the aligners deliver the precise forces when needed to achieve more predictable tooth movements. And Smart Stage technology, programming each tooth movement in a certain sequence, at the right time to achieve optimal outcome.

Progress tracking: During and after treatment with iTero scanner apps to compare tooth movement to plan or previous scans.We’ve invented a digital process for orthodontics that uses clear aligners – and we believe it will be the standard for moving teeth in the future. A digital process that delivers advantages in terms of better treatment planning and visualization and great outcomes, but also a better patient experience.

The Digital Advantage

• A better appliance
• Better tools for doctors
• A better experience for patients
• A Superior Material

Biography:

Joyce Sibanda is presently a PhD student in the University of South Africa. She has expertise in improving the wellbeing of populations in need as Nurse Practitioner. Her vast experience in clinical practice, training institutions and non-governmental organizations including humanitarian organizations has made her to focus on research which has seen her presenting and publishing scientific papers at multiple international conferences. Her interest in research has made her outstanding and open minded on public health issues and thrives to formulate a community-based model to enhance access and utilization of primary health care services by children living in child-headed households in the rural communities.

Abstract:

Background & Aim: Tuberculosis remains a major challenge exacerbated by the advert of drug resistant strains. Since the past decade, Swaziland experienced progressive decline of TB case notifications contrary to the World Health Organization estimates. Currently, HIV prevalence is 27% which is highest worldwide, co-infection of TB/HIV is at 70% and mortality rate for drug sensitive and drug resistance is at 14% and 18%, respectively. In 2015, case detection was 59% which denotes 41% missing TB cases. The Swaziland TB program envisaged introduction of active case finding strategy complimenting passive case finding. The principle aim was increasing TB case detection to reduce the infectious pool and negative outcomes.

Methodology: Consultative meetings with stakeholders were held to develop community-based strategic framework. In-depth interviews were conducted with region administrators and eight focus group discussions held with the chiefs eliciting their views. Subsequently, sensitization campaigns were conducted in communities. The chiefs identified an active case finder (ACF) for their respective chiefdoms. 369 ACFs visit households to educate, screen for TB, collect sputum samples for bacteriological confirmation and link TB cases for treatment. Presumptive cases failing to expectorate are referred to health facilities. The principle aim is to reduce the infectious pool and negative outcomes.

Results: Educating communities, screening and collecting sputum samples increased TB case detection from 59% in 2016 to 84% in 2017. Introducing community intervention was complex and cumbersome as different stakeholders are engaged. TB cases are identified, diagnosed and treated early. Traditional leaders as opinion leaders advocates for ACFs in their spheres of influence through positive dialogue resulting in meaningful participation of the community.

Conclusion: ACF increased TB case detection from 59% to 84% in a year. Community involvement cascading to grass-root promotes successful implementation of community-based programs. Engaging community leaders as advocates increases meaningful participation of the community. Planning community-led intervention is cumbersome as different stakeholders have to be engaged for acceptability and ownership. Programmatic decision making can be bureaucratic process and time consuming as processes have to be followed.

Biography:

Imran Aslan has completed his four years Healthcare Education as Emergency Medical Technician at Batman Health Vocational High School between 1996-2000 years. Furthermore, he studied at Marmara University as Industrial Engineer, FHOOW, Germany as Technical Manager Master and Atatürk University as PhD student. Moreover, he has published more than 25 international articles at famous SSCI, ISI etc. indexed journals and also a book named as “Healthcare Management: Optimization of Resources and Determining Success and Performance Factors” has been published in 2016.

Abstract:

Fuzzy logic can quantify and reason linguistic expression having ambiguous meaning. Fuzzy logic can handle this imprecision and uncertainty. This study aims to explain how fuzzy logic can handle that and improve decision making in healthcare. The past studies and current applications of fuzzy logic are chosen as the method of study, as a kind of review and creating future studies. Information about the patient, medical history of patients, physical examinations, results of laboratory tests and results of histological are critical information for accurate treatment of patients. Fuzzy logic has been applied in almost all fields of healthcare such as internal medicine, anesthesia, radiology, electrophysiology, pharmacokinetics etc. for modeling and control of data. Also, remote monitoring systems with a remote monitoring center to take action in the case of distress situation can be used to collect data of patients with insufficient cardiac heart, asthma, diabetes or Alzheimer’s disease etc. through defining walking, running, standing up, setting down, laying, sleeping, cleaning, bathing and exercising daily activities of patients. An eventual short delay, afterwards or pushed the call button in emergency cases can be known by wearable sensors connected to a remote computer as determining heart rate. Complex data acquired from the different sensors can be handled by fuzzy logic to determine human activities in order to provide support for safety, comfort, and convenience through sound classification labeled on a numerical scale. Improving care for elderly people and reducing the healthcare cost can be the main outputs of these fuzzy logic supported systems. Determining the type of disease, or diseased patients, the risk ratio of a disease by a data mining algorithm in constructing a decision support system is the fuzzy logic application in healthcare decision-making. Fuzzy IF-THEN rules are used to estimate the current situation of patient. “If the back pain is severe and the patient is old, then apply acupuncture to certain point for a long time” can be determined by a fuzzy logic application rather than going to a doctor and more than programming skills and true-false statements is required in that case. Bayesian Network (BN), Artificial Neural Network (ANN), Fuzzy Inference System, Genetic Algorithms (GAs), Swarm Intelligence, and Fuzzy Cognitive Maps (FCMs) methods can be used to make more precious choices. Furthermore, service activities are categorized by fuzzy extended AHP (Analytic Hierarchy Process) model that tangibles, reliability, responsiveness, assurance and empathy are priority of service dimensions. Identification activities for building a model for measuring the home anxiety is expected to be measured by these holistic systems as future development scientifically and technologically. Identifying the cancer risk, heart attack risk, kidney disease, birth defects, diabetics’ potential, risk of living after a surgery etc. are future area of fuzzy logic combination of medicine and engineering experts based on current and past health status of a patient.

Biography:

Hanne Helleshoej has many years of experience within the health care field and has held numerous important senior positions including President at the School for Dental Assistants and Dental Care at Copenhagen University, President at University College South, President at the Froebelseminariet, President at the Nursing Professional Diploma Studies at the National Nursing School and President at the Nursing School in Silkeborg

Abstract:

In Denmark, we are facing challenges with meeting the expectations of the new generation in health care education related to variety in teaching methods and personal learning activities and the expectations of the employers regarding the learning outcomes of knowledge, skills and attitude. At my school - The Basic Health Care College of Fredericia, Vejle and Horsens, we therefore have implemented a mutual framework for implementation of effective pedagogy a model called: The Pedagogical Triangle Revisited. In the model the traditional areas that normally constitutes professional learning, namely content, student and teacher are supplemented with characteristics of the connection between contents and teacher, between contents and student and between teacher and student. These new described areas are named: Expertise, Relevance and Relation. In the presentation Expertise, Relevance and Relation will be further described and the connection to meaningful involvement will be established. Finally, the method simulation will be presented as well as different methods for engaging students in distance education.

Biography:

Balachander Govindarajan is on a mission to actively innovate in the melding future of healthcare and IT. Trained in America, as a Cardiologist and Heart Rhythm Specialist, he experienced, contributed and learnt from his roles as a Clinical Assistant Professor with the University of Illinois @ Urbana-Champaign and subsequently as a Specialist Clinician performing hybrid surgical procedures to correct heart rhythm abnormalities. Having always wanted to contribute to healthcare in India, he returned to his home country after a valuable 18 year stint in the USA. Propelled by his drive to attempt innovation in the Foundational Healthcare Infrastructure in India, he formed a start-up to provide a bottom up quality enhancement in the first stop clinical care for patients. He writes and speaks to educate patients through various platforms. Realizing the tremendous opportunity to add value, trust and quality to healthcare through the emerging IT paradigms, he jumped at the chance to collaborate with a pioneering IT company engaged in medical software and hardware innovations, aided by the strength of cloud computing

Abstract:

Digitalization is impacting every aspect of care delivery operations through smarter choices that better utilize time and resources, while allowing providers a greater degree of patient interaction at point of care. Regulatory pressures, emerging technologies and updated patient expectations are pushing providers to incorporate systems and models that can deliver enhanced patient care experience, at reduced cost. The next wave of productivity gains and quality assurance will come from the cross-linked matrix of a complete body of information, rather than from information delivery alone. While the transition requires an investment in new technology and business processes, the tools are rapidly maturing and costs are reducing. By applying relevant technology to every aspect of healthcare management, provider and payer organizations will be able to deliver high-quality care to patients in an efficient and sustainable manner. As a result, the transition from volume to value will be smoother, and organizations will have a much better chance of achieving the results they desire for their patients and their practice. It is time for health economies to evaluate ways to integrate their existing systems with newer digital technologies. This would enable data to merge and generate meaningful, actionable insights, which in turn would drive personalized clinical care and evolve new therapeutic options. Organizations that embrace change will emerge as winners in a world that demands cutting edge clinical care and better patient experience, at reduced cost.

Biography:

Stephen A MacGillivray is an experienced Health Services Researcher who leads the Evidence Synthesis Training and Research Group (eSTAR) within the School of Nursing and Health Sciences, University of Dundee, Scotland. He along with his group aims to advance understanding of the methods, currently used in evidence synthesis and to facilitate innovation in this area.

Abstract:

A key part of the evidence-based health care agenda is the emphasis on systematic reviews of research studies. The method of appraising the quality of different intervention, observational and qualitative study designs in such reviews remains an important challenge and is a skill that is needed by everyone such as those in practice, educators and researchers. This skill workshop will give a rapid and intensive overview of the skills needed and resources available, for critical appraisal of a wide variety of research designs. At the end of the workshop participants will be able to: Explain the importance of critical appraisal; Describe key characteristics of the critical appraisal process; Explain the crucial differences between reporting quality, study quality and risk of bias; Identify a range of tools for assisting in critical appraisal and explains why summary scales should be avoided and an individual question-based approach adopted. It also describes the basic steps involved in appraising: a cohort study, a randomized controlled trial, a systematic review and a qualitative study.

Biography:

Mayumi Hashimoto has been actively involved as a Technical Advisor on Nursing and Midwifery Education System and legal framework for human resources for health in low-middle income countries

Abstract:

Background: The Ministry of Health of the Government of Laos established the Guidelines for the Scope of Nursing Practice in 2007, held national dissemination seminars frequently in 2008 and set up a committee to implement the guidelines in public central hospitals in 2013.

Objective: To explore the effectiveness of the guidelines for the scope of nursing practice for nursing leaders that has been implemented at hospitals in Laos. Method: A qualitative, exploratory, descriptive research design was used. Data were collected through semi-structured interviews conducted with 13 clinical nursing leaders (five nursing directors, five members of nursing departments and three chief nurses) in 2016. Inductive data analysis was performed using a modified grounded theory approach.

Findings: Five categories and 10 sub-categories were identified regarding the effectiveness of the guidelines for the scope of nursing practice. The analysis revealed that clinical nursing leaders faced difficulties in implementing the guidelines at hospitals because of a lack of nursing competency and inadequate understanding of the scope of nursing practice by medical doctors; however, they could cope with the situation flexibly. The implementation process cultivated the nurses’ awareness of the nursing profession as typified by their identity as a nurse, encouraged them to develop their professional way to work, such as by organizing training and meetings by themselves and helped them transform their relationships with medical doctors into professional partnerships. The nursing leaders also described their ideas of professional nursing in Laos. Conclusion: These findings suggest that the guidelines affected not only the scope of nursing practice at hospitals, but also the awareness of nursing leaders regarding the nursing profession and their relationships with medical doctors. Although some difficulties were seen among clinical nursing leaders in implementing the guidelines at hospitals, overall, the implementation process enhanced nursing practice in Laos.

Biography:

Hyunsung Ban is currently an MS candidate in the Department of Clothing and Textiles at Yonsei University. Her research interests include application of emerging technologies to design and product development, functional apparel design for active ageing population and functional, expressive and aesthetic attributes of wearable technology

Abstract:

Recently, there has been a rapid increase in the aging population due to the increase in lifespan of humans resulting from the improvements in living standards and health care technology. Especially, the baby boomers, which currently comprise 15% of the Korean population, will become part of the ageing population in about 10 years and will exert strong influences in many areas of society as the new mainstream. This generation is greatly concerned about health care, especially to prepare for elderly age and their demands of efficient health management are constantly increasing. Owing to this current trend, there is a consistent increase in demand for smart sportswear for health management and improving exercise efficiency, among middle-aged people. Recently, body signal measuring sensors have been implemented in sportswear to measure the body signals of the wearer (muscle activity and heart rate) during exercise and give feedback to the wearer so that the exercise quality can be improved. These requirements and technology have led to the development of smartphone application connected sportswear, which have received considerable attention from middle-aged people. This research analyzes consumers’ needs and explores solutions for the design and product planning of smart fitness wear for middle-aged people that improves the efficiency of walking exercise based on their needs. For this purpose, this study examines the existing researches in literature related to wearable technology and the current development of smart wear technology and conducts in-depth interviews of 6 and survey of 150 middle-aged consumers who exercise by walking. Based on these positive data analyses, we have sign-posted design and product planning for smart sportswear in order to improve the efficiency of walking exercise performed by middle-aged people

Biography:

Tang Phua Hwee is a Pediatric Radiologist with interest in neuroimaging. She has graduated from National University of Singapore and did her basic and advanced radiology training in various hospitals in Singapore. After obtaining her FRCR and Masters in Diagnostic Radiology, she spent 6 months in University of California, San Francisco learning the finer points of pediatric imaging, including pediatric neuroimaging and fetal imaging. She has also done a Mini-Fellowship in Neuroradiology at Cincinnati Children’s Hospital Medical Centre and a Visiting Fellowship at Athinoula A Martinos Center for Biomedical Imaging. She had also completed the Khoo Clinical Scholar’s Program and is currently conducting research on non-invasive methods of tissue assessment as well as optimizing MR imaging for children with her collaborators from ASTAR and Duke-NUS

Abstract:

MRI scan frequently exceeds half an hour and young children have difficulty keeping still for such long periods. Images are non-diagnostic and marred by motion artifact when children or adults move during the scan. Vendors have created ultrafast sequences which propose to be able to scan the brain in a very short imaging time of 5 minutes compared to our standard MRI brain protocol which has an imaging time of 14 mins. In this prospective study, children scheduled for MRI brain underwent both the ultrafast MRI as well as standard MRI protocol. The presence of artifacts on each set of scans for the children were compared across the T1, T2, FLAIR, DWI and SWI sequences in both protocols and statistical significant differences were calculated using chi square test. Out of 30 children, who had MRI brain scan, 13 (43%) of the ultrafast scans were non-diagnostic due to artefact. For the rest of the 17 scans, the diagnoses made on ultrafast scans were similar to the diagnosis made on the standard MRI scans. Artifacts seen on the ultrafast T2 and FLAIR images were statistically significantly more than those present on standard MRI. Time taken to carry out 30 standard MRI brains is 30×14 mins=420 minutes. Time to carry out 30 ultrafast MRI brains is 30×5=150 minutes. Even after factoring time required to carry out supplementary standard brain MRI to supplement the 43% of ultrafast imaging with non-diagnostic MRI=150 minutes + (13×14 minutes)=332 minutes, ultrafast MRI provides time saving compared to standard protocol for all (which is 420 minutes). Ultrafast MRI is effective and saves time even with some scans having artifacts and requiring supplementation with standard MRI brain.

Biography:

Pan Yen-Chu has graduated from Da-Yeh University, Taiwan in Master of Health Enterprise Management. Currently Pan Yen-Chu is working at St. Martin De Porres Hospital as a Chief Nursing Officer in Surgical Intensive Care Unit engaged in clinical management and teaching.

Abstract:

Background: Diabetes is a global, chronic disease that has been recognized as an important health issue in many countries. The prevalence rate of diabetes is very high in Taiwan that poses a serious threat to the health of people. Patients’ physical and psychosocial factors all have an impact on the treatment result. However, this issue has not been extensively discussed in previous research. Aim: The purpose of this study was to investigate the effects of socio-psychological factors on the care outcomes of type-2 diabetes.

Method: The study is a descriptive and correlation design; used structured questionnaires collected data from a large regional teaching hospital located in southern Taiwan. Instruments included a basic information form, Social Support Scale, Chinese version of Perceived Diabetes Self-Management Scale, Chinese version of Patient Health and Depression Questionnaire, Perceived Stress Scale, and Health-related Quality of Life Scale. Data were coded and analyzed using SPSS 22.0 software for Windows. The analysis methods included descriptive statistics, independent-sample t-test, one-way ANOVA, Pearson product-moment correlation, multiple linear regression, and binary logistic regression. The sample consisted of 133 patients. In this sample, women constituted the majority; most patients are married, aged between 60~69, having elementary education as highest level of education, and economically independent. Majority patients were diagnosed of the disease over the last 5~10 years. Results: Results showed that among the diabetes patients, depression was significantly negatively related to social support (r=-0.27, p<0.05), psychological distress was significantly negatively related to social support (r=-0.21, p<0.05), psychological distress was significantly positively related to depression (r=0.85, p<0.01), quality of life was significantly negatively related to depression (r=-0.64, p<0.01) and psychological distress (r=-0.59, p<0.01). Conclusion: Continuous outcome variables were analyzed using regression analysis. Results indicated that depression and economic independence jointly explained 32.1% of variance in the physical aspect of quality of life (27.9% by depression and 4.2% by economic independence). Depression and psychological distress jointly explained 61.3% of variance in the psychological aspect of quality of life (59% by depression and 2.3% by psychological distress). Economic dependence on others explained 3.1% of variance in the number of hospital stays. Depression explained 3.7% of variance in the number of emergency department visits. Education level explained 4.3% of variance in the number of complications. Categorical outcome variables were analyzed using binary logistic regression. Results showed that education had a significant effect on average glucose level over the last year (p>0.03). Depression had a significant effect on both the last HbA1c level (p<.05) and average glucose level over the last year (p>0.03). Results of this study suggest that when providing clinical care to diabetes, nurses should also consider the effects of socio-psychological factors on the care outcomes and provide necessary counseling and treatment of depression to enhance the effectiveness of care.

Biography:

Sung Ming Chi is currently working at St. Martin De Porres Hospital as a Chief Nursing Officer in Surgical Intensive Care Unit engaged in clinical management and teaching

Abstract:

In today's workplace, and individuals are required to meet or fulfill the responsibilities of work or family roles. However, the development and popularization of information technology, resulting in the work and family roles and time of the division of the increasingly blurred trend, although technology can create benefits, but also under pressure. Such as instant messaging and other technologies are all ubiquitous features, coupled with the network system, but also regardless of time and place to transmit messages. Purpose: This study examine the impact of work stress, job conflict and stress effects, and further explore the effect of communication with the instant messaging software using intelligent mobile devices to work with job stress and workplace conflicts. Method: This study is intended to pressure theory and work-family conflict model, coupled with the technical pressure to do the relevant factors. The data analysis method was used to model the structural equation modeling, and SPSS and Smart PLS were used as the main statistical analysis tools to verify the causal relationship between the variables in the research model. Results: (1)The work pressure will "positive correlation " affect the work-family conflict(r＝.609, p＜.001). (2)Technology invasion will "positive correlation" affect the work-family conflict(r＝.264, p＜.001). (3)Work-family conflict "negative correlation" affects job satisfaction(r＝ -.541, p＜.001). (4)Work-family conflict "negative correlation" affects family satisfaction(r＝-.440, p＜.001). (5)Work-family conflict will be "negative" affect the physical and mental health( p＜.001). Conclusion: With the development of information technology and network technologies, had to using instant messaging software such as mobile phones after get off work continued, which not change personal life, but also increases the load of work. Correct use of information technology to improve work efficiency, we should also plan after get of work standby mechanism and jobs. It is suggested that enterprises should review their information technology supportive policies to avoid overtime of work and affect the quality of life and the physical and mental health.

Biography:

Alvin Atlas is presently a PhD candidate at the University of South Australia, School of Health Sciences under a scholarship grant from the Capital Markets Cooperative Research Centre (CMCRC) and the Australian Health Service Alliance (AHSA). His PhD research is about understanding the impact of health literacy on the use of elective surgery in private hospitals. Currently, he is affiliated with the International Centre for Allied Health Evidence as a Research Associate/Biostatistician

Abstract:

Aim: Patients require skills and supports to make considered decisions about their health care choices, risks and benefits and possible outcomes. The aim of this scoping review is to describe the range and nature of available research regarding sources of information that patients’ access to inform their decisions about elective surgery. Methodology: The search and reporting were conducted using the adapted framework by Arksey and O’Malley. Six scientific literature databases were searched: Medline, PubMed, CINAHL, Academic Search Premier, EMBASE and SCOPUS; focusing solely on elective surgery information sources oriented to patients. Web searches for grey literature were also conducted in Google, South Australia Department of Health, Commonwealth Department of Health and My Aged Care. Included literature was described by National Health and Medical Research Council hierarchy of evidence and data was extracted on country and year of publication, type of literature, who provided it and any information on end-users. Result: A pool of 1010 articles was reduced to 13 after screening for duplicates and non-relevant studies. Information sources were categorized by type and how information was presented. Face-to-face exchanges were the most likely source of information prior to elective surgery (46% studies), followed by e-learning (23%), printed information (23%) and multimedia (8%). The face-to-face category included information provided by physician/general practitioners/specialists and family and friends. Printed information included brochures and pamphlets, e-learning consisted of internet sites or videos and the use of multimedia included different mixed media format. Conclusion: The information patients used to inform their decision to undergo orthopedic elective surgery is highly variable. Face to face interaction with the medical personnel as the most common source of health information raises some possible issues on information that could be biased and dependent on what healthcare providers choose to share.

Biography:

Chukwudebelu Victor is a Registered Nurse, obtained his Nursing Diploma and Practice License before he moved to Philippines for an academic advancement. He has published many books including research tittles

Abstract:

Immunization is a way of creating immunity to certain diseases by using small amount of a killed or weakened microorganism that causes the particular disease. Child immunization is designed to protect infants and children in the early life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases. In order to improve immunization coverage, factors such as mothers’/caretakers’ practices are known to contribute to the success or failure of the immunization program. A qualitative phenomenological type of research design was employed in the study to determine mothers’ practices before, during and after immunization. The study was carried out in Carlatan, City of San Fernando, La Union. The researchers made use of an interview guide and a small group discussion as a method of accurate data collection tool on 15 participants. The participants were mothers who had children under 1 year old. The study showed that mothers engage in several practices before, during and after immunization such as observing daily routine, relaxation, massage and hot compresses. With regard to practices for their children, mothers’ practices include breast feeding, cooling, use of anti-pyretic and hot compresses. This helped the researchers to draw a conclusion that the participants have good immunization practices. The researchers recommend that mothers should continue to breastfeed their infants before, during and after immunization, mothers should use warm compress instead of hot or cold compress so as to avoid reducing the immunization potency and researchers should conduct further studies on the health benefits of these practices.

Biography:

Kang Meng Feng has graduated from Institute of Information Management in Chung Cheng University, Chiayi, Taiwan in 2017 and received Bachelor of Science degree in Nursing from Chang Gung University of Science and Technology, Chiayi, Taiwan in 2008. Kang Meng Feng is currently working at St. Martin De Porres Hospital as a Chief Nursing Officer in Surgical Intensive Care Unit engaged in clinical management and teaching

Abstract:

The incidence of pressure ulcer is one of the essential indicators of clinical care. Even many scholars and experts have aimed to prevent the adverse event of pressure ulcer, but the high incidence of hospitalized pressure ulcer was unfortunately commonly found in clinical practices. Therefore, identifying the risk factors and implement preventive interventions of pressure ulcer to avoid wound, pain, surgical treatment, prolonged hospitalization, infection, mortality and health expenditure increasing become more critical. We found that the Braden scale, Norton scale, Gosnell scale and Waterlow scale were broadly used for risk evaluation of pressure ulcer. However, these scales were established by the criteria of various patients and applicability or usability of the caring system. In this study, we use three classifiers of data exploration technology includes decision tree, logistic regression, and random forest to create the prediction model for hospitalized patients with a pressure ulcer. A total of 11838 medical records of hospitalization were collected and analyzed in 30 sets of training samples, and following with a 10-fold cross-validation was conducted to verify the performance of these prediction models. The results revealed that the sensitivity of the decision tree, logistic regression, and random forest were 79.94%, 75.81% and 84.48%, respectively. It demonstrated that the random forest has better classification efficiency of constructing a predictive model. We also found that the predictive factors for impaired skin integrity, systolic pressure, poor expression. Basel scale and micro vascular filling time greater than 2 seconds are the most influential risk factors for pressure ulcers. This study provides the critical risk factors to caregivers for patient physical assessment to predict pressure ulcer incidence of hospitalized patients and to implement preventive actions in clinical practice. Overall, these findings enhance the improvement of the medical care quality and service

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: Supracondylar humeral fractures are the most common elbow injury occurring in the pediatric population, accounting for 55-80% of all elbow fractures and 3-18% of all pediatric fractures. They occur most commonly due to a fall from play equipment or furniture. This study aims to determine if any relationship exists between supracondylar humeral fractures and any temporal or injury characteristics. It was hypothesized that an increased incidence of supracondylar fractures would be observed in summer months and on weekends. Method: All patients <18 years of age with an isolated distal humerus supracondylar fracture between 2004 and 2014 were included in this study. Patient demographics and fracture characteristic data were collected. Hypothesis testing was performed to assess for any statistically significant relationship between fracture incidence and temporal or injury characteristics. Patients were then divided based on their management (conservative vs. operative) and hypothesis testing was performed to determine whether any difference existed between the management groups with regards to temporal and injury characteristics. Results: No statistically significant association was noted between fracture incidence and gender, laterality, or day/month/season of injury. Time of injury and presentation to the Emergency Department demonstrated significant results, with highest incidence in the afternoon hours (12:00-17:59). Conclusion: Unlike previous international studies, no significant difference was noted between day/month/season of injury and incidence of supracondylar fracture. This is thought to be likely due to the difference in climate between Australia and other countries.

Biography:

Chridtian Adam L. Espiritu is fourth year medical student from the University of Northern Philippines College of Medicine coming from different undergraduate degrees but with a common interest in pursuing Public Health research. Chridtian Adam L. Espiritu by Dr. Leslie Asuncion a Cardiologist and mentored by Dr. Dalvie Casilang

Abstract:

International students are vulnerable group of students because of several factors including language and culture barriers. With their growing presence, local officials are getting more concerned if their basic needs are met in the community. This study aims to determine the health status of international medical students of the University of Northern Philippines (UNP) as a tool for authorities to develop programs that can provide support for their health needs. The study showed relatively poor physical health, with 57% of the students have Body Mass Index (BMI) which are under or above the normal values. The study shows a high incidence of hospitalization over the last year (13.7%). Thirty-one percent of the respondents reported to have at least 1 chronic, permanent or recurrent illness with eye problems such as impaired vision and myopia (4.8%), as the most reported. The depression level was measured using the Goldberg Depression Screening Test and showed that 52.9% may have depression; 17.8% possibly mild, 5.8% borderline, 12.9% mild to moderate, 10.1% moderate to severe, and 5.8% severe. Finally, the stress level measured using Cohen’s perceived stress test showed 31.7% have low stress level, 57.3% have moderate stress level and 10.4% have high perceived stress.