Euro Health Care and Fitness Summit September 01-03, 2015 Valencia, Spain

Biography:

Veerle Dubuy completed her Bachelors’ degree in Applied Psychology from Howest University for Applied Sciences. Several years later she completed her Masters’ degree in health promotion and her PhD in Health Sciences from Ghent University.Currently she is a Lecturer at Howest University for applied Sciences where she teaches courses in both the field of sports and movement and applied psychology. She has published several articles all on the evaluation of real-world interventions in reputed journals in the area of physical activity promotion.

Abstract:

Background: The increasing rates of obesity among children and adolescents, especially in those from lower socio-economic backgrounds, emphasize the need for interventions promoting a healthy diet and physical activity. The present study aimed to examine the effectiveness of the ‘Health Scores’ program, which combined professional football player role models with a school-based program to promote a healthy diet and physical activity to socially vulnerable children and adolescents. Methods: The intervention was implemented in two settings: professional football clubs and schools. Socially vulnerable children and adolescents (n=165 intervention group, n=440 control group, aged 10-14 year) provided self-reported data on dietary habits and physical activity before and after the four-month intervention. Intervention effects were evaluated using repeated measures analysis of variance. In addition, a process evaluation was conducted. Results: No intervention effects were found for several dietary behaviors, including consumption of breakfast, fruit, soft drinks or sweet and savory snacks. Positive intervention effects were found for self-efficacy for having a daily breakfast (p<0.01), positive attitude towards vegetables consumption (p<0.01) and towards lower soft drink consumption (p<0.001). A trend towards significance (p<0.10) was found for self-efficacy for reaching the physical activity guidelines. For sports participation no significant intervention effect was found. In total, 92 pupils completed the process evaluation, the feedback was largely positive. Conclusions: The ‘Health Scores’ intervention was successful in increasing psycho-social correlates of a healthy diet and PA. The use of professional football players as a credible source for health promotion was appealing to socially vulnerable children and adolescents.

Biography:

Mohamed Ibrahim Mohamed Amer has completed his MD from Ain Shams University and Postdoctoral studies from Ain Shams Maternity Hospitals Ain Shams University School of Medicine. He is the Manager of Early cancer detection and endoscopy unit, Ain Shams University. He has published more than 15 papers in reputed journals and has got Young scientist award in Asia Ociena Federation of Obstetrics and Gynecology AOFOG at TOKYO 2007. He has been a Trainer in many workshops in laparoscopy, Hysteroscopy and Colposcopy. He supervised more than 80 theses of MD and Master Degrees.

Abstract:

Objective: To evaluate the changes in sub-endometrial blood flow and endometrial volume after hysteroscopic lysis of severe intrauterine adhesions (IUAs). Design: A pilot observational study. Forty infertile women with severe IUAs served as their own controls and were included in this study only once, to avoid selection bias. Intervention: Three-dimensional power Doppler ultrasound was performed in all patients 1 day before hysteroscopic lysis of severe IUA and repeated 1 month later, to assess sub-endometrial blood flow [as measured by vascularization index (VI), flow index (FI), and vascularization flow index (VFI)] and endometrial volume. Main outcome measures were sub-endometrial blood flow (VI, FI,VFI) and endometrial volume. Results: There were statistically significant postoperative increases in endometrial volume, VI, FI, and VFI. Sub-endometrial blood flow improved in 14 women (35%) and menstrual improvement occurred in 15 women (37.5%). Conclusion: Hysteroscopic lysis of severe IUAs improves sub-endometrial blood flow, with subsequent increases in endometrial volume.

Biography:

Dania Al-Jaroudi is a practicing REI consultant at King Fahad Medical City, Riyadh, Saudi Arabia. She has completed her fellowship in REI at McGill University, Montreal Canada, in 2004. She has obtained her Masters degree in Health Administration from the University of Minnesota, USA in 2014. She is currently the chairperson of Reproductive Endocrinology and Infertility Medicine department at King Fahad Medical City, Riyadh, Saudi Arabia. She has published more than 12 papers in reputed journals and has been serving as an Editorial Board Member in reputable journals.

Abstract:

Objective: This cross-sectional study aimed to evaluate perceptions of nutrition and healthy lifestyle among women in Saudi Arabia. Research methods & Procedures: Between May and October 2012, 1000 women attending preconception or antenatal clinics at King Fahad Medical City, Riyadh, Saudi Arabia, completed a voluntary questionnaire regarding eating habits, nutritional intake and physical activity. Results: The majority of participants were Saudi Arabian (95%), married (97%) and pregnant (73%). The mean weight of participants was 75 kg. Forty-five percent of participants consumed three meals per day, 70% did not eat breakfast, 48% ate dessert every day, 74% did not partake in any exercise and 62% took vitamins. Only 54% of the participants read the ingredients on food labeling. The majority (78%) of participants believed that pregnant women were required to double their food intake and 59% did not think that pregnant women had specific dietary requirements. Fifty-nine percent of the participants also believed that a healthy diet consisted of regular meals of fruit, vegetables, proteins and grains and 60% believed that the five food groups were fat, protein, grains, dairy products and fruits and vegetables. The vast majority (98%) of participants wanted to learn more about healthy eating and lifestyle habits. Conclusions: The majority of women who attended the preconception or antenatal clinics both required and wanted further education on healthy living, particularly around food choices and exercise. Providing women with prenatal education regarding health and nutrition could potentially improve their child’s future nutritional status.

Biography:

Slavko Rogan (MSc) is a Lecturer and Research Scientist in the Department of Health at Bern University of Applied Sciences. He has a background in osteopathy, physiotherapy and further adult education. He works in the fields of geriatrics, musculoskeletal disorders and sport science. In 2010 he started his PhD track as external student at Maastricht University, working on a project studying, training with whole-body vibration and virtual games, and considering their effects on physical performance on an elderly population in need of care. Currently he is in the final stages of his Doctoral thesis.

Abstract:

Movement therapy, strength training and physical activity are essential components in promoting health, improving function and extending independence in elderly individuals. Effects of exercise and physical activity demonstrate valid evidence, at least for short-term effects. It should be noted that elderly individuals’ biological age appears different forms. Therefore, in order to plan individual therapy, one must first assess what the physical functional capacity is and which structures are responsible. Due to the different forms of physical and mental functions in any elderly individual, a classification into independent person (Go-Go), needy person with slight handicap (Slow-Go) and person in need of care with severe functional limitation (No-Go) should be performed. Go-Go and Slow-Go elderly individuals can exercise with traditional training regimes, in contrast to the No-Go elderly individuals because of their limited physical performance, among other reasons. Training regime in the No-Go group (especially LTC elderly) should be designed in a way that they can be carried out within a short time frame. These movement therapy and exercise regimes should include specific components of balance, strength and cognition. Slow-Go and No-Go elderly individuals can participate in traditional training regimes, in contrast to the No-Go elderly individuals because of their limited physical functional capacity, among other issues. Stochastic resonance whole-body vibration and video gaming are suitable innovative training methods for skilling up in LTC elderly. This presentation will describe how to classify and how to train No-Go elderly individuals.

Biography:

Dr. Serah Theuri earned her PhD degree in Human Nutrition and completed her Dietetic Internship training from Mississippi State University. She is an Assistant Professor of Nutrition in the Food and Nutrition Program, College of Nursing and Health Professions, at the University of Southern Indiana, U.S.A. Dr. Theuri is a Registered Dietitian and a member of the Academy of Nutrition and Dietetics. She is also a member of the Society for Nutrition Education and Behavior where she is serving in the Division of International Nutrition Education as chair. Her research focuses on food access, obesity, nutrition assessment and intervention among underserved populations.

Abstract:

Poor access to affordable and healthy food compel households with limited resources to stretch their food budget by purchasing inexpensive, high-calorie foods. Research evidence indicates that low-income and food insecure households are vulnerable to obesity and obesity related conditions due to factors such as limited resources, lack of access to healthy and affordable foods, greater exposure to marketing of obesity-promoting products and limited access to health care. This study examined chronic disease risk factors among low-income adults, while providing individualized nutrition education at the University of Southern Indiana (USI) Community Health Center in Evansville, Indiana, U.S.A. This session will present the preliminary results obtained from anthropometric (weight, height, body mass index), dietary habits (weekly consumption of eight food groups to detect foods high in total fat, saturated and cholesterol) and clinical data (total cholesterol, LDL, HDL, fasting glucose, glucose A1C, blood pressure) of the study sample. Findings from this sample highlight the staggering rates of obesity and poor glucose A1C control as significant. Findings call attention to the need to provide sustained nutrition interventions to manage weight and blood glucose. It has been suggested that adults with highest risk for obesity-related complications are least likely to access weight-loss treatments due to lack of awareness or ability to afford the treatment. Research and practice implications will be discussed.

Biography:

Wei-L Hsu is a Clinical Researcher and her research interests are centered on gait and posture in people with movement disorders. She has been involved in numerous human movement research projects, has formulated research studies based on clinical observations and has made a valuable contribution to many research projects. She also continues her clinical practice as a Physical Therapist to bridge the gap between bench and bedside. She has extensive experience in characterizing movement patterns in patients with spinal disease, poor balance control, characterizing muscle strength and analyzing the effect of physical therapy and surgical interventions on movement functions.

Abstract:

Introduction: Postural kyphosis has been reported in individuals with osteoporosis and is potentially improved through exercise-based interventions such as strengthening and stretching exercise. Myofascial release could decrease pain, increase joint mobility and improve posture. Aim: The aim of this study was to investigate the effects of stretching exercise and myofascial release on kyphotic posture in people with osteoporosis and osteopenia. Methods: Thirty-tree osteoporotic and osteopenic women received both stretching exercise of bilateral pectoralis major muscles and myofascial release of left pectoralis minor muscle in a single session. The stretching exercise was performed in hook lying position and the legs were rotated in the opposite direction of the stretched arm. The myofascial release technique was positioned in supine lying with left arm placed at 90∘abduction. Face pain scale for back pain, occipital-wall distance, pectoralis minor length and trunk flexion/extension range of motion were measured before and after intervention. Results: Single session of combination of stretching exercise and myofascial release on pectoralis minor may have immediate beneficial effects on back pain, kyphosis and trunk mobility in older adults with osteoporosis and osteopenia. Conclusion: Future studies should investigate the long-term effects of these intervention techniques.

Biography:

Marek Lankosz is a Professor at the Faculty of Physics and Applied Computer Science at the AGH University of Science and Technology, Krakow, Poland. He is a Head of the Chair of Medical Physics and Biophysics. His scientific activity has mainly focused on XRF microanalysis, X-ray absorption micro-spectroscopy, infra-red micro-spectroscopy. His latest research interest includes application of synchrotron radiation in biological and medical research in relation to morbidities, with focus on tumor, Parkinson disease and Amyotrophic lateral sclerosis. The results of his studies were published in numerous articles

Abstract:

Molecular oncology is in need of the application of structural methods which are capable of monitoring biochemical processes and interactions within the neo-plastic tissues. A sort of elemental fingerprinting of brain tumors could provide a very useful tool assisting the process of diagnosing of tumors in difficult or disputable cases. The purpose of our studies was investigating if concentrations of minor- and trace elements in the malignant tissues can be used for differentiation and/or classification (diagnosis) of brain tumors. The X-ray fluorescence micro spectroscopy (XRF) and total reflection X-ray fluorescence spectroscopy (TXRF) were applied for chemical elemental analysis of brain tumors. The results of analysis were evaluated with the use advanced statistical methods. The samples designed to elemental analysis were taken intra-operatively from brain tumors of different types and with different degrees of malignancy. It was found that S, Cl, Cu, Fe, K, Br and Zn are the most significant elements in the general discrimination of tumor type. Studies including the imaging of the areas containing calcifications in brain tumors showed that the high level of Ca was accompanied by the increased level of Cl, K, P, S and Zn. Increased levels of iron, zinc, bromine and rubidium in the wall of the blood vessel were observed as well as slight penetration of these elements into the tissue surrounding the vessel. The results obtained showed that the elemental composition of a relatively small fragment of homogeneous tissue represents satisfactorily the biochemical signature of cancer.

Biography:

Vanessa Pepino graduated in Physiotherapy from the Catholic University of Campinas- PUCCAMP (2002). She received Post Graduate in Osteopathy by Osteopathy School Madrid (2003-2007). She is mainly involved in the formation of RPG (Institute Philippe Souchard-2003) and other manual therapy methods, focusing on adults, children and babies. She has obtained Master in Sciences with the concentration areas on Child and Adolescent Health - Science University of Campinas, UNICAMP, São Paulo, Brazil (2013). She is currently a PhD Student of the Program in Child and Adolescent Health, Science University of Campinas, UNICAMP, São Paulo, Brazil.

Abstract:

Preterm infants are exposed daily to number of stressors in the neonatal intensive care unit inherent to the critical care they need to survive. It has already been shown that this exposure can affect its development, language, social-emotional and adaptive-behavior. Tactile stimulation sometimes associated with kinesthetic stimulation has been the object of clinical studies since the 1960s and is used in preterm infants along with the standard clinical treatment. Tactile stimulation has advantages of being non invasive and a relatively inexpensive technique; generally some kind of benefit such as faster weight gain, shorter hospital stay and better behavior, among others, was reported by studies that used this technique in preterm infants. Tactile stimulation seems to represent a potential tool to improve pre term health. The differences and similarities between the methods were reviewed in clinical trials and were highlighted in an attempt to improve the methodological quality of future trials.

Biography:

Simin Taavoni completed her B Sc and M Sc in Midwifery and Medical Education; PhD in Medical Education from the Faculty of Medicine, Tehran University of Medical Sciences. She is currently working as a Senior Lecturer and Researcher at Iran University of Medical Sciences (IUMS) and Research Institute for Islamic and Complementary Medicine.

Abstract:

Aim: To assess frequency and severity of PMS in Medical Sciences University Students in Tehran. Materials & Methods: In this cross sectional study, 571 unmarried volunteer medical students, with age 17-34 years, who accommodated in dorms of one of Medical Sciences University in Tehran, were involved after filling in informed consent. Tools of study had three main parts of socio-demographic, 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and Visual Analog Scale (VAS) for assessing severity of premenstrual symptoms. All ethical points were considered and approved by Research Ethics Committee of Tehran University of Medical Sciences. (2012- 2013) Results: Average of age was (21.63 ± 2.63) years. 89.2% had experience of PMS. Most prevalent symptoms were, decreased interest in usual activities (85.4%), affective liability (83.8%), irritability (81.4%), lack of energy (76.3%), depressed mood or dysphoria (71.7%), concentration difficulties (68.4%), physical symptoms i.e. breast tenderness, bloating (62.3%), anxiety or tension (60.7%), marked change in appetite, overeating or food cravings (57.5%), feeling overwhelmed (53.1%), hypersomnia (58.6%) or insomnia (39.9%). Conclusions: Due to high rate of PMS in Medical Sciences students, who lives in dorms, it is necessary to conduct a study for finding its associated factors, also finding safe method for prevention and solving this problem too.

Biography:

Maria del Rosario Davalos Gamboa, has a PhD Doctorate from the University of Saint Francis Xavier, Bolivia and a specialty in Clinical Biochemistry and Immunology, was director of the Research Institute of the Faculty of Dentistry of the UMSS, published 9 products in reputable journals, has a cosmetic manufactures oil and activated carbon and is a professor at the Universidad Mayor de San Simon Cochabamba, Bolivia.

Abstract:

Background.-Although measles is a highly infectious disease, the live measles vaccines provides protection for ever 20 year, and immunity may be lifelong this study assessed measles seroprevalence in school children in the Cochabamba region of Bolivia. Methods.- A seroepidemiological survey of measles immunity in 5-16 year old schoolchildren (n=441) living in the Cochabamba region of Bolivia was performed in march and april of 2010, representative regional samples of school children from 14 schools were obtained a parent- administered questionnaire collected sociodemographic and tested for measles antibodies using and enzyme-linked fluorescent antibody test. The measles prevalence and corresponding the ANOVA or the kruskal-wallis test according to whether the data were distributed normally (Kolmogorov- Smirnov test p. value  0.005) plus the chi- square test of fishers exact test a needed. Results: The global seroprevalence of measles was 69.61% (95% CI 65.32-73.90and was higher in adolescents (84.16%, 95% CI 77.04- 91.28) and Spanish speakers (74.74, 95%, CI 68.56-80.92) the seroprevalence did no differ according to socio-economic status, living area, or number of family members in the household. Conclusions: This study found a high prevalence of meals susceptibility in Bolivia children thus, herd inmunity may not have been established, and some outbreak could occur. authorities should redress this situation before endemic measles transmission occurs nationally and regionally, and there is an urgent need conduct more seroprevalence studies in the region.

Biography:

Roxana Gisela Cervantes Becerra graduated from the Faculty of Medicine of the Autonomous University of Queretaro, Mexico. She is a Specialist in Family Medicine and Associate Professor of Family Medicine Specialty in Mexican Social Security Institute, Queretaro, Mexico. She is a Core member of the Academic Medical Specialty Program in Family Medicine integrated CONACYT National Quality Graduate Program.

Abstract:

Objective: To determine the health status of patients 60 years of age or over in Primary Health Care practices using an integral geriatric assessment. Design: Descriptive cross-sectional study. Location: Five primary care units, Instituto Mexicano Del Seguro Social, México. Participants: Elderly patient aged 60 years of age or over, who were seen in primary health care practices. Previously signed informed consent was given, with exclusion criteria being non-completion of the integral geriatric assessment. A technical sample of conglomerates and quota was used. Main Measurements: Medical dimension variables: visual, hearing (Hearing Handicap Inventory for the Elderly), urinary incontinence (Consultation in Incontinence Questionnaire), nutritional condition (Mini Nutritional Assessment), personal clinical history, poly-pharmacy; mental impairment (Mini Mental State Examination), depression (Yesavaje); functional: basic (Katz) and instrumental (Lawton and Brody) activities of daily living, mobility (up and go) and social (social sources scale). The analysis included percentages and confidence intervals. Results: In the medical dimensions; 42.3% with visual deterioration, 27.7% hearing, 68.3% urinary incontinence, 37.0% malnutrition, and 54.7% poly-pharmacy. In the mental dimension: 4.0% severe mental impairment, and 11% depression: functional dimension: 2.0% total dependence of activities of daily living; 14.3% instrumental activities impairment; 29.0% motion deterioration and 48.0% had moderately deteriorated social resources. Conclusion: The health status of the elderly seen in primary health care practices is characterized by independent patients with different grades of alterations in the medical dimensions, low grade in mental alteration, and moderately deteriorated social resources.

Biography:

Paola Tudela was received from medical surgeon at the University of Chile, She was formed in Geriatrics and Gerontology at the University of Concepción and performed at the University Andres Bello Magister Pain Relief and Palliative Care. She is a member of the Chilean Society of Geriatrics. She is director of Geriamedic, pioneering health center in Chile dedicated to geriatric care. She has vast experience in the Public Service, both in primary care, where she served as director of the Office of Maria Pinto, as in secondary care in the San Juan de Dios Hospital, the Geriatric Salvador and Santiago. She has extensive experience in emergency care delivery in the rescue services Help and Mobile Coronary Unit. She has served as Medical Director of the Nursing Home Villa Padre Hurtado, an innovative integrated model in eldercare. She has published several scientific articles on aging and care of the elderly and presented his experience in international medical congresses.

Abstract:

The Village of Elderly Priest Alberto Hurtado Foundation is a residence of long stopover with a gerontology orientation helping to the healthy aging, the majority of their guest live in an individual dwellings protected system, which permit them to maintain their autonomy. This Elderly Village also have with a clinical area that permits the hospitalization of the persons that require it. Key words: Geriatrics, gerontology, healthy aging, protected dwellings, residence of long stopover.

Biography:

Sunitha Srinivas graduated with a Bachelor of Pharmacy in 1992 and began her career as a lecturer in India. After completing her Masters degree in Pharmacy, she returned to academics. She then accepted the position of Deputy Director, Drug Information Center in Karnataka State Pharmacy Council which soon led her to opportunities in the area of public health. After being trained at an intensive World Health Organisation international courses, she was nominated as the Technical Coordinator by the Delhi Society for Promotion of Rational Use of Drugs, to initiate and manage the provincial India- WHO Essential Medicines Program, Karnataka from 2000-2003. While managing the WHO program, she underwent further training in various international courses in relevant areas of rational use of medicines. As the first global recipient of the scholarship from the Pharmabridge program- an International Pharmaceutical Federation (FIP) sub-group initiative- she was trained by the University of Wisconsin Hospital and Clinics, Pharmacy department, Madison and St. Louis College of Pharmacy, Missouri, United States of America. She also worked briefly as a consultant on a World Bank project in Karnataka Health Systems Development Project in conducting the medicine indicator use study in the public sector hospitals in Karnataka .

Abstract:

The Countdown to 2015 Accountability Report for Maternal, Newborn and Child Survival identified 74 priority countries with a high level of the maternal mortality and South Africa featured on the list. The maternal mortality ratio is 140 per 100,000 live births in South Africa when compared to the global and regional average of 210 and 500 respectively. This is a concern because despite being a middle-income country, being less dependent on foreign aid, having a stable macro economy and allocating 8.8% of GDP for health, the maternal health issues are high in South Africa. This research focusses on maternal health in a resource constrained rural setting, with a special focus on Adolescent pregnancy. Compared with older women, adolescents have an increased risk of maternal death and also adolescent pregnancy negatively impacts development of young women physically, emotionally, socially, economically and with regards to their education. Hence adolescent targeted maternal health promotion strategies with the support of two Non-governmental organisations has been the focus of this research. As a community based participatory research project, this first time collaborative partnership since 2011 involves the Faculty of Pharmacy and Community Engagement Office of Rhodes University with a NGO. During the baseline phase of this study, ten focus group discussions (FGDs) were conducted with 76 community stakeholders. Semi-structured interviews (SSIs) were conducted with two Sisters-in-Charge from each Primary Health Care (PHC) facility in the study setting. Data on the stock status of World Health Organization (WHO) identified lifesaving priority medicines for women’s health was also collected at both PHCs.

Biography:

Nawab Qizilbash, MBCh MRCP BSc MSc DPhil (Oxon) trained in Clinical Geriatrics and Epidemiology at Oxford University. He is the Head of Oxon Epidemiology Ltd., a scientific/operational full service provider of Pan-European observational studies and registries to the pharmaceutical industry, with offices in London and Madrid. He is also Honorary Senior Lecturer in Pharmaco Epidemiology, London School of Hygiene & Tropical Medicine and Member of the ENCePP Steering Group at the European Medicines Agency, London. Previously, he was Director of Epidemiology at GSK and Honorary Consultant Physician at the Radcliffe Infirmary, Oxford.

Abstract:

Background: Dementia and obesity are huge public health issues and it has been proposed that obesity in middle age may lead to dementia in old age. Objective: To investigate the association between body mass index (BMI) and risk of dementia. Methods: A retrospective cohort study using routine UK primary care data from the Clinical Practice Research Datalink. The study population included people aged 40 years or older with a first BMI recording between 1992 and 2007. Follow-up was from first eligible BMI reading until censoring at earliest of: practice’s last data collection date, patient death/transfer out of practiceor first record of dementia. People with a prior record of dementia were excluded. Incidence rates were calculated using Poisson regression. Results: The study population included 1,958,191 people with mean baseline age of 56 years and median follow-up of 9.1 years. Dementia occurred in 45,507 people, a rate of 2.4 per 1,000 person years. Compared to normal weight people, those underweight (BMI<20 kg/m2) had a 34% excess risk of dementia (95% CI 29%-38%). The dementia risk decreased for every increasing BMI category: from overweight (BMI 25-29.9 kg/m2) with 18% lower risk (95% CI 16%-20%) to the very obese (BMI >40 kg/m2) with 29% lower risk (95% CI 22%-36%). These patterns persisted throughout two decades of follow-up, after adjustment for potential confounders and allowance for the J-shape of BMI with mortality. Conclusions: Being underweight in middle and old age carries an increased risk of dementia over two decades. We contradict the hypothesis that obesity in middle age may increase the risk of dementia in old age. The reasons and public health consequences of these findings require further investigation.

Biography:

Ljiljana Gvozdenovic has completed her MD and PhD from University of Novi Sad School of Medicine. She specialized in the field of Anesthesiology and works at the Clinical Center of Vojvodina. She is a full time Professor at the Department of Surgery, School of Medicine in Novi Sad. She has published over 300 research papers and 22 monographies. She is a Co-author in 6 medical textbooks and Editor of a Serbian medical journal, “Medicina Danas”. She is a Member of the European Society of Intensive Care Medicine, European Association of Trauma and Emergency Surgery and Serbian Academy of Medical Sciences.

Abstract:

Introduction: Patients who misuse alcohol may be at increased risk of surgical complications and poorer function following hip replacement. The goal of this study was to determine whether neuro-cognitive function is impaired after non-cardiac surgery during general anesthesia in older patients with a history of alcohol abuse. Methods: Prospective study included 220 patients, male and female, triaged into three groups, with ASA levels I-IV. Subjects 55 years of age and older, with self-reported alcohol abuse and age-, sex-, education-matched non-alcoholic controls were tested using a neurocognitive battery before and 2 weeks after elective surgery or a corresponding time interval without surgery. Verbal memory, visuo-spatial memory and executive functions were assessed. From the total number of participants involved in the study, 135(67.5%) patients belonged to ASA III. Among all patients, 168(84%) patients were chronic alcohol users. Results: Pearson’s χ2 test showed a statistically significant difference in regard to the use of alcohol (χ2=19.220, df =1, p=0.000, p<0.05). Significant three-way interactions (analysis of variance) for visual immediate recall, visual delayed recall, semantic fluency, phonemic fluency and the color-word stroop test implied that cognitive performance in the alcoholic group decreased after surgery. Conclusion: In the study by Mason SE, which involved 255 elderly patients that were post-operatively admitted to the intensive care unit following a major abdominal surgery, development of POCD was two times greater in urgent cases (~ 40% of cases), when compared to elective interventions. Our results complement the data given by the World Health Organization and results of similar studies.

Biography:

Kamila Julia Regin has obtained the title of Master of Pedagogy at the University of Warmia - Mazury in Olsztyn in 2002, and obtained her Master's degree in Clinical Psychology at the Warsaw School of Social Psychology in Warsaw. Her Professional work is a Clinical Psychologist in health care. Since 2008, she has been working as an assistant at the Faculty of Medical Sciences in Olsztyn. In 2010, she undertook Doctoral studies at the Warsaw School of Social Psychology in Warsaw in 2014 - the opening of a doctoral dissertation and entitled "Analysis of the functioning of psychological and physical development of young deaf people with the recognition of eye coordination functions - planning and development of theory of mind.”

Abstract:

Introduction: The effectiveness of therapeutic interventions is highly determined by social competence of health-care professionals. High level of interpersonal skills is particularly important in mental health nursing, where interpersonal relations are both the integral part and the most important source of the nursing process. Aim: The purpose of the study is to reveal differences in the level of social competence between registered mental health nurses (RMN) and registered general nurses (RGN). Materials & Methods: 150 registered nursing practitioners from Warmia and Mazury region participated in the study. Analysis included data obtained from 94 nurses. Social Competence Questionnaire (SCQ) was used. Results & Discussion: The level of social competence of the majority of studied nurses (3/4) is within an average range (sten 4–7) both in terms of total result and results within individual scales. RMNs have a significantly higher level of social competence than RGNs, with regard to the scale measuring the ability to maintain close interpersonal contact (t = 1,992; p = 0,050). This competence is particularly desirable in the profession of a nurse. Conclusions: To increase the level of social competence of nurses, standards of both undergraduate and postgraduate education should be verified and reviewed.

Biography:

Melinda Asztalos (Hungarian/Belgian) has completed 12 years university education including Master in Kinesiology and Revalidation Sciences/Specialization in Rheumatological Rehabilitation (1999,University of Oradea), Master-after-Master in European Physical Education, and PhD in Sport- and Movement Sciences/Exercise Psychology (2010,Ghent University). As a hired expert, she provided scientific advise for health policy development at the Flemish Health Ministry. Her research and publications explore the various facets of the relationship between physical activity and mental health (particularly stress-related issues). She developed a concept of mindful movement, published in a groundbreaking article (PSE,2012) and created a novel system of human development -The 3M System- that aims for greater kinaesthetic-/self-awareness, and conscious, biomechanically harmonious movements, fine-tuned by an inward focus of attention, which support the recognition of the changeable and the steady aspects of the body-mind connection, thereby facilitating the centredness which fosters physical, mental and emotional health, and personal and professional breakthroughs.

Abstract:

The relationship between physical activity (PA) and mental health (MH) is complex and intriguing, fairly more than the relationship between PA and physical health. While dose-response has heuristic value relative to the physiology of exercise, it fails to account for the cognitive and emotional experiences of the individual who performs the activity. Moreover, PA can facilitate positive MH outcomes (particularly regarding stress-management and mood-elevation) even in the absence of quantifiable physiological changes. Further, there is reason to believe that enjoyment and motivation are key factors in reaching the documented positive MH outcomes of PA participation. It makes a difference whether we move just for fun or because we have to, and how we move is even more a crucial factor. Building on these observations, the concept of mindful movement was proposed as a potential remedy for stress-based MH problems and self-esteem issues. Succinctly, when PA takes the form of mindful movement, one consciously experiences the movements of one’s body and is deliberately present in the moment of the movement, as if one becomes one’s own observer. Mindful movement promotes the experience of the powerful body-mind connection, which allows for greater well-being and life satisfaction, but it also helps clarifying what mindfulness is not. Currently, a cloud of confusion surrounding mindfulness holds the danger of exacerbating mental restlessness in individuals who hunt the wrong goal. Mindfulness is not about getting anywhere else, but about being where you are and knowing it. Thus, mindfulness is not the perfect escape from the hassles of daily living, but rather a way to live more wisely, so that the hassles of daily living do not get the best of us. Understanding this essential truth and the fine difference in meaning without the support of the body-mind connection, is quite a challenge. Hence, the existing risk that a popular trend aiming to promote psychological well-being could bring on more mental and emotional disturbances among the most vulnerable individuals. This oral presentation will take the audience on an exciting journey in the world of mindful movement, from its origins to an ideal future where being consciously present in the body and paying effortless attention to what is within and without, represent the normality, a future in which acceptance, harmony and self-actualization are natural-, rather than utopian features of mankind.

Biography:

M. Pier-Luc Turcotte has completed his occupational therapy undergraduate studies at Université de Sherbrooke and is now pursuing a master’s degree in community health sciences at the Research Centre on Aging of the University Institute of Geriatrics of Sherbrooke. He received scholarships from the Fonds de la recherche du Québec – Santé (grant no. 31662) and the Canadian Occupational Therapy Foundation.

Abstract:

Social participation is a key determinant of healthy aging on which community occupational therapists (COTs) can intervene when working with older adults having disabilities. Despite the universal healthcare system across Canada, disparities exist in older adults’ access to preventive interventions such as those fostering social participation. Moreover, organizational barriers to integrating these interventions were identified by COTs. To our knowledge, no study identified actions aimed at changing COTs’ practice to promote the social participation of older adults. Since it involves community members, healthcare providers and researchers, participatory action research (PAR) is a promising approach to change practices and address health disparities in older adults. A steering committee, including various stakeholders (older adults, representatives of community organization, home healthcare managers, COTs and researchers), will be part of the research and meet at each step of the process. Three group discussions will be conducted with: 1) older adults having disabilities, 2) COTs, and 3) lay workers in community organizations. Photovoice, a type of PAR promoting empowerment and social change through the use of photography, will be used by participants to inform stakeholders. Data from group discussions and photovoice will be analyzed by student-researcher and verified by the steering committee. Following the phase of findings dissemination, stakeholders and knowledge users concerned with the issue will agree on and develop specific action plans. By providing a space of dialogue and tools for concrete actions, this study will help foster change in COTs’ practice aimed at promoting social participation as a mean of healthy aging.

Biography:

Seventeen years dedicated to staff development as a Psychologist in the field of health and as a mediator. Associate Professor, Faculty of Psychology, Department of Personality, University of Valencia. Therapy for children and adults. Family and business mediation. Delivery of lectures and workshops. Author of "business conflict: a guide to provide solutions".I am a member of the International Forum of Mediators, the Word International Mediation, a member of the Delegation of the World Forum of Mediation in the City of Valencia, member of Entrepreneurs from the University of Valencia and the University of Salamanca.. Speaker, author of several books and publications on mediation.

Abstract:

From a neurological point of view, there are hormones in our brain associated with positive emotions. Dopamine is a hormone associated with happiness and serotonin regulates our mood. When a person is physically attracted to another, an activation of dopamine, serotonin increased and production of oxytocin, a hormone that reduces pain perception and increases the emotional connection we have with the other occurs. Disconnecting the amygdala, the part of the brain that are active against negative emotions like fear. The combination of all these elements leads to crush the other. After our beliefs, the way we understand ourselves and understand the world around us, eventually determining if I made a good choice. These are questions necessary to understand the functioning of our brain and human relations. Maybe if we are able to answer these questions we can prevent many interpersonal conflicts. All to indicate that it is not, perhaps a cultural thing, something we have learned. I mean, throughout history we have learned that the best defense is attack, then our amygdala is always on, then it is easier to move quickly to negative emotions. This would explain why we love to hate, why we quickly forget the good times and had to focus on the bad. Our beliefs and values, our sense of self and other, help to create misinterpretations, which with the help of our brain structure will be easier to interpret as a bad response, criticism and attack.

Biography:

Patricia Islas Salinas is a Parasitologist and Bacteriologist at the Autonomous University of Chihuahua. She obtained her Master of Education teaching practice field by the National Pedagogical University and PhD research centered education in the Autonomous University of Chihuahua, Mexico. Her thesis was entitled, the history of health education Mennonite Cuauhtemoc, Chihuahua. She is a full-time Research Professor at the Autonomous University of Ciudad Juarez, Multidisciplinary Division in Cuauhtemoc, Chih, where she teach subjects related to the Bachelor of Nursing, Surgeon and Education. She has participated as co-author of historiography The Chihuahua 1979-2009 National Pedagogical University, co-author of history books Debates II (2014), with chapters on the health history of the Mennonite women and Debates by history IV : education in the art protagonists, institutions and practices in the course of time, (2015), about the art of singing, prayer and Mennonites home remedies. She also serves as a speaker at national and international conferences.

Abstract:

Introduction: This work derives from an ethnographic qualitative research; and its object of study is the health education to persons belonging to the Mennonite culture, as well as these persons’ be- liefs and perceptions on the health-illness process. From the data analysis, a need surges to explore the relationship between the Mennonite users and the nursing staff at the health centers of the coloured community in Cuauhtemoc, Chihuahua, México. Objective: To show the importance of nursing as a health education agent for different cultures. The interaction nurse-patient-family as proposed from the Joan Riehl Sisca nursing model is considered as the central core. Method: Study with a phenomenological qualitative focus. Data were obtained by means of in- depth interviews to nurses and the analysis of the field diaries of nursing students in their clinical practice at the gynecology and obstetrics city hospital. The categories found allowed a description of the participants’ perceptions about treating patients from a different culture. The validation criteria was confirmed by triangulation of the reliability and confirmability data. Results: The analyzed data are shown through two categories: 1) lack of knowledge of the Men- nonite culture and 2) desire to offer holistic care. Conclusions: Students and nursing staff referred that when they achieve an understanding of the Mennonite cosmos-vision, they get a high degree of satisfaction for the offered care and they discover a sense of high self-efficacy.

Biography:

Isabel Fernández is a PhD student at the Department of Sport Sicences of the Faculty of Psychology, Education and Sport Sciences Blanquerna (Ramon Llull University). Assistant professor of the Faculty of Health Sciences at Blanquerna. Practicum management in the Physical Therapy degree.

Abstract:

During adolescence, teens often struggle with their body changes, mood swings and social issues. Preventative healthcare habits should be the corner stone of their health in the future. Recent studies show that in this stage there is a decrease in physical activity (PA) levels, along with high rates of overweight and obesity. Objective. The aim of the study was to assess PA levels and their physical condition (PC) related to perceived barriers (PB) and limiting factors of PA practice in a sample of a teenage population, considering a stratified sample of the dichotomy of being overweight. The secondary aim was to replicate the results depending on the gender. Methods. Cross-sectional study. One hundred and forty three adolescents (46.2% boys and 53.8% girls; median age of 15 years) of Secondary Education (ESO) in public schools of a randomized district (Sants – Montjuich) in the city of Barcelona. Variables assessed were: (a) PC (ALPHA-Fitness); (b) PA levels (Physical Activity Questionnaire PAQ-A); and (c) perceived barriers (Self-Report of Physical Exercise Barriers Questionnaire). Subsequently, the different variables were tested calculating means and standard deviations by the presence of overweight and according to the sex of the adolescents. The means between groups were compared with Student’s t test. Results. After dichotomization of the body mass index (BMI) variable, according to the classification of categorical weight established by the World Health Organization, were grouped into: 1) absence of adolescents with overweight (70.6%, 101 teenagers) and 2) the presence of adolescents with overweight or obesity (29.4%, 42 teenagers). The PC levels of those adolescents who were overweight or obese, tend to be significantly lower (p-value < 0.05) than those who not. Even so, no significant differences (p-value > 0.05) were found between groups for what they mean to the PA levels. Referring to the barriers, those that were related to the body images as well as to the physical and social anxiety were significantly (p-value < 0.05) different perceived by the group of adolescents with overweight; giving to them more importance. The results by sex showed how the PC and the PA levels of males were significantly higher (p – value < 0.05) than the female’s results. As expected, girls gave significantly higher (p-value < 0.05) perception to the barrier of image as well as the score of barriers for fatigue-laziness. Discussion and Conclusions: Significant differences in most results indicate that there is a relationship between being overweight or obese and worse PC levels. The variable sex (being a girl) and body mass index (being overweight or obese) have a significant direct relationship to perceiving major barriers to PA practice.

Biography:

Takako Nakanishi has completed her RN at the age of 21 years from Bell Land General Hospital in Japan, and Certified Nurse in Palliative Care at the age of 40 years from Japanese Nursing Association. She is a staff of Palliative Care Unit in NHOKMCCCC and a lecturer at the Kure Nursing School. As for cancer counseling, she has published one paper in English, and one book for citizen in Japanese.

Abstract:

In Japan, the Cancer Control Act was passed in 2006. Consequently, our center has been proactively conducting palliative care promotions. Concerning health insurance coverage, the “Cancer Counseling Fee” became payable for health insurance remuneration as of April 2010. The cancer counseling fee covers the service provided to patients diagnosed with malignant tumors in an environment with sufficient consideration of their psychological states. Physicians with experience in cancer treatment and full-time nurses with experience with cancer patients collaborate to explain and consult with patients to allow them to select a line of treatment upon full understanding of and consent to diagnoses and treatment methods. At our center, cancer patients are offered cancer counseling in all clinical departments, and an explanation by a pathologist in a pathology clinic plays an important role in performing well-organized cancer counseling. When explaining the diagnosis to patients in the pathology clinic, the pathologist also attends to the patients’ emotions while listening to their anxieties and empathizing with their pain. Patients that accurately understand the conditions of their illness and the treatment’s policies and effects are more likely to consent to the explanation by the attending physician and proactively accept the standard therapy by the attending physician, which increases medical compliance. The combination of the explanation by a pathologist in the pathology clinic and cancer counseling by a nurse can improve the mental disposition of these patients.

Biography:

Dr. Dikeos has worked as teaching fellow at the Department of Social Administration since 1998, while for approximately two years he also taught at the Department of Political Science University of Crete. He was appointed as lecturer at the Department of Social Administration of the DUTH in the summer of 2004. His teaching experience and interests cover Health Politics and Policies, Health Care and Social Policy Management, and History of Welfare.

Abstract:

Health Prevention and Health Promotion via the Lens of Political Science: a private or societal issue?? Health Promotion and Health Prevention are important factors in health care and therefore health care policy, politics and management. They assist in (a) achieving a healthy that is sound and robust life (which is a goal by itself) and (b) cost reduction. However, critique has been raised against health promotion as an individual(-istic) matter as it has to do with personal behaviour and attitudes (excerise, diet, smoking), whereas social issues and choices of political factors (infrastructure, working conditions, access to primary care, spare time enough for exercise, access to information concerning promotion etc) may prevail as causes of illness, whilst these causes are socio-political. Similar points may be raised against health prevention mainly in the form of primary prevention as far as individual(-istic) choices in life-style are under question (possibly leading towards libertarian ideology), and secondary prevention as far as health-care infrastructure and services and accessibility to them are under question. Moving therefore a step further, we need to follow at least two paths of thought: (a) Health promotion and health prevention in view of general social inequalities and inequalities in health in particular (in line with the ‘Black Report’ 1979, ‘Health Inequalities’ Davey-Smith 2003, ‘Inequalities in Health’ Gordon et al) and (b) Health promotion and health prevention in view of more theoretical approaches examining them as matter between libertarian and socialist political theory and argumentation and neo-liberal and social-democratic policy options (in line with J. S. Mill’s classical works, ‘Health Medicine and Society’ by Kennedy and Kennedy 2010, ‘Major Thinkers in Welfare’ by Vic George 2010, alongside key works of Pinker and Titmuss)

Biography:

Kerime Bademli is a PhD, MS is an Assistant Professor of Psychiatric Mental Health Nursing in the Faculty of Nursing at Akdeniz University in Turkey. Having completed a Bachelor of Nursing and Master of Psychiatric Mental Health Nursing at Akdeniz University in Turkey. Kerime Bademli has completed her PhD at the age of 33 years from Dokuz Eylül University. Her research has been focusing on schizophrenia, schizophrenia family, caregiver, psychological stres and coping. She is an experienced nurse academic who has taught at undergraduate and postgraduate levels and has supervised/co-supervised students undertaking master's degrees. From 2002, she worked at the Akdeniz University Faculty of Nursing. She is serving as an editorial board member of three journals of health sciences.

Abstract:

Chronic mental disorders adversely affect patients and their families alike and they have become a major cause of stress. Schizophrenia patients often live with their families and therefore they have a significant part in the care and treatment of the patient. Families of individuals with schizophrenia primarily responsible for the the care of patient. Therefore schizophrenia is stresful not only for patients, but also for family members. Families need information and support for cope with their stresful situation. It was shown that in families of patients with chronic mental illnesses, coping strategies used for dealing with problems while providing care are often insufficient. It was further indicated that effective interventions are needed to improve the mental health status of family caregivers. However, family interventions are applied only when families participate in research and some families can only receive services after the patient is hospitalized. The fact that family interventions are not a part of the practices carried out by healthcare workers has led to the emergence of Family-to-Family Support programs. The family to family support program was a community based structured support program developed by Joyce Burland in 1990 in order to provide peer information and support for the family members. A family to family support program allows emotions, thoughts and information on coping with a family member experiencing a psychiatric disease to be shared. In these programs, volunteeer family members are trained by healthcare workers, and they, in turn, train other family members. During these programs, families can interact with other families in similar situations, evaluate their own lives with a different outlook, and can share their experiences. The program creates an environment for the caregivers where they can share their burden and make recommendations to each other. In the family to family support program, caregivers find the opportunity to express themselves, look into their problems from different perspectives, discuss coping strategies and receive information about the illness. This allows caregivers to cope better with the difficulties they experience. The supportive interaction provided by peer groups makes a positive impact on the individual and plays a protective role against pressure and various stressors. It is reported that with the family to family support program, caregivers have increased levels of knowledge about the causes and treatment of mental illness, can better cope with difficulties experienced, have less negative feelings, increased social support and reduced anxiety about the patient.

Biography:

Abstract:

Background: In order to know the status quo of health care for primary headache disorders in China, questions about headache consultation and diagnosis were included in a nationwide population-based survey initiated by lifting the burden: The Global Campaign against headache. Methods: Throughout China, 5,041 unrelated respondents aged 18–65 years were randomly sampled from the general population and visited unannounced at their homes. After basic socio-demographic and headache diagnostic questions, respondents with headache answered further questions about health-care utilization in the previous year. Results: Significantly higher proportions of respondents with migraine (239/452; 52.9%) or headache on ≥15 days per month (23/48; 47.9%) had consulted a physician for headache than of those with tension-type headache (TTH) (218/531; 41.1%; P < 0.05). Multivariate analysis showed associations between disability and probability of consultation in those with migraine (mild vs. minimal: AOR 3.4, 95% CI: 1.6–7.4; moderate vs. minimal: 2.5, 1.2–5.4; severe vs. minimal: 3.9, 1.9–8.1) and between rural habitation and probability of consulting in those with TTH (AOR: 3.5; 95% CI: 1.9–6.3, P<0.001). Married respondents with TTH were less likely than unmarried to have consulted (AOR: 0.26; 95% CI: 0.07–0.93; P=0.038). About half of consultations (47.8–56.5%) for each of the headache disorders were at clinic level in the health system. Consultations in level-3 hospitals were relatively few for migraine (5.9%) but more likely for headache on ≥15 days/month (8.7%) and, surprisingly, for TTH (13.3%). Under-diagnosis and misdiagnosis were common in consulters. More than half with migraine (52.7%) or headache on ≥15 days/month (51.2%), and almost two thirds (63.7%) with TTH, reported no previous diagnosis. Consulters with migraine were as likely (13.8%) to have been diagnosed with “nervous headache” as with migraine. “Nervous headache” (9.8%) and “vascular headache” (7.6%) were the most likely diagnoses in those with TTH, of whom only 5.6% had previously been correctly diagnosed. These were also the most likely diagnoses (14.0% each) in consulters with headache on ≥15 days/month. Conclusions: This picture of the status quo shows limited reach of headache services in China, and high rates of under-diagnosis and misdiagnosis in those who achieve access to them. This is not a picture of an efficient or cost-effective response to major causes of public ill-health and disability.

Biography:

Pari Shafaei Gholami has completed her MSc in HSE Management from Islamic Azad University Science and Research, Faculty of Environmental and Energy. She worked as an Environmental Health expert in school of public health, Iran University of Medical Sciences, from 2000 to 2015. She has been working as an Expert in Occupational Health Research Center and also in Journal of Iran Occupational Health from 2005 up to now. She is interested in research on health promotion and Health Safety and Environment Management.

Abstract:

Raising concern over health, safety and environmental issues in industries in recent years, has resulted in developing integrated Health Safety and Environment Management System (HSEMS) in many organizations including Iranian petroleum and gas related companies. Yet, there was no study on the level of observation and implementation of these guidelines in these industries; therefore, this study was conducted to evaluate the HSE management system in contracting companies of one of the petro-chemistry industries in Iran. This cross-sectional study was conducted among 14 contracting companies and 483 randomly selected workers during 2013. Data collection tool included two forms, first form was related to HSEMS and the second was related to HSE related activities or indicators by workers. This study showed that HSEMS was established well, which is a reflection of the efficient regulatory monitoring of parent company; however, it was not sufficient for preventing injuries and ensuring health and safety of workers.

Biography:

Sandile Fuku completed his Doctoral studies in Biomedical Technology from the Central University of Technology and is currently a Postdoctoral fellow in the Department of Biochemistry, at North-West University. Currently, his research is on epigenetic regulation in metabolic syndromes, particularly focusing on diabetics and cancer. He has published work in cancer treatment and phytochemistry.

Abstract:

Introduction: CaMKII regulates many pathways involved in the regulation of various cellular and molecular mechanisms that result in myriad health benefits. Exercise is a key activator of CaMKII, and shown to improve many functional activities in individuals who exercise compared with those who do not exercise, however the mechanism involved not yet fully elucidated, which became the objective of this study. Methods: In this study using rats, we investigated various lipids metabolism for both saturated and non-saturated fatty acids in rats that exercised, non-exercised and exercised+KN93 (CaMKII inhibitor). Lipids were analyzed using GC×GC TOFMS. Palmitoleic acid and oleic acid which are mono unsaturated fatty acids known to promote insulin sensitivity and improve glycaemic control were investigated. Levels of the exercise group showed ~2.0 fold increase compared with the non-exercise (control) group. Abolishing CaMKII activity by administration of KN93 significantly decreased exercise-induced palmitoleic acid levels. Oleic acid levels of the exercise group were ~4.1 folds higher than the non-exercise group and followed the same pattern as palmitoleic acid. Results: Lauric acid is a saturated fatty acid, which increases fatty acid needed for better health. The exercise group showed ~ 8.7 fold increase compared with the non-exercise group of lauric acid. The exercise +KN93 group significantly reduced induction by ~2.5 fold compared with the exercise group. On the other hand, myristic acid and palmitic acid which are saturated fatty acids known to increase risk factors of metabolic syndrome. The myristic acid level of the exercise group decreased by ~3.4 fold compared with the control group, whereas the exercise +KN93 group significantly increased by ~4.3 compared with the exercise group. Conclusion: CaMKII can reduce the risk factors of metabolic syndrome and type 2 diabetes.

Biography:

Özlem KaÅŸtan is a PhD, MS at the Anatomy. She is an Lecturer Dr at the department of Child Health and Disease Nursing in the Faculty of Nursing at Akdeniz University in Turkey. She graduated from nursing license. Having completed a Bachelor Master of Medical School Anatomy at Selçuk University in Turkey. Özlem KaÅŸtan has completed her PhD at the age of 36 years from Medical School Anatomy of Gazi University. Her research has been focusing on gross anatomy, blood vessels and nerves anatomy. She is an experienced as academic staff member at the Medical School and Nursing Faculty who has taught at undergraduate levels. From 2000, she worked at the Akdeniz University Faculty of Nursing.

Abstract:

Individuals with schizophrenia are at a high risk for suicidal behavior. Suicide is a major cause of death in schizophrenia. The rate of suicide attempts in this group of individuals with schizophrenia is about 10-15% (Bulut ve al. 2012; Yüksel 2001). Various risk factors were reported to be implicated in suicide in schizophrenia. Suicide risk in schizophrenia is mainly related to affective symptoms, history of a suicide attempt and number of psychiatric admissions (Popovic ve al 2014). Schizophrenia adversely affect individual and causes to disturbance the emotions, thoughts, perceptions and behaviour of an individual. The disturbance of these functions in schizophrenia, together with evidence from post-mortem and neuroimaging studies of volume reduction and functional abnormalities, has implicated the thalamus as a nexus of defective circuits in schizophrenia (Bricman ve al 2004). Structural magnetic resonance imaging (MRI) data have provided much evidence in support of our current view that schizophrenia is a brain disorder with altered brain structure, and consequently involving more than a simple disturbance in neurotransmission.(Carley 1999). Patients with schizophrenia had significantly smaller thalamic areas at more ventral levels. Thalamic size was positively associated with frontal lobe and temporal lobe size. The effects were most marked in the patients with poorer clinical outcome. (Bricman ve ark 2004). A systematic review conducted by Richard-Devantoy et al. (2014) it was reported that patients with a history of suicidal acts showed volumetric reductions in left orbitofrontal and superior temporal cortices, while right amygdala volume was increased, though, these findings have rarely been replicated. Spoletini et al(2001) suggest that right amygdala hypertrophy may be a risk factor for suicide attempts in patients with schizophrenia and this could be relevant for suicide prevention. Brain alterations associated with schizophrenia, may predispose some patients to a higher risk of suicide in particular circumstances. The relationship of clinical symptoms to MRI findings must review, as is the growing evidence suggesting structural abnormalities in schizophrenia. However no firm conclusions can be drawn and further investigations are necessary. Identification of risk factors for suicide in individuals diagnosed with schizophrenia is imperative to improve clinical management and develop strategies to reduce the incidence of suicide in schizophrenia.

Biography:

Abstract:

Concepts. WL%: Percentage of weight loss; % FL: Percentage of fat loss; PNLWF: Participants Who Do not lose weight and fat Simultaneously; PLWF: Participants WHO lose weight and fat. Objective. Assess whether the loss of% and% WL FL in dietary treatment, was affected by gender, age, BMI and assistance to the query. Method. 4,700 consultations were conducted with 670 patients older than 18 years are overweight or obese, in the south-east of Spain, during the years 2006-12. Consultations were held every 15 days, the tool used was a personalized diet and calorie food in the area. Two types of patients: PNLWF and PLWF (91.9%). Results. PLWF, this group consists mostly of women; participants between 25-45 years; attending more than one and a half; overweight subjects. In PLWF, men and those attending a greater number of occasions to the consultation have shown a greater loss compared to women (% FL: 23.0 vs 14.3%, p = 0.000;% WL: 7,7 versus 6.6%, p = 0.020), and those who attend less frequently (% FL: 19.1 vs 7.3%, p = 0.000;% WL: 7.8 vs 2.9%, p = 0.000). Multinomial regression analysis (PNLWF / PLWF) indicates that only attend more than one and a half to the consultation is a factor in the loss, OR 8.3 (95% CI 4.5 to 15.1; p = 0.000). Conclusion. The body fat measurement provides additional information to the lost weight; gender and often in attendance, influences the loss (PLWF); it can be confirmed as a predictor, monitoring of treatment over six weeks.

Biography:

Linda S Pescatello, PhD, FACSM, FAHA, is a Distinguished Professor of Kinesiology at the University of Connecticut. Her Postdoctoral work was conducted at the John B Pierce Foundation at Yale University. She has published more than 120 peer reviewed articles, edited four books and written 10 book chapters. She has been awarded for her research by the American College of Sports Medicine, Association for Worksite Health Promotion, Centers for Disease Control and Prevention and Connecticut Academy of Science and Engineering.

Abstract:

Cardiovascular disease (CVD) is the leading cause of death globally. Hypertension is the most prevalent, costly and modifiable CVD risk factor and hypertensive related-diseases have emerged as the 10th leading cause of death in the world. Exercise is recommended as a key lifestyle therapy for the prevention, treatment and control of hypertension by the Seventh and Eighth Joint National Committees, the American Heart Association/American College of Cardiology Lifestyle Work Group, another American Heart Association scientific statement, the American College of Sports Medicine, the European Society of Hypertension and European Society of Cardiology and the Canadian Health Education Program. An exercise prescription (Ex Rx) is the process whereby the physical activity program is designed in terms of the frequency, intensity, time and type known as the FITT principle. There is considerable variability in the existing professional FITT Ex Rx recommendations for hypertension. The purposes of this presentation are to overview the existing exercise recommendations for hypertension, deliberate reasons for differences in these recommendations, discuss gaps in the literature and address critical future research needs. Last, until future research can better fine tune the nuances in Ex Rx for hypertension, the consensus Ex Rx that can be taken from the level of agreement among the various professional recommendations is for adults with pre-to established hypertension to participate in 30 minutes day-1of moderate intensity, aerobic exercise on most, if not all, days of the week to total 150 minutes week-1 or more.

Biography:

Daniel Naud recently completed a PhD in cultural geography at the University of Montreal, Canada. He teaches Geographic Information Systems at Concordia University, Montreal. Currently, he is a postdoctoral fellow at University of Sherbrooke (Canada), collaborating on the development of the Social Participation Potential Index, to improve health and quality of life of aging populations

Abstract:

Social participation in older adults is positively associated with their health and well-being. With increasing age and fluctuating capacities, the social and physical characteristics of the local environment can help older adults having challenges by providing, for example, support and access to resources. However, local environment can also become a barrier to social participation by, for example, creating insecurity and lacking accessibility to public transportation. As they differ in terms of environmental characteristics, rural, urban and suburban areas can present different facilitators and barriers to social participation. Still, little is known about social participation according to rural, urban and suburban areas, and specifically barriers in social participation and according to gender and age. This study thus aimed to describe and compare older adults’ barriers to social participation, according to environment (rural, urban and suburban areas), gender and age. Secondary analyses were realized from the cross-sectional 2008-2009 Canadian Community Health Survey, “Healthy Aging” thematic, conducted among 5,217 respondents from the province of Quebec. Pairwise comparisons identified significant differences and logistic regressions considered the influence of the environment on the barriers, controlling for gender, age and chronic disease. Some barriers don’t appear to be specific to environments (e.g. too busy, health problems) or are universal (e.g. physical inaccessibility), while others were mostly found in rural (unavailability, 10.5%; transport, 6.9%), urban (not wanting to go alone, 14.3%; cost, 11.2%) or suburban (personal responsibilities, 13.2%) areas. When comparing genders, these barriers are restricting more women than men. In all three areas, transportation problems are increasing with age, reaching 27.0% of the rural population aged 65 and over, while being too busy is a barrier for half the adults aged 45-64. The reference group, i.e. rural women aged 60, with a chronic disease, had 2.7 more chances (odds ratio; OR) to report barriers (p < 0.001), compared to 3.5 and 3.2 in urban and suburban areas, respectively. Personal responsibilities (OR = 1.4) and cost (OR = 1.1) were the most likely barriers for the reference group and schedule (OR = 0.5) was less likely, but they were aggravated in urban (cost, OR = 1.3) and suburban (personal responsibilities, OR = 1.7, and schedule, OR = 0.6) areas. Knowing barriers in social participation according to area, gender and age will increase awareness of decision makers planning for local and regional action strategies to promote social participation in older adults.

Biography:

Dr Erasmus has completed his PhD at the age of 44 years from the University of Limpopo. In his very short research career he has published nine papers in reputed journals and has reviewed papers for numerous journals. As human physiologist his research focus is on the human-medicinal plant interface, with specific emphasis on matters related to reproductive health and chronic diseases of life style.

Abstract:

Healthcare in Africa remains a challenging entity, especially concerning the management of metabolic disorders such as diabetes mellitus (DM). This disorder, that affects almost all body systems, has shown a steady increase in developed and developing countries. However, indications are that more than 80% of diabetes-related deaths occur in low- and middle-income countries. It is furthermore estimated that the number of people worldwide with DM is likely to more than double by 2030. If appropriate interventions are not implemented by this time it is projected that DM will be the 7th leading cause of death. Healthcare providers such as traditional healers (TH) can play a pivotal role in the care of diabetic patients in resource-limited settings. In Africa, socio-demographic and cultural constraints within a predominantly pluralistic approach to disease management emphasizes the social status and importance of TH; in tight-knit rural communities these individuals are perfectly suited to provide healthcare. This is based on the presumption that they have background knowledge of patients in their care that healthcare practitioners in cities and towns are unlikely to ever acquire. Research findings, throughout Africa, indicate that most TH have a clear understanding of this disorder as well as the various remedies that can be employed in its management. Therefore, the role and status of traditional medicine practices should be considered as an important resource in preventative measures aimed at reducing diabetes-related morbidity and mortality.