Day 2 :
Keynote Forum
Adrian Inschuape
National University of La Plata, Argentina
Keynote: K-1 Yongquan: Ethical and methodological aspects of its pilot study
Time : 09:30-10:15
Biography:
Adrian Angel Inchauspe has completed his graduation from Medical Sciences in La Plata University in 1986 and currently is a Surgery Professor in quoted School of Medicine. He is the Surgeon for Dr. Rodolfo Rossi Hospital in La Plata and Dr. Ignacio Pirovano Hospital in Buenos Aires; he develops as Member of the Investigation Department in Dr. Alejandro Korn Hospital, La Plata. He is certified in Laparoscopic Surgery in Aachen and Tubingen Universities since 1991 and in Telesurgery Louis Pasteur University - Strasbourg in 1994, and was chosen for the Argentina National Invention Award in 1998. He is a Teacher in the Argentina Acupuncture Society and Session Chairman of several International Discovery Science and Chinese Medical Congresses, he was proposed as Invited Foreigner Professor in National China Academy of Sciences. He is the Editorial Member and Reviewer in several medical journals; he has been searching about Yongquan resuscitation since 30 years
Abstract:
K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Experimental analytical studies identify the prevention, control and assessment of treatments set up as well as the determination of their efficiency offering; in that way, there are more possibilities than risks during the trial period. That type of study refers to the random criterion in order to measure differences and, in that way, it establishes causal associations which may better determine the intervention mechanism. As inferred by this criterion, control groups would not profit from the benefit of providing a second chance by means of the proposed maneuver during rescue. Such determination leaves those included in the control group deserted to their own ill-fate, adding—consequently—a certain lethal risk, which should basic and advanced CPR fail. In view of this panorama, we tried to find a methodology that should ensure the validation process according to the model presented. Such apparently simple consideration—thanks to the Cohort Retrospective model—manages to efface the high possibility of a “fatal damage”, as proposed by the randomness principle upon a prospective non-intervention group. The scientific methodology that supports the efficiency of the maneuver derives mainly from the sustained increase in survival rates presented in the successive statistics published since its application
Keynote Forum
Thomas Graeme Wright
The University of Western Australia, Australia
Keynote: A case study on how changing management systems and improving health profiles can produce real evidence at work, not just platitudes
Time : 10:15-11:00
Biography:
Thomas Graeme Wright completed his PhD in weight management, hormones and metabolic changes from the University of Western Australia. He published five papers on the research for his PhD. He is the Managing Director of Optimum in a consulting company that works with industry to help create elite workforces and improve the performance of all those at work. He has been at the leading edge of health management and particularly obesity and overweight management in Australia for many decades
Abstract:
This case study is on a large mining equipment supply company in Perth, Western Australia. The purpose of the study was to benchmark the workforce, create performance metrics, implement interventions - based on the data and review the commercial data points and risk profiles. We also had to identify the one health factor that could most impact on the health profile of business. The workforce benchmark (n=123) was; 41.8±12 years, 176±8.5 cm tall, weighs 89±16.8 kg, has a BMI of 28.6±4.7, with 26.8±7.3% body fat, a neck of 40.4±3.1 cm, a waist of 100±8.5 cm and hips of 107±7.9 cm - reflecting a W:H of 0.93±0.07. The average blood pressure was 130±14.3/84±9.9 mmHg and blood glucose level of 5.3±1.6 mmol/L. The self-report questionnaire benchmark: 24% have a positive CHD history, 63% have not had their cholesterol levels checked, 55% could be more active, 38% added salt to their food, 45% ate processed foods - often, 59% have less than 5 serves of fruit and vegetables, 23% indicated that their urine is discoloured, 14% smoke and 14% have >2 standard drinks per day. The company is embarking on a fully integrated program, using a range of modalities and technologies to rectify the risk profiles and link any changes to their business processes. We will report on the outcomes of the first six-month of changes
- Healthcare and Primary Healthcare | Healthcare and Innovation | Healthcare and Technology | Primary Healthcare
Location: Beech Suite
Chair
Adrian Inschuape
National University of La Plata, Argentina
Co-Chair
Thomas Graeme Wright
University of Western Australia, Australia
Session Introduction
Adriana C. Vargas Ojeda
Universidad Autónoma de Baja California, Mexico
Title: Dulce wireless tijuana tool box: An online guide for the treatment of the patient with Type 2 diabetes
Biography:
Adriana Carolina Vargas Ojeda graduated from UNAM as Medical Doctor. She is a Pediatrician from Hospital Infantil de Mexico, UNAM. Later on she obtained her Master’s degree in Educational Management at UABC and a PhD in Educational Sciences at UIA-Noroeste. She became the Dean of the School of Medicine at the Universidad Autónoma de Baja California. She is a Full time Professor and has been recognized as a level 1 Investigator by the National Research System of Mexico
Abstract:
Dulce wireless Tijuana (DWT) is a study designed to evaluate the effectiveness of adapted Project Dulce™ clinical-educational model for the Mexican population, with and without mobile technology, compared with usual clinical care, at improving clinical and self-report outcomes in patients with type 2 diabetes. The results were published in 2016, and were so flattering that the Qualcomm company decided to support a second phase for the development of a toolbox (TBx) as a friendly consultation resource available online. The TBx is the product of the joint effort of a multidisciplinary team composed of members who work in academic, governmental, and non-governmental institutions in Mexico and the United States, and seeks to provide up-to-date information to all health professionals and diabetes promoters, regarding the comprehensive approach of an adult patient with type 2 diabetes. Its purpose is to be a dynamic guide for replicating the best practices used in the DWT study and is aimed at health professionals, health educators, dieticians, health administrators, government agencies and civil society organizations (CSOs), who wish or need to implement a strategy to effectively combat the epidemic of type 2 diabetes through a method or model with satisfactory and proven clinical results. It contains technical manuals, educational videos, surveys, etc. The professional or health entity that decides to follow this replication guide will be able to implement a model of care for patients with type 2 diabetes that integrates mobile wireless technologies, education and community care and has proven to be effective in reducing levels of HbA1c
David Sergio Salas Vargas
Universidad Autónoma de Baja California, Mexico
Title: Risk factors for nonadherence to treatment, and complications in patients with Type 2 diabetes attending a primary care health center in ensenada, México
Biography:
David Sergio Salas Vargas graduated from the School of Medicine at the Universidad Autónoma de Baja California as a Medical Doctor. Later on he obtained his Master’s degree in Public Health at UABC and a PhD in Health Sciences at UABC. He was the Dean of the School of Health Sciences at UABC in Ensenada for almost eight years and now he works as a full time Professor and coordinates the Postgraduate and research studies area
Abstract:
Background: Type 2 diabetes mellitus (T2DM) has a high prevalence in the northern region of Mexico (15.7%). It represents one of the greatest burdens for the Mexican healthcare system. Approximately 75% of patients with T2DM have not reached adequate glycemic control.
Methods: This is a descriptive, cross-sectional study in a convenience sample of 184 T2DM patients attending a primary health care center in Ensenada, Baja California from 2010 to 2012. A structured survey was applied to determine risk factors for non-adherence to treatment, comorbidities and complications of patients with T2DM.
Results: 64% were women average age 58 years. 10% were illiterate and 25% with unfinished elementary school; 22% were active smokers, 77% with a sedentary life and 60% consumes sugary drinks; 42% reported difficult access to the health center due to long distance and expensive bus transportation. The majority (84%) had to buy their medicines. Only 42% carried out the control laboratory exams requested. Nearly 70% had high blood pressure and 44% were not controlled; 46% had dyslipidemia and 68% were obese. Almost 2% of the patients developed retinopathy and/or neuropathy and /or diabetic foot.
Conclusions: It is necessary to develop a more efficient monitoring and control program for patients with T2DM, to reduce comorbidities and complications through reducing risk factors that favors the non-adherence to pharmacological treatment, such as the lack of access to healthcare centers, the need to buy their medicines, and the lack of metabolic control among others
Biography:
Yasushi Kanaoka has completed his graduation from Osaka City University Medical School, specializing in Obstetrics & Gynecology and Gynecologic Oncology, with a Diploma in Gynecology from Osaka City University. Before moving to Osaka City University, he specialized in Electron Paramagnetic Resonance Spectroscopy at the Faculty of Science, University of Tokyo. He was an Associate Professor in the Department of Gynecology, Osaka City University where he continued his research until 2009. He is currently working at the Iseikai Hospital at Osaka City, Japan
Abstract:
Statement of the Problem: Hysterectomy is a standard treatment for symptomatic uterine adenomyosis refractory to conservative therapy. However, most premenopausal women with menorrhagia and dysmenorrhea caused by adenomyosis will not consider hysterectomy if an effective alternative is available. Transcervical microwave adenomyolysis (TCMAM), i.e., transcervical interstitial microwave irradiation, can effectively necrotize adenomyosis tissue and relieve symptoms.
Methodology & Theoretical Orientation: A new transabdominal ultrasound probe attachment was specifically manufactured, to ensure safe insertion of a microwave applicator tip into the uterine wall. Sixty candidates for hysterectomy for treatment of adenomyosis associated with menorrhagia were treated with TCMAM using an attachment for transcervical puncture with simultaneous microwave endometrial ablation (MEA), as an alternative to hysterectomy. Primary outcomes were changes in venous hemoglobin level and uterine body volume before and after treatment. Secondary outcome were the visual analogue scale (VAS) scores for menorrhagia and dysmenorrhea after treatment.
Findings: The newly developed attachment makes transcervical puncture very easy and accurate. At 3 months after surgery, the average hemoglobin level significantly increased. At 12 months, the uterine body significantly decreased to 52% of the volume before treatment. The VAS scores after treatment indicated significant improvement in menorrhagia and dysmenorrhea.
Conclusions: TCMAM combined with MEA reduced uterine body volume and relieved menorrhagia and dysmenorrhea caused by adenomyosis. This strategy is an affordable alternative to hysterectomy for the treatment of adenomyosis
Corneliu Bob
Politehnica University of Timisoara, Romania
Title: A new approach of a specific sustainability model
Biography:
Corneliu Bob has graduated at the University Politehnica of Timisoara,Romania in 1961 and PhD civil engineering in 1971 at the same University. In 1990 he became professor of R C structures and completed his PhD as scientific coordinator at the civil engineering from faculty in Timisoara. From 1996 till 2004 he was the head of the National Building Research Institute, Timisoara. He has also been very active in the Romanian Associations for Civil Engineering as National Association Engineering for Structural Analysis, Bucharest, Romanian Concrete Commission, Romanian Academy of Material Science. Since 1992, he became the member in the permanent committee as a chairman of the IABSE romanian group and member of the SED editorial board
Abstract:
Most of the existing models which evaluate the sustainability performances of construction works are very comprehensive and with high applicability, like: BREEM, LEED, CASBEE, DGNB, SB Tool, CEN/TC350, Green Star, HK – BEAM and so on. In many cases such models show some disadvantages: some of models do not cover all three dimensions; they include a great number of criteria and many of them are difficult or impossible to quantify; the tools are focused manly on entire buildings and they can be applied with some difficulties on other types of construction works and activities.To avoid disadvantages, the author and his collaborators had proposed a new assessment method, called specific model. The main advantages of this method are: covers the three dimensions of sustainability; high degree of applicability; includes only quantitative parameters.
The new approach, presented in this paper, is based on the specific model but instead of the calculation of the sustainability index SI the evaluation take into account the price of each parameter of the tree dimensions and finally the sustainability cost SC is obtained.Using of the new approach for the specific construction works sustainability model some advantages are obtained.
1. The judgement of the sustainability by using of the price of each parameter and finally of the sustainability cost is easier understandably by specialists: the most sustainable solution is the cheapest one.
2. By introduction of the correction of the mechanical characteristics (bending moment, stress and stiffness) the better result of the sustainability is obtained: for the rehabilitation of the Western University Timisoara the coating with CFRP is the most sustainable by analyses with SI and SC, but without assuring the drift limitation condition; after operating the correction of the mechanical characteristics, the most sustainable solution is by using steel profiles, which has been used.
3. Costs of main parameters were taken from Romanian practice. For different zones and countries, specific costs will have to be used
Biography:
Sara Nickerson White is a passionate researcher and evaluator. She firmly believes in the ability of collaborative research and evaluation to make a difference in the lives of children, youth and families. Due to her developed methodological expertise, and her continuous curiosity, Sara has been a successful researcher and program evaluator for over 15 years. She has designed implemented and managed research and evaluation projects for communities and agencies across all Canadian provinces and has managed large-scale national and international research projects. Currently, she is a professor at Humber College in the School of Community and Social Services
Abstract:
Aim of the study: Research questions or hypothesis, and a clear statement of goal of project should be described. Ultimately this work asks: how do we, as practicing care professionals, actively and deliberately do authentic collaboration when working with children, youth and families? By focusing on how practicing professionals purposively develop the deep meaning of what is said (content) as it is said (context), this work explicates ways practicing professionals can improve the quality of care they provide. The goal of this proposed session is twofold. First, to demonstrate the typical absence, yet necessity, of authentic collaboration when working withchildren, youth and families. Second, to detail four phenomenological hermeneutic tactics that can provide a basis for doing the primary language work required to know, do and be authentic collaboration in one’s professional care practice.
Introduction in brief: Description of the problem or a short summary of the issue(s), or a specific clinical challenges or controversy, with relevant background and contextual information must be given. Inspired by the work of Parse (1998, 2001, 2005), informed by theorists such as Heidegger (1962) and Gadamer (1975), and rooted in the interpretive work of van Manen (1990); this work takes on a restructuring approach to client-professional care practitioner communications.
Results: Specific results in summarized form or a brief description of the findings or lessons learned as outcome of the study. Using isolated principles of phenomenological hermeneutics, four ‘tactics’ (de Certeau, 1984) for knowing, doing and being an authentic collaborator are detailed. Each tactic is taken up as a fruitful approach for practicing care professionals to actively
commit to sustaining a negative dialectical relation when being-in-the-world as a PH practicing professional in relation with children, youth and families. By working through case study examples participants apply these tactics to see the promise this approach holds for strengthening the dynamic, self-aware, responsive and ethical nature of care that children/youth/families deserve and that professional practice standards demand.
Conclusion: A brief description of recommended position or approach, or specific recommendations related to the original problem or questions identified should be given. It should be based on the facts in evidence and should be limited to minimal speculation about the significance of the work. Results from knowing, doing and being authentic collaboration in a primary language experience with children, youth and families conclude the session. Outcomes resulting from the application of the detailed PH approach using the four tactics will be discussed. Authentic collaborations with children/yout /families with conflict region lived experiences are the original communicators from which the approach will be detailed
Janaka Sugathadasa
Ministry of Health, Nutrition & Indigenous Medicine, Sri Lanka
Title: Enriching universal health coverage : A paradigm shift from tertiary to primary care in Sri Lanka
Biography:
Janaka Sugathadasa is the Secretary, Ministry of Health, Nutrition and Indigenous Medicine, Sri Lanka. He holds a Master’s Degree in Economic and Social Policy
from the University of Manchester and also a recipient of Hubert H. Humphrey Fellowship offered by the United States Government. He also holds a B.A. (Hons)
Degree from University of Colombo, Sri Lanka. He is a career Civil Servant and counts over 30 years of experience in policy development, public management
and administration
Abstract:
Statement of the Problem: Sri Lanka is a lower middle income country with a population of 21.2 million. It enjoys a per capita income of US$ 4085. Since its independence in 1948, both education and health has been cornerstone in Sri Lanka’s celebrated social democracy. As a result of sustained investment in these two sectors by successive governments, today Sri Lanka’s social indicators rank on par with most of the middle income countries. Sri Lanka offers unique universal health coverage to its population. However, Sri Lanka’s health system encounters significant challenges in view of emerging demographic, epidemiological changes and rising patient expectations. Sri Lanka’s population is fast ageing depriving a possible demographical advantage to local economy. Further, rising non-communicable diseases is a matter of great concern to health and economic planners. In this context, Sri Lanka plans to address emerging challenge by reorganizing its primary healthcare delivery system through integrating preventive and curative care segments of the system. The proposed paradigm shift from the tertiary care to primary care would consists of among others, re-organizing primary level health care, strengthening the primary health care delivery points and improving health surveillance systems. It is expected that the proposed shift would adequately addressing emerging challenges in the healthcare sector and make a significant contribution towards realizing value for money.
Adrian Inchuape
National University of La Plata, Argentina
Title: Traditional Chinese medicine and its protective function over brain - Injured patients
Biography:
Adrian Angel Inchauspe has completed his graduation from Medical Sciences in La Plata University in 1986 and currently is a Surgery Professor in quoted School of Medicine. He is the Surgeon for Dr. Rodolfo Rossi Hospital in La Plata and Dr. Ignacio Pirovano Hospital in Buenos Aires; he develops as Member of the Investigation Department in Dr. Alejandro Korn Hospital, La Plata. He is certified in Laparoscopic Surgery in Aachen and Tubingen Universities since 1991 and in Telesurgery Louis Pasteur University - Strasbourg in 1994, and was chosen for the Argentina National Invention Award in 1998. He is a Teacher in the Argentina Acupuncture Society and Session Chairman of several International Discovery Science and Chinese Medical Congresses, he was proposed as Invited Foreigner Professor in National China Academy of Sciences. He is the Editorial Member and Reviewer in several medical journals; he has been searching about Yongquan resuscitation since 30 years
Abstract:
Needless to say, Acupuncture is actually convoked for supporting Western medicine. Its golden points can undoubtedly help patients during its neurological recovery. After almost thirty years of experience in saving patients at impending death situations and having made numerous contributions on the field, the author herein provides a reasoned survival bio-energetic circuit based on a detailed methodological and functional analysis of the Main Channels and the Wondrous Vessels (Qi jing ba mai) participating in it. K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Experimental analytical studies identify the prevention, control and assessment of treatments set up as well as the determination of their efficiency. Acupuncture K-1 Yongquan resuscitation maneuver is presented not only as a complementary CPR rescuer but as a protective aid for both traumatic and vascular acute brain injury. Current indications of KI-1 Yongquan are not limited to actuarial results in cardiac arrest resuscitations, but it functions as a brain protector in both traumatic and vascular brain injury situations should be included. Although many acupuncturists indicate only standard techniques for bio-energetic rehabilitation, it has not been noticed that they insist with greater emphasis in those specific points to stimulate the sea of marrow (encephalon). Divulgations of K-1 emergency therapeutic possibilities look for its inclusion into critical care protocols, in order to upgrade survival rates in both cardiac arrest and stroke victims. Traditional Chinese medical balancing effect principle can improve cognitive, intellectual and psycho-motor patterns after even severe brain injuries. Beyond the scientific methodology that supports it the efficiency of the maneuver derives mainly from the sustained increase in survival rates presented in the successive statistics published in renowned scientific journals since its application.
Adriana C. Vargas Ojeda
Universidad Autónoma de Baja California | Mexico
Title: Dulce wireless tijuana tool box: An online guide for the treatment of the patient with Type 2 diabetes
Biography:
Adriana Carolina Vargas Ojeda graduated from UNAM as Medical Doctor. She is a Pediatrician from Hospital Infantil de Mexico, UNAM. Later on she obtained her Master’s degree in Educational Management at UABC and a PhD in Educational Sciences at UIA-Noroeste. She became the Dean of the School of Medicine at the Universidad Autónoma de Baja California. She is a Full time Professor and has been recognized as a level 1 Investigator by the National Research System of Mexico
Abstract:
Dulce wireless Tijuana (DWT) is a study designed to evaluate the effectiveness of adapted Project Dulce™ clinical-educational model for the Mexican population, with and without mobile technology, compared with usual clinical care, at improving clinical and self-report outcomes in patients with type 2 diabetes. The results were published in 2016, and were so flattering that the Qualcomm company decided to support a second phase for the development of a toolbox (TBx) as a friendly consultation resource available online. The TBx is the product of the joint effort of a multidisciplinary team composed of members who work in academic, governmental, and non-governmental institutions in Mexico and the United States, and seeks to provide up-to-date information to all health professionals and diabetes promoters, regarding the comprehensive approach of an adult patient with type 2 diabetes. Its purpose is to be a dynamic guide for replicating the best practices used in the DWT study and is aimed at health professionals, health educators, dieticians, health administrators, government agencies and civil society organizations (CSOs), who wish or need to implement a strategy to effectively combat the epidemic of type 2 diabetes through a method or model with satisfactory and proven clinical results. It contains technical manuals, educational videos, surveys, etc. The professional or health entity that decides to follow this replication guide will be able to implement a model of care for patients with type 2 diabetes that integrates mobile wireless technologies, education and community care and has proven to be effective in reducing levels of HbA1c