Day 3 :
- Track 10: Primary Care Nurse Practitioner
Track 11: Public Health Concepts
Track 12: Dental Primary Care
Location: The Oberoi Dubai, Dubai
Chair
Gustavo H. Marin
UNICEN, Argentina
Co-Chair
Nick Richards
SEHA Dialysis Services, Abu Dhabi
Session Introduction
Nasseer A Masoodi
Hamad Medical Corporation, Qatar
Title: Implementing a patient centered care model for chronic disease management at HMC-opportunities, challenges and lessons learned
Time : 09:00-09:20
Biography:
Nasseer A Masoodi is a Senior Consultant and Vice Chair for General Internal Medicine at Hamad Medical Corporation, Doha (Qatar). Prior to his arrival in Qatar, he was a primary care physician at The Villages Health System, The Villages-FL (USA), and Vice President of Health service and Chief Medical Informatics Officer for ACV Inc. Dowling Park-FL (USA). He was a Member of Medical Informatics Committee of American College of Physicians. He also served as a Member of PMC (performance measures committee) of American College of Physicians from April 2009-April 2013. He also served as Associate Professor of Geriatrics at FSU College of Medicine Tallahassee-FL. He is boarded in Internal Medicine, Geriatrics, Hospice and Palliative Care. He received his MBA through University of Massachusetts Amherst (USA) and his Post Baccalaureate Certificate in Clinical Informatics through Johns Hopkins University School of Medicine, USA. He is an Associate Editor of British Journal of Medical Practitioners, Specialist Editor for DynaMed and reviewer for many national and international journals including McMaster University’s the McMaster Online Rating of Evidence (MORE). He has published many research and review articles in peer reviewed journals.
Abstract:
Despite growing recognition of the cost effectiveness of patient-centered care, most of the nations fall short of achieving it and Qatar is no exception. As life expectancy is increasing in Qatar, the number of patients with chronic comorbidities is expected to increase, care for those patients can be challenging especially with the current status of fragmented care. Hamad Medical Corporation (HMC) has been the principal public healthcare provider in the State of Qatar and is dedicated to deliver the safest, most effective and most compassionate care to each and every one of our patients. Management of multiple chronic conditions requires a strong trusting relationship between the care team and the patients. This presentation will shed light on what it takes to initiate the implementation of patient-centered care in ambulatory health care settings for management of chronic diseases at HMC. The findings and recommendations of this presentation are based solely on our effort to design and implement strategies for achieving excellence in patient-centered care in Qatar. Since, Qatar shares significant similarities with rest of the Middle East region; the opportunities, challenges and lessons learned may be of benefit to the audience in their efforts to implement such initiatives elsewhere.
Abraham Mainaji Amlogu
State House Medical Centre, Nigeria
Title: A nutrition-sensitive approach to delay the progression of HIV to AIDS among people living with HIV (PLWH) in Nigeria
Time : 09:20-09:40
Biography:
Abraham Mainaji Amlogu is a Consultant Clinical Pharmacist at the State House Medical Centre, Abuja, Nigeria. He holds a PhD in Public Health Nutrition from the University of Westminster, London. He is an Associate Fellow of the Higher Education Academy in UK, a Fellow of the Royal Society of Tropical Medicine and Hygiene, a Fellow and an Examiner with the West Africa Postgraduate College of Pharmacists. He has published in a lot of international reputed journals and has been serving as an Editorial Board Member of the international Journal of Functional Foods in Health and Diseases.
Abstract:
In 2005, the World Health Organization (WHO) reported complex interaction between nutrition and HIV/AIDS. Evidence highlights that under-nutrition weakens the immune system and in people living with HIV (PLWHIV) in particular, this increases their susceptibility to AIDS. The aim of the study was to ascertain the nutrition-sensitivity approach through a tailored functional recipe designed to attenuate the progression of HIV to AIDS among people living with HIV in Nigeria. Local foods, known for their availability, accessibility, macro and micronutrient strengths were selected and optimized into a nutritional functional meal (Amtewa). 400 PLWHIV (adult males and females; average age 35 years ± 5 SD) were recruited from HIV treatment centers in Abuja, through simple randomization process. The effect of daily consumption of Amtewa meal (354.92 kcal/100g/day) for 6 months was ascertained through the nutritional status indicator (mid upper arm circumference - MUAC) and biochemical indices (CD4 count) of the study participants who were/were not taking the intervention meal. After 6 months, the mean CD4 cell count (cell/mm3) for antiretroviral therapy (ART)-intervention group (n=200) increased by 12.12%. Mean-MUAC (cm) also increased by 2.52% within the same period. On the contrary, there were decreases in control groups (n=200) after 6 months of the study. Mean CD4 count decreased by 14.9% and mean-MUAC decreased by 2.28%. Moreover, Student’s T-test analysis suggested a strong association and synergistic effect between the intervention meal and mean CD4 count in the group of participants on ART (p=0.05). These results ascertained the effectiveness of Amtewa meal on health status of HIV infected subjects and also underpinned its significant position within the National Health Services framework as innovative nutrition-sensitive approach to delay the progression of HIV to AIDS in Nigeria.
Geeta Ahlawat
Pt B D Sharma PGIMS Rohtak, India
Title: Airway management in emergency and trauma patients
Time : 09:40-10:00
Biography:
Geeta Ahlawat is a Graduate and Post-Graduate of Gujarat University, Ahmedabad, presently working as a Professor in Anesthesiology and Critical care, Rohtak, Haryana. She has 26 publications to her credit and her areas of interest are innovations in the field of emergency and trauma, airway management and cardiac anesthesia.
Abstract:
Airway management forms the vital component of treatment for emergency and trauma patients. A timely secured airway for injured patients is directly proportionate to the effectiveness of the treatment provided and hence the outcome achieved. Though a lot of advanced techniques have come up worldwide in this field, many are not available in emergency settings as well as in areas with only primary health care facilities especially in developing countries like India. I wish to correlate the best available options for airway management with primary health care settings in emergency and trauma patients in my talk.
Savita Saini
Pandit Bhagwat Dayal Sharma PGIMS Rohtak, India
Title: Securing airway –Awake
Time : 10:00-10:20
Biography:
Savita Saini is working as a Senior Professor in the Department of Anesthesiology and Critical care at Pt. BDS PGIMS Rohtak, Haryana, India. She completed her medical education from Bhopal University Bhopal, (MP) and joined the Anesthesiology Department in 1986. Since then, she is working with keen interest in all fields of anesthesia especially airway management and obstetrics anesthesia. She has been an invited faculty at various national & zonal conferences and examiner to Postgraduate anesthesia examinations of various universities. She is a member of various scientific societies and has published many scientific publications in various national/international journals.
Abstract:
Airway management is one of the prime responsibilities of anesthesiologist. Secure airway is central to the care of patients during general anesthesia and in ICU. An unobstructed airway is the key for adequate oxygenation. Tracheal intubation on direct laryngoscopy is the commonest and quickest way to secure the airway. However, this may turn out to be difficult or may even fail on certain occasions. Difficulties with tracheal intubation/airway management are important cause of morbidity and mortality. However with advent of supraglottic airway devices (SGADs), the scenario of can’t ventilate and intubate has changed. But still, there are situations which demand tracheal intubations be performed. In such circumstances where mask ventilation is expected to be difficult or there are problems with use of SGADs, securing airway awake is a logical choice. Awaken fibre optic intubation has been considered gold standard and technique of choice for elective management of an expected difficult airway and is tolerated well by the patients. However, this requires expensive and delicate equipment and expertise which may not be available in emergency departments; hence an alternative plan must be available to secure the airway awake. For example, awake use of SGADs and assisted intubation, conventional direct laryngoscopy and use of video laryngoscope. The technique of awaken intubation using flexible fibre optic endoscope/flexible video endoscope requires topicalization of the airway (blocking of main airway reflexes i.e. gag, cough and glottic closure reflexes) and adequate patient preparation in terms of anxiolysis, drying of airway secretions and adequate oxygenation. Local anesthetics are the cornerstone of airway topical/nerve block anesthesia. It is the state of art technique for anticipated difficult airway and must be learnt.
Shanthi Ramasubramaniam
University of Buraimi, Oman
Title: A study on the management of health promoting behavior among adolescents through adolescent friendly centre services approach in a selected private school
Time : 10:20-10:40
Biography:
Shanthi Ramasubramaniam is a registered Nurse and Midwife with Master’s in Maternity Nursing specality (1999). She has completed a Post-graduate diploma in Educational Technology (2008). Recently, she completed her PhD viva voice and currently working as a Clinical Instructor at College of Health Sciences, University of Buraimi.
Abstract:
Aim: The aim of the study is to examine the health promoting behavior among adolescents through the adolescent friendly center services initiated at school campus. This study also wanted to investigate the receptiveness and perception of adolescent friendly services by parents, teachers and adolescents. Methodology: Through the process of Triangulation the research design was formulated and applied to suit the concept of the study (survey, one group pretest and posttest design was used). Data collection procedure: The data collection was done for a period of 9 months in 3 phases. A 5 point likert scale was used to assess the perception and receptiveness of parents, teachers and adolescents on adolescent friendly services at school. The multi-dimensional student life satisfaction scale was used to assess various aspects of adolescent’s life including family, friends, school, environment and self-esteem. The data were collected from 269 adolescents, 160 parents and 21 teachers. Findings: The study reported that students were benefitted by the adolescent friendly services. The students, parents and teachers had positive perception regarding the adolescent friendly services. The students, parents and teachers gave a positive feedback regarding the services. Majority (51.7%) of adolescents perception is that the parent is the suitable person to provide guidance and counseling to them. Parents (76.3%) perceive that Principal/teacher as the best person to provide guidance and counseling to adolescents, while the teachers (71.4%) feel that health care person is the suitable person to provide guidance and counseling to adolescents. The perception of the 3 group of people differs significantly, thus denoting each group has different opinion on the same issue from their own point of view. The results of the study revealed that the component of the MSLSS scale “self” has a significant (at 0.01 levels) difference in the mean scores of the adolescents, obtained before and after the initiation of the adolescent friendly center service at school. Conclusion: The study brings to attention the need for professional counseling and help related to awareness of adolescent friendly services and ways to solve issues regarding adolescent health.
Dybesh Regmi
United Arab Emirates University, UAE
Title: Motivational interviewing- A necessity in medical education
Time : 11:00-11:20
Biography:
Dybesh Regmi is working as an Assistant Professor in the Department of Family Medicine at UAE University. He also holds a faculty membership at the Department of Family and Community Medicine at the University of Toronto. He completed his residency training in Family Medicine at McMaster University. He has been an examiner for the College of Family Physicians of Canada and was a peer assessor for the regulatory body in the province of Ontario.
Abstract:
Primary care is focused on prevention and adoption of healthy behaviors by the general population. A proven effective tool for patient behavior modification that has been utilized is Motivational Interviewing (MI). Compared to the trans-theoretical model which focuses on the stages of change, MI promotes personal desire for change within the patient. Such self-promotion of change is enhanced by the fact that the technique allows the patient to resolve doubts and identify barriers for change. Numerous studies have shown that MI is more effective than traditional method of giving advice to elicit behavior change particularly in weight loss, dyslipidemia and lowering of blood pressure. Furthermore, research indicates that techniques of MI are best taught by workshop sessions by experts who utilize MI within their primary care. The expert clinician asks open ended questions, assesses level of motivation and confidence and then tailors the interview accordingly. Ultimately, the expert determines the structure and direction of the interview, the patient is responsible for the change. Clerkship and residency programs should consider incorporating MI into their communication skills, thus enabling future primary care providers to be effective clinicians.
Majid Zakeri
Mashhad University of Medical Sicience, Iran
Title: Enhancement of gingival wound healing by local application of silver nanoparticles periodontal dressing following surgery: A histological assessment in animal model
Time : 11:00-11:20
Biography:
Majid Zakeri has completed his DDS from Mashhad University of Medical Sciences, Iran and Fellowship in Aesthetic Dentistry from Universita degli Studi di Genova, Italy DISC (2014). He is the Technical Director of Novin Dentistry Clinic affliated to Red Cresent of Khorasan Razavi Province, Iran. He has 3 inventions in dentistry feild: Dentistry Mouth Opener; Nanopack Dressing for Oral Surgery and; Nano Silver Stitch for Oral Operation. He has won silver prize from Seoul Intenational Inventaion Fair 2009 ( SIIF 2009) and special award from Association of Russian House for International Scientific and Technological Cooperation in Seoul International Invention Fair 2009 (SIIF 2009). He serves as a peer rewiever for the British Journal of Medicine and Medical Research and member of International Federation of Inventors Associations (IFIA) Agent in Iran.
Abstract:
Background: The value of periodontal dressing and its effects on periodontal wound healing have been questioned. Besides, the early healing of the gingival and periodontal wounds in oral cavity should be emphasized to promote the treatment outcome. Several studies pointed out a potential positive effect of silver nanoparticles (NPs) on the healing process of skin wounds. Aim: The present work aimed to design silver NPs periodontal dressing and then, evaluated its effects on gingival wound healing following operation. Methods: Thirty healthy adolescent female rabbits were used in this study. They had intact teeth and the clinical and radiographic examination revealed no periodontal disease. Silver NPs were added to carbonate methyl cellulose as base with 2 different concentrations of 25% v/v (Group A) and 50% v/v (Group B). On the basis of simple randomized allocation, gingivectomy was performed at the buccal gingiva of the left and right mandibular incisors and subsequently, untreated wounds in the control area were covered with periodontal pack and periodontal dressings A and B were applied in the test regions. Histological changes were monitored in day 4 and 7 post operation to evaluate the inflammatory and repair stage of healing process. Results: We observed significant difference in the inflammatory and repair parameters of the healing process between surgical sites treated with this periodontal dressing and control group. Besides, wounds treated with silver NPs dressing in general terms had all the hallmarks of relatively complete healing one week post operatively. Conclusion: The results indicated positive potential therapeutic effects for this new formulation of periodontal dressing on acceleration of surgical wound healing that led to the improvement of periodontal treatment consequences following operation.
Pradeep K Jha
Indian Institute of Technology (Kharagpur), India
Title: Micro-macro balance in contraceptive development driven healthcare
Time : 11:20-11:40
Biography:
Pradeep K Jha is a Senior Research Scientist at IIT (Kharagpur) and Visiting Faculty in J P Business School, Meerut. He also served as a Management Consultant of several start-ups like IcubedG Ideas Pvt. Ltd. and SG ArtHeart Pvt.Lt. Has completed MSc (Med Chem), MSc (TQM), PhD in Health Care Management from Gautam Buddha Technical University, Lucknow and EUROMA Summer Post-Doctoral training in Global Operation Management in Hungary. He developed a quality tool for health care industry. His main areas of research are quality Healthcare, Nanomedicine and Biomedical implant. He is Member of WABT France, EUROMA, ISSRF, SAI Professional Societies and Referee of several science and management journals. He has published 15 papers in international journals and presented more than seventy papers at national and international conferences.
Abstract:
Widely spreading inter-disciplinary science demands the need to fulfill the gap of scaling from micro (good laboratory practices) to macro (good manufacturing practices) level in medical/contraceptive manufacturing to achieve ideal healthcare. This article explores a new methodological approach based on information sharing co-ordination for linking the micro and macro-dimensions while pursuing biopolymer based contraceptive development and large-scale research involving it. Current study proposes the rationale of multilevel analysis called ‘Multi Approach System (MAS)’ as one analytical strategy, which deals the above perceptional pattern imbalance with help of ‘Lagrangian Concept’ by simultaneous examination of macro-level and micro-level factors. The use of MAS raises theoretical and methodological issues related to the theoretical model, the conceptual distinction between macro-level and micro level variables, the ability to differentiate ‘independent’ effects, the reciprocal relationship between factors at different levels, and the increased complexity that these models imply. It was found that MAS in combination with Lagrangian method is quite efficient to correlate micro-level (good laboratory practices) and macro-level studies (good manufacturing practices) for novel drug development. This idea of non-holonomic constraint is being implemented in real case example of bioactive polymer contraceptive manufacturing wherein time, speed and operator are three continuously changing parameters and are like wheels of manufacturing that ought to be controlled continuously. This interdisciplinary research will explore the dimension of quality assurance mechanism of medical/contraceptive product and way to implement the interdisciplinary coordination approach for quality manufacturing and continuous quality improvement in healthcare.
Samy Abdel Samad Nasef
Pharos University, Alexandria
Title: The prevalence of musculoskeletal disorders among dentists in Alexandria
Time : 11:40-12:00
Biography:
Samy Abdel Samad Nasef is the Dean of Faculty of Physical Therapy, Pharos University, Alexandria. He is a PhD holder (1993) (channel emission between Cairo University and Indian University, USA). He is the Associate Editor of the Journal of Advanced Research, Cairo University and has published more than 30 papers in conferences and Journal of Physical Therapy, Cairo University.
Abstract:
The purpose of this study was to assess the Musculoskeletal Disorders (MSD) among dentists in Alexandria and to investigate some risk factors that may be associated with the occurrence of MSD. 210 dentists working in the public dental clinics were included in this study. Specially designed questionnaire was used for collection of data that serves the purposes of this study. The majority of dentists (90%) had MSD symptoms. Results showed that the most affected region related to MSD was low back area (53.9%) followed by neck (47.6%), shoulder (33.8%) and wrist (23.3%). Females had higher percentage of MSD (91.8%) compared to males (85.7%). Lower back and neck related symptoms increased with age (p=0.048 & p=0.014), respectively. The mild pain was documented with age while sever pain was shown in old age. Dentists who are specialist in orthodontic and endodontic had the highest percentage of MSD (100%). Logistic regression analysis for the risk factors revealed that repetitive movements of hands were the most leading factor to MSD followed by bending of back and neck. The results illustrate the importance of establishing preventive measures to dentists to avoid MSD.
Gülnaz Karatay
Tunceli University, Turkey
Title: Reproductive health and influencing factors of female student who staying a dormitory of credit and dormitories agency
Time : 12:00-12:20
Biography:
I am a associate professor in Public Health Nursing, in the Tunceli University Health High School in Turkey. I completed my master and doctorate program Hacettepe University Faculty of Health Science in Ankara, Turkey. My academic background and work experience as a Nurse-Researcher has enabled me to develop a range of skills. Accordingly I have been in Prato Hospital in Italy-Florence for 3 months and US-Wisconsin Madison University for 3 months. My research focuses on motivational interviewing for smoking cessation, improving congnitive function of the elderly, prevention of substance use in adolescent period and women health.
Abstract:
Objective: To evaluate reproductive health and influencing factors of female student who staying a dormitory of credit and dormitories agency. Methods: This descriptive type of research was conducted in a dormitory with 465 female students between June 20 to 25, 2015 period. Research data were collected with face to face interview technique using genital health status of female students and ınfluencing factor questionnaires. The obtained data were analyzed on SPSS database using number, percentages and Chi-square significance test. Results: The students whose average age is 1.74+21:42 stated that 60.6% of them take a bath once a week, 41.2% of them change their underwear twice a week, 18.7% of them don’t take bath during menstruation and 47.5% of them use daily pad. It was seen that 72.7% of the students didn’t wash their hands before entering to toilet and 38.5% of them didn’t make their genital area cleaninig properly. In the last one year period when students stay at dormitory, students expressed that 69.7% of them experienced burning and pain while urinating, 72.9% of them experienced the problem of itchy vaginal discharge like white cheese cut, 20.9% of them stated expreincing the problem of foul-smelling discharge with green-yellow color; the majority of students who have vaginal discharge expressed that they didn’t go to doctor. Conclusion: It was seen that the girls remaining in the dormitory had some problems related genital health and hygiene.
Salwan Tariq Al-Ani
UIT Arctic University of Norway, Norway
Title: Symptoms, signs and biomarkers during exacerbations of asthma and COPD in primary care: Which findings are most strongly related to a drop in lung function?
Time : 12:20-12:40
Biography:
Salwan Tariq Al-Ani is a PhD student at the Arctic University of Norway since 2011; he is doing his research about asthma and COPD in primary care as a part time. He is working as a General Practitioner and community medicine Doctor in Fauske Municipality in the north of Norway. During the last 4 years, he published 2 articles about the exacerbation of asthma and COPD from his research and attended many scientific meetings and conferences like IPCRG, GRIN and Nordic congress and presented abstracts from his research in these meetings.
Abstract:
Background: Little is known about the association between lung function and other physiological changes with the clinical course of the exacerbation of asthma and COPD in primary care. The purpose of this study was to describe these changes and the association between them at the time of presentation. Aims: To describe the changes in symptoms, signs and biomarkers during acute exacerbation of asthma or COPD in primary care, and to identify which findings are most strongly related to a drop in lung function. Methods: Patients aged 40 years or more registered with diagnosis of asthma and/or COPD in the previous 5 years from seven general practice offices in Norway were identified, and 1111 patients were invited for baseline examinations. Those included were asked to contact their GPs if they experience exacerbations during the following year. Symptoms, chest findings, CRP, pulse oximetry and spirometry were registered both at baseline and during exacerbations. COPD clinical questionnaire (CCQ) was used to register the symptoms. Results: Of the 376 patients in stable phase included at baseline, 95 patients experienced one or more exacerbation during the study period. Of the 88 patients, who underwent spirometry during exacerbation, the FEV1 had dropped 10% or more in 36 patients (40.9%). Crackles recorded at exacerbation, but not at baseline and a drop in oxygen saturation of at least 2% to 94% or less were the findings most strongly associated with a 10% or more reduction in FEV1. Conclusion: Most respiratory symptoms and chest findings changed during the acute exacerbations of asthma or COPD, but chest signs, together with a decrease in oxygen saturation were much stronger indicators of a drop in lung function than were the respiratory symptoms.
Amna Khalifa Alhadari
Dubai hospital, UAE
Title: Overview of the management of chronic kidney disease (CKD) in adults: The role of pre dialysis educational program
Time : 12:40-13:00
Biography:
Amna Khalifa Alhadari has graduated from Sheffield University–collage of medicine, Nephrology. She is now working as a Specialist Consultant in Nephrology department in Dubai Hospital.
Abstract:
Prevalence of end-stage renal disease (ESRD) has been rising steadily, chronic kidney disease is a silent killer, being silent is responsible for its late diagnosis. When the disease is silent (asymptomatic), it is usually detected by primary health care physician on routine testing or incidentally while testing for other problems. It is expected that a growing number of asymptomatic CKD patients will be managed in the primary care setting. There are simple steps to diagnose the disease, and its stages. Some factors such as controlling blood sugar in diabetics and blood pressure in hypertensives may delay the progression of the disease, avoiding nephrotoxins such as nonsteroidal anti-inflammatory pain killers may also help delay the needs for renal replacement therapy. These reversible factors could be tackled in primary health care and the time is defined when the care should be shared with the nephrologist. Complications of CKD starts and the symptoms appears with GFR being <30ml/min although it might start earlier in diabetics, this is the stage where the patients should be referred to the nephrologist to attend the pre dialysis educational clinics and to plan their further treatment under the supervision of the expertise and also to meet others who have similar problems. These support groups can be of great help psychologically, being gone through the same steps. Recently, predialysis educational clinics providing information about kidney disease, options for the management of CKD prior to dialysis (including pharmacological and dietary management) and the options for renal replacement therapy, proved to improve outcomes in management of CKD. Similar clinic has been initiated in Dubai hospital with great results.
Duric N S
Helse Fonna Hospital, Norway
Title: ADHD children and adolescents: Long-term randomized controlled study
Biography:
Duric N S is Child and Adolescent Psychiatrist and Clinical Researcher at Helse Fonna Hospital in Norway. She obtained her medical degree from the University of Sarajevo in 1980 after which she pursued specializations in ear, nose and throat from the Clinical University Center of Sarajevo (1988) and child and adolescent psychiatry from Mental Health Clinic Kristiansand, Norway (2001). She completed her PhD from the University of Bergen. She has published many articles in prestigious journals and has served as a scientific reviewer of repute. She has a long engagement as a member and leader of charity work.
Abstract:
ADHD is one of the largest groups in psychiatric health care for children and adolescents in Norway. Early recognition and diagnosis, proper organization and appropriate treatment have a positive effect on the self-esteem and development of the child as well as probable socioeconomic benefits for society. The need for mental health support for ADHD children is one of the upcoming issues and needs to address whether the detection and treatment can be given to primary health care (PHC). Different treatment approaches aimed at improving ADHD core symptoms have been assessed. Despite the beneficial effects of most treatment approaches, existing problems with those that do not respond well to treatment or have adverse drug reactions, call for alternative or complementary treatments. A randomized controlled clinical study was performed to explore the ability of PHC to identify ADHD symptoms and to evaluate the use of short and long-term efficacy of standard stimulant medication and neurofeedback as the single and multimodal treatment to treat ADHD in children and adolescents. The high referral rate and low incidence of ADHD-diagnosed children and adolescents at the Child Adolescent Mental Health Clinic demonstrated a need to improve the understanding of ADHD in PHC. Pre-referral screenings and additional screening guidelines in the community and PHC environments is recommended. Findings provide new evidence for the long-term efficacy of multimodal treatment of stimulant medication and NF. However, more research is needed to explore if multimodal treatment is suitable for ADHD children and adolescents with insufficiently response to single MED treatment.
Mohammed Almarri
Hamad General Hospital, Qatar
Title: Asthma management guideline in adult for primary care physicians
Biography:
Mohammed Almarri has done his MBBS at Royal College of Surgeons School of Medicine Dublin, Ireland. He worked as a Clinical Instructor at University of South Alabama Medical center at Alabama and as an Assistant Professor at Weil Cornell Medical College in Qatar. He is currently working as a Senior Consultant of pulmonary, critical care and sleep medicine at Hamad General Hospital Doha Qatar
Abstract:
This is the first Qatari guidelines for the diagnosis and management of asthma, developed primarily to standardize the care for asthmatic at the primary and secondary care to match the best practice worldwide, as recent data showed poor management of the asthma especially in the primary care. The main objective of the guidelines, is to deliver the vast knowledge of recent pathophysiology of asthma and different guidelines from all over the world into simple practical guidelines to understand and easy to use by non-asthma specialists, including primary care and general practice physicians. The guidelines covered both the adults and children in diagnosis and management of chronic asthma and acute exacerbation of asthma based on the available evidence, local literature, and the current situation in Qatar and Gulf Council Countries (GCC). There was an emphasis on asthma phenotypes and disease control in approaching the management of asthma as it is the ultimate goal of treatment.
Biography:
Pawlin Vasanthi Joseph completed her PhD in the field of Environment Management and Biotechnology from the Defence Research and Development Organization – Centre for Life Sciences, Bharathiar University, Coimbatore, India. She has published 10 papers in peer reviewed journals and has presented 14 papers in national and international conferences. Currently, she is the Head of the Department of Zoology at Nirmala College and Co-ordinates the Career Oriented Program in Vermitechnology and the Star College Scheme for strengthening of Life Sciences, Department of Biotechnology, Government of India.
Abstract:
Background: Maps show well the spatial configuration of information. Considerable effort is devoted to the development of Geographical Information Systems (GIS) that increase understanding of public health problems and in particular to collaborate efforts among Clinicians, Epidemiologists, Ecologists, and Geographers to map and forecast disease risk. Objectives: Small populations tend to give rise to the most extreme disease rates, even if the actual rates are similar across the areas. Such situations will follow the decision-makers attention on these areas when they scrutinize the map for decision making or resource allocation. As an alternative, maps can be prepared using P-values (probabilistic values). Materials & Methods: The statistical significance of rates rather than the rates themselves are used to map the results. The incidence rates calculated for each village from 2000 to 2009 were used to estimate λ, the expected number of cases in the study area. The obtained results are mapped using Arc GIS 10.0. Results: The likelihood of infections from low to high is depicted in the map and it is observed that 5 villages namely, Odanthurai, Coimbatore Corporation, Ikkaraiboluvampatti, Puliakulam, and Pollachi Corporation are more likely to have significantly high incidences. Conclusion: In the probability map, some of the areas with exceptionally high or low rates disappear. These are typically small unpopulated areas, whose rates are unstable due to the small number of problems. The probability map shows more specific regions of relative risks and expected outcomes.