Biography:

Silverio Di Rocca completed his Graduation in Dentistry and Post-graduation in Functional Orthopaedics from University of Buenos Aires, Argentina. He has also done a degree in Dentistry and Prosthetic at the University of Turin, Italy and a Doctorate in Dentistry and Prosthetic at University of Turin, Italy. He is the Director of the MPR International School, Vice President International representative and Founder of API Swiss (International Association of Posturology Switzerland). He is also a Professor in Amocoac Diplomate in Mexico and COMEI, College of Dentistry in Mexico, Associate Professor in ICOM (International College of Osteopathic Medicine) Milan, Italy and an International Honorary member of AMOCOAC.

Abstract:

The Body Equilibrium System (B.E.D.): The first and only appliance designed exclusively for rehabilitation therapists (physiotherapists, osteopaths, chiropractors, etc) for postural rehabilitation, capable of overriding the stomatognatic system. It is the first device on the market able to counteract the negative effects of the stomatognatic system during rehabilitation.

Objectives/Learning Outcomes:
Participants should be able to:
• Perform a detailed bedside clinical postural and posturometric diagnosis
• Based on the clinical observation and clinical history to evidence: Postural deseases
• Relation between stomatognatic system and tonic postural system, how to avoid the negative effect in posture.
• Relation between diet , alimentation and intolerances related with postural deseases
• Recognize the etiology of the postural alteration (main receivers of posture)
• Use of the B.E.D Body Equilibrium Device practically the only device for posture and tmj problems , for rehabilitation
therapist.
The intended audience includes:
• Physiotherapists
• Primary Physicians
• Physiotherapy intern/student
• All rehabilitation therapist

Biography:

Pankaj Gupta come with a rich combination of medical background, IT experience and specialization in General Management from Indian Institute of Management Bangalore. For over 2 decades I have been working in Healthcare/Pharma Technology business and Healthcare/Pharma process standardization. I started with running my primary care clinics for 8 years before getting into Healthcare IT and Management roles globally. I came back full circle to lead the total IT and process transformation of Max Healthcare Group of Hospitals. My global experience includes starting and leading Business Units @ US/ Global Corporations e.g. Cerner, FCG/CSC, Perot/Dell, Infosys. I have managed IT and Quality Departments of US Hospitals and delivered business transformation by process standardization. Also worked in Bioinformatics, Large Pharma IT, Clinical Trials IT. I was instrumental in writing the Meta Data and Data eHealth Standards for MoHFW Govt of India.

Abstract:

The Public Health System in India is struggling with multiplicity of information systems being used at central as well as at state level. Each of these systems is unable to exchange data and information with each other. To overcome similar challenges across ministries, the Ministry of Communication and Technologies initiated semantic standardization across various domains under Metadata and Data Standards (MDDS) project. The intent was to promote the growth of e-Governance within the country by establishing interoperability across e-Governance applications for seamless sharing of data and services. MDDS for Health domain was created by adopting global standards in such a way that existing applications could be easily upgraded to the MDDS standards. The exercise yielded approximately 1000 data elements. These data elements were expected to serve as the common minimum data elements for development of IT applications for various sub domains of health care.

The Need:The need for the CDE arose because most of the primary and public health IT applications are being developed without any standards by different agencies and vendors in public and private sector in India. Each application is developed for standalone use without much attention to semantic interoperability. Later when the thought of interoperability emerges – it becomes difficult to connect the primary and public health systems and make them talk to each other because they were never designed for that purpose. Even if technical and organizational interoperability is done the semantic interoperability may remain a challenge.  For example – all primary and public health applications must have the same Facility Master. When Application A sends the ANC data for Facility 123, the receiving Application B should understand ANC and uniquely identify Facility 123. Another example is if a hospital application sends the insurance reimbursement bill to insurance company/government, the recipient application should be able to understand and represent the same meaning of bill information.

Pilot Test:Ministry of Health & Family Welfare has initiated development of the national health facility registry. The registry was intended to standardize facility masters used across public health information systems. Standardization of facility masters is required for two purposes, first when exchanging data the sending and receiving applications should be able to identify health facility similarly. For example – when Application A sends the maternal health data for Facility 123, the receiving Application B should understand maternal health data and uniquely identify Facility 123.

Second, in public health, performance of each of the facility is assessed using aggregate indicators and facility master serve as the secondary data source on which primary program specific data is aggregated. For example- data from number of doctors from system A and total outpatient attendance data from system B could be analyzed to get per doctor patient load across health facilities only when both applications use common facility masters.

Biography:

Mustafa Afifi held his Medical Bachelor, Master of Internal Medicine and three Post-graduate Diplomas in Mental Health, Primary Health Care and General Administration. Then he terminated his Doctorate in Public Health followed by another Master’s in Health Professional Education. He had his Postdoctoral training in the American University Beirut. He worked in many countries, of them is the UAE. In the UAE, he worked as a Consultant of Mental Health for the Ministry of Health (Head Quarter) for six years, where he integrated mental health services in Primary Health Care. Then, he got his post as Assistant Professor in RAK Medical & Health Sciences University. He has over 80 PubMed publications in non-communicable diseases, mental health, gender issues and health professional education. He is also a Member of many Editorials or Referee Boards of many PubMed indexed medical journals.

Abstract:

Primary Health Care (PHC) settings are unique in its nature because it deals with an entire family across the life span. Our aim in this study was to help the PHC doctors to identify and respond to cases of Violence Against Women (VAW) all over her life cycle. A PubMed based mini review was conducted based on papers published the last 20 years. We found that VAW usually starts even before the girl is born. Gender preference for males affect the survival, nutritional status of daughters, their physical development and differential access to education and health facilities. Then, in her early years of childhood, female genital cutting (FGC) is practiced in Africa and Asia. Its long-term complications include pain and scarring. Some of the adult women experienced the negative reproductive health effects. Being an adolescent, the girl could be exposed to forced marriage. Then, they may be subject to repeated domestic violence from their partner. In both forced and normal marriage arrangements, women could be prone to domestic violence. Suicide and self-harm could follow domestic violence. Moreover, during marriage, polygamy is another moral threat to wives and is associated with poor women mental health regardless of their socioeconomic position and education. Even after aging, women could be subjected to elderly abuse. The PHC doctor should be oriented about the 9 steps of VAW intervention (R9). He should know his role with victimized patients and express his readiness to listen to them and manage them. Doctors should be trained to recognize symptoms of violence, keeping in their mind its risk factors. Usually, the patient needs to be reviewed several times, even after her first visit or even after being referred to higher levels of care. Doctors should be reflective in their management with a respecting attitude to their patients.

Biography:

Norma Ponzoni is a Faculty Lecturer at the McGill Ingram School of Nursing, Quebec, Canada. She is the Academic Coordinator for the Nurse Practitioner Programs. She has graduate degrees in Nursing and Education and is completing her PhD in Educational Psychology at McGill. She has several publications in peer-reviewed journals and is nationally and internationally well-known in the area of nursing education and advanced practice. Her research is focused on primary care and the process by which it can be facilitated and the delivery of professional development to rural regions that make this care possible to isolated populations.

Abstract:

Legislation supporting Nurse Practitioner (NP) practice has allowed the role to expand in Canada; however the introduction of this new role to health care teams has not always gone smoothly. Since NPs provide direct care to patients and have an expanded clinical role, the literature has indicated that the overlapping nature of their scopes of practice with Clinical Nurse Specialists (CNSs) are often a source of tension and that at times, they work in competition. On the other hand these two roles are complementary and collaboration between them can provide improved patient-centered primary care services. A focus group was conducted to explore the relationship between these advance practice nurses, working in two community health centers in Quebec, for the purpose of exploring the facilitators and barriers to their intra-professional collaboration. After content analysis, the data from these nurses, 2 NPs and 4 CNSs, indicated that after an initial period of confusion due to a lack of understanding of roles and overlapping scopes, the advanced preparation of the NPs and their constant presence within the team was a strong and comfortable source of support to CNSs’ practice. Since the majority of community care in Quebec is offered by CNSs, it is logical to assume that better support from their colleagues would have a direct impact on the primary care services they provide.

Biography:

Nadira Abbas Albaghli is a consultant in family & community medicine graduated from King Faisal University, KSA, and having master degree in professions medical education from Arabian Gulf University, Bahrain. She was Director of infection control in Eastern Province, KSA for 5 years. Currently working in consultation clinics in Dammam, Directorate of Health Affairs, EP, KSA, She has published more than 15 papers in reputed journals about chronic diseases and medical education programs. Have Special interests in biostatistics, EBM, and infection control.

Abstract:

Objective: To assess the pattern of follow-up and level of hypertension control according to sociodemographic, and clinical risk factors in the participants of a screening campaign.

Research Design & Methods: In 2004, all Saudi residents in the Eastern Province, aged 30 years and above, were invited to participate in a screening campaign for the early detection of diabetes and hypertension. A structured questionnaire was completed during a face-to-face interview. The presence of hypertension and the place of follow-up were recorded. Blood pressure was measured by trained nurses using a mercury sphygmomanometer, according to the recommendations of The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII).

Results: Thirteen point one percent of the participants had been previously diagnosed as having hypertension. In 34.3% of them, blood pressure was controlled, while 40.8% had combined uncontrolled SBP and DBP, 14.4% had isolated uncontrolled SBP, and 10.5% had isolated uncontrolled DBP. The blood pressure control was inversely associated with age. It was higher in women, singles, the educated, in those with BMI of less than 25 kg/m², and in those with positive history of CVD (p<0.001).

Conclusion: Co-morbidities relevant for hypertension are very prevalent, so aggressive BP control is mandatory.

Biography:

Tayebeh Ilaghi has completed her PhD and is an expert in qualitative and quantitative research in adults and paediatric and neonatal nursing. Currently, she is a Faculty in Kermanshah University of Medical Sciences, Iran.

Abstract:

Type II diabetes is one of the most prevalent chronic diseases that reduce happiness. Group hope therapy can be used to increase happiness of such patients. The present research aims to determine effectiveness of group hope therapy on happiness of patients with type II diabetes who referred to a diabetic clinic at southeast of Iran. This is a quasi-experimental study. Statistical population is all patients with type II diabetes who referred to a diabetic clinic at southeast of Iran. Among them, 40 individuals were selected based on inclusion criteria and they were placed in intervention and control groups using random numbers’ table. Intervention group received group hope therapy within 8 sessions. Oxford happiness questionnaire was used. Data were analysed using descriptive and inferential statistics such as independent t and paired t tests. Happiness was significantly increased in intervention group after group hope therapy (P<0.001). Moreover, mean happiness in control group was increased after group hope therapy but it was not significant (P=0.22). Results showed that group hope therapy improved happiness of diabetic patients and it can be used by healthcare team.

Biography:

Altuntas  has completed his PhD at the age of 25 years from Dicle  University School of Medicine. In 2007 he received family physician expertise from the Harran University School of Medicine. He has taken an active role in the project of "Effectiveness of chlorokine in malaria and malaria epidemiology".

Abstract:

Aim: The aim of this study was to evaluate the relation between the body composition characteristics and metabolic parameters in patients with PCOS those known to have increased metabolic risks and having no study done before about body fat ratios and other body compositions with “Bioelectrical Impedance Analysis” (BIA).

Material and Method: 23 non-obese PCOS patients (BMI≤27 kg/m²) and 20 matched healthy controls (BMI≤25 kg/m²) were involved to this prospective study. Antropometric parameters, metabolic parameters, 75 gr OGTT and Ferriman-Galwey score were investigated at 3^rd and 8^th day of the menstrual cycle. Insulin resistance was calculated. Body compositions (fat mass, body fat ratio(BFR),Lean Body Mass(LBM) and Total Body Water(TBW) and basal metabolic rate(BMR) were measured by BIA.

Signs: Lutenizan hormone(LH), total testesterone(Tt),free testesterone(fT) and Dehydroepiandrosterone Sulphate (DHEAS) levels were found to be significanlty high and Sex Hormone Binding Globulin levels were found to be significantly low.(p<0.05). A negative relation between insulin sensitivity index and tT, sT, TBW and BMR was found. There was a positive significant correlation between AUC insulin and sT. There was a strong negative correlation found between area under the curve AUC insulin and SHBG. There was a negative significant relation between BFR and tT. A strong negative relation was present sT and DHEAS. There was a positive significant relation present between LBM and tT, sT and DHEAS. A positive significant correlation was present between  BFR and BMI. There was a negative significant relation found between LBM and BMI.

Results: We found significant correlations between body compositions and metabolic parameters with BIA method in our hypothesis. This makes the use of BIA in PCOS patients suitable. On the other hand, for a better comprehesion of the relation between the body composition characteristics and metabolic parameters with BIA, we need long term studies with high number of patients.

Biography:

Mustafa Afifi held his Medical Bachelor, Master of Internal Medicine and three Post-graduate Diplomas in Mental Health, Primary Health Care and General Administration. Then, he terminated his Doctorate in Public Health followed by another Master’s in Health Professional Education. He had his Postdoctoral training in the American University Beirut. He worked in many countries, of them is the UAE. In the UAE, he worked as a Consultant of Mental Health for the Ministry of Health (Head Quarter) for six years, where he integrated mental health services in primary health care. Then, he got his post as Assistant Professor in RAK Medical & Health Sciences University. He has over 80 PubMed publications in non-communicable diseases, mental health, gender issues and health professional education. He is also a Member of many Editorials or Referee Boards of many PubMed indexed medical journals.

Abstract:

Child abuse is a public health problem worldwide. Even witnessing domestic violence is a sort of violence against the child. Our aim was to help the Public Health Center (PHC) doctors to understand the cycle of violence in child abuse. A PubMed based mini review was conducted based on papers published in the last 10 years. Almost a decade ago, logistic regression models showed that exposure to marital violence increased nearly two times the odds (OR=1.89) of hitting or slapping the child on the body and/or the face to address his behavior problems. Another study proved the associations of unhealthy beliefs about female genital cutting with maternal physical abuse. That means a victim of violence would be a future victimizer. Similarly, more recent studies proved that child maltreatment leads to aggressive social behavior adopted by the children and adolescents later on in their lives. Violence against women usually starts even before the girl is born and extends all over life cycle. Mothers with personality disorders are less able to resolve their experience of abuse. The lower sensitivity and higher hostility of those mothers could be transmitted again to their offspring being adolescents. Regardless of the way or process, parenting programs could have a positive effect on risk factors of child maltreatment. Higher-quality child rearing environments and experience of positive changes among the participants of some of these programs are noticed along with individual change with its probable implications on child maltreatment prevention. Yet, evaluation of these parenting programs yields unsatisfactory results. To conclude; besides the need to evaluate the current parenting programs and assess its impact on child maltreatment prevention, participation in it needs to be normalized and seen as a routine part of the child-rearing process.

Biography:

Anshul Govila is a trained General Surgeon with a membership to the Royal College of Surgeons, Edinburgh and an MBA from London Business School. As passionate as he is about evidence based surgical practices, he is equally passionate about establishing healthcare practices which improve access, accountability and quality of care. To that purpose in his current role as Deputy COO of Universal Hospitals, he has been fundamentally involved in the growth of the network with the relevant accreditation.

Abstract:

Primary Care Physicians have always been the funnel through which all patients reach to the tertiary care facilities. This is a more so established dictum in old established healthcare networks like the NHS, the US, continental Europe, Canada and Australia. This model has always seen that strong trained General Practioners cognizably take care of a patient population of 1500-2000. In the process they not only deal with emergent conditions the patients go through but run several risk assessment clinics and several outreach programs for disease prevention. In the geographies mentioned above Practioners are incentivized through schemes to prevent smoking, ask patients to loose weight, maintain compliance to medications and so much so that they are involved in the social wellbeing of the family. The primary care network in the UAE is also being shaped on similar lines but a majority of the expat population cannot avail of this. This population has its own peculiarities, it is underinsured, migratory and is more or less demographically in the middle age bracket with children. Traditionally it has not had any geriatric patients or severely medically compromised patients in its mix. Creating facilities which will cater to this population in an evidence based manner has always been a challenge. To incorporate this in to the bigger plan of a growing hospital is another challenge. The challenges primarily are deployment of human resource, keeping the physicians engaged and seeing that they are not incentivized to over prescribe or over investigate. The model suggested in the presentation is a model we follow to get accountable care and will be detailed in the presentation.

Biography:

Khaldoun Hamdan is assistant professor at the faculty of nursing Al-Ahliyya Amman University. He is assistant dean for clinical affairs

Abstract:

Introduction: Insufficient physical activity is a risk factor for many non communicable diseases. Perceived benefits and barriers to exercise are important factors that affect individuals’ engagement in physical activity. The purpose of this study was to examine Jordanian university students perceived benefits and barriers to exercise.

Material and Methods: This cross-sectional descriptive study used Exercise Benefits/Barriers Scale to examine perceived benefits and barriers of exercise in a convenience sample (N = 525) of university students in Jordan.

Results: The mean age of the students was 20.7 ± 2.4 years and 71.8% of the students were female. Participants reported significantly higher perceived barriers to exercise than perceived benefits from exercise (t (523) = 27.9, p < 0.001). I am too embarrassed to exercise was the most important perceived barrier to exercise. I will live longer if I exercise and exercising increases my acceptance by others were the most important perceived benefits from exercise.

Conclusion:Physical activity and promotion programmes designed for university students should assist them to overcome any perceived barriers, and to further highlight the multiple health and other benefits of regular exercising.

Biography:

Abstract:

Biography:

Vedaste Baziga a holder of Masters in Mental Health Nursing form University of KwaZulu Natal; Lecturer in University of Rwanda, College of Medicine and Health Sciences, School of Nursing and Midwifery, in the Department of Mental Health Nursing. I am an experienced teacher/ Nurse educator and specialized in Mental Health Nursing and I am actively involved in academic activities including mainly teaching modules such as Health Measurement and Research, Mental Health Nursing, Psychiatry, Fundamentals of behavioral sciences, clinical placement and he is also an experienced clinician in the field of psychiatric/ mental health and has worked as practitioner and supervisor in the Psychiatric Reference Hospital and District Hospitals. Also, I am involved in research activities having many research projects (1 already published, and another 1 accepted for publication and remaining 3 in the process of data collection). In addition, I participate also in community outreach and he is always increasing knowledge and skills through Continuous Professional Development (CPD) in different areas".

Abstract:

Aim: The purpose of the study was to describe mental disorder stigmatising attitudes held by nurses, in a selected district hospital in Rwanda, and to analyse the potential mediating effects of person variables, specifically familiarity, on these stigmatising attitudes.

Methodology: A quantitative, non-experimental, descriptive research design was used. A self-report questionnaire included person and two scales; Level of Contact Scale (LOC) and Community Attitudes towards Mental Illness - Swedish version (CAMI-S). A sample of 104 (n=102) was achieved and ethical approval was obtained. Data were analysed using the Statistical Package for Social Sciences (SPSS) Version 21 whereby non parametric tests were used, Mann–Whitney U Test, Kruskal-Willis H Test and Spearman’s rho correlation
coefficient test and significance was determined by Cohen’s guide lines.

Results: Participants reported negative stereotypes, in all items on the CAMI-S, related to persons with a mental disorder. Statistical results indicated associations between negative stereotypes and; the younger age group and the less experienced participants are reported as statistically significant. Also, a negative correlation is reported between familiarity and stigmatizing attitudes.
 

Conclusion & Recommendation: Results suggest that familiarity has a positive mediating effect on negative stereotypes. To address the issue of stigma, curriculum for undergraduate nursing education should be reviewed to include mental health nursing and clinical practice within psychiatric health facilities. Also, the School of Nursing and Midwifery should organize workshops, seminars, conferences and discussions which could include MHCUs to provide testimonies, which will in turn increase the level of contact amongst students and their lecturers.

Biography:

Abstract:

Biography:

Abstract:

Biography:

Ahmed Al-Mandhari is a Graduate from College of Medicine & Health Sciences at Sultan Qaboos University, Oman in 1993. He is the holder of DTM&H and PhD from University of Liverpool in 1996 and 2002 and MRCGP (International) in 1998. He worked as Head of Quality Management Department in 2005-2006 and then as Deputy Director General for Clinical Affairs, from 2006-2010. He also served as Director General of Sultan Qaboos University Hospital (SQUH) from 2010-2013. Currently, he is the Director General of the Quality Assurance Center at the Ministry of Health. He runs one day/week clinic as Senior Consultant Family Physician at SQUH. He had 3 WHO-EMRO funded projects carried out for the Ministry of Health (Oman). He is the Member of Editorial Board and reviewer for some journals and universities websites such as McMaster Online Rating for Evidence (MORE), Canada. He has published several articles on health care quality and health care seeking behavior. He is running workshops such as “how to conduct successful clinical audit” and “disclosure of medical errors”. 

Abstract:

Healthcare systems are striving towards improving quality of health care services and secure patient’s safety. Various tools have been implemented, however, the success of these tools depends on how valued and reliable measure these tools are using. Therefore, it has been expressed by many accrediting and certifying systems that healthcare institutions must create a monitoring system that is relying on evidence-based indicators. The healthcare system in Oman is no exception from such track. Ministry of Health worked on developing a list of indicators that are used to assess the level of quality and patients’ safety. These were developed following a systematic and scientific manner. The paper will share this experience and the impact of such exercise on outcome of care.

Biography:

Farah Muhammad A. Mansuri is a public health physician. She has been working actively in the field of epidemiology for over 25 years.  She has contributed not only in public health research but also has showed her deep interest in medical education. The research presented here highlights the importance of inter-professional education in primary care setting by experiencing course of research methodology to a variety of primary health care providers. 

Abstract:

Objectives: Public Health research demands a participatory approach while working with communities to combat expected challenges in the field. Therefore a  training program on research methodology was introduced at Karachi Medical and Dental College, focusing on the principles of IPE, in order to improve primary care services. The objectives of this study were to assess level of learning by the participants in domain of communication and to explore participants’ opinion regarding evaluation of training program.

Methods: Total 96 participants of the research methodology course were selected during March and September 2010. It included faculty members, medical students, social works students and health technicians. The results were obtained through reflection of students and faculty, responded the first time the course was offered. It was a mixed method research where communication competencies of research course and participants’ perception on course evaluation were analyzed and findings were triangulated. 

Results: It was noted that 87% of faculty enjoyed contributing to ‘inter-professional relationship’; ‘team work’ in community focused areas was learnt to greater extent by 90% of students. 78% of students and 70% of faculty identified ‘active listening’ and ‘communicating information to families’ respectively as been learnt to lesser extent. These findings were defended by their deliberations on course evaluation.

Conclusion: The learning was found to be maximal on contribution at inter-professional relationship among faculty as compared to team work  best learnt by students. Moreover, it was evident that though active listening was learnt lesser but information was better communicated to families by students than faculty.

Biography:

Mininim Oseji became a Consultant Public Health and Community Physician at the age of 34 years after being awarded the Fellowship of the National Postgraduate Medical College of Nigeria (Public Health). She also is a Fellow of the Royal Society of Tropical Medicine and Hygiene and the West African College of Physicians (Community Health). 
She is currently the Permanent Secretary of the Delta State Primary Health Care Development Agency as well as the Executive Director of Public Health Impact Research Centre. She has made 29 scientific presentations at national and international conferences and has 8 published original articles.

Abstract:

Introduction: Quality primary health care services are required for achieving universal health coverage in Nigeria. Universal health coverage will not only improve health indicators but also reduce poverty and inequity. In 2015, a new administration took over the helm of affairs in Delta state of Nigeria. A retreat was organized for policy makers and one of the outcomes was the development of key performance indicators for each sector including health.

Methodology: The Delta state Primary Health Care Development Agency began tracking key performance indicators for monitoring primary health care services in Delta state in 2016. Ten indicators were identified and tracked monthly. They include: Immunization coverage; Number of supplemental immunization activities organized; Number of social mobilization activities organized; Number of information, communication materials distributed; Number of cases of severe acute malnutrition identified and rehabilitated; Percentage of children under five that received vitamin A; Number of treatment protocols developed and enforced; Number of PHC workers trained on immunization, health education/social mobilization, basic life support, neonatal resuscitation training and data management; Number of public private partnerships established and; Number of public private partnership projects completed.

Results: Immunization coverage as at August 2016 for BCG was 94% while that of measles was 96%. Tetanus toxoid coverage was 37%. Six cases of severe acute malnutrition were identified and the percentage of children under five that received vitamin A was 92%. Four public private partnerships were established with three projects completed.

Discussion: The key performance indicators currently being tracked do not require funding. Other key performance indicators that require funding for tracking include number of patients attending health facilities for antenatal care, deliveries and child welfare; number of households experiencing maternal deaths and immunization defaulting visited; income generated from sale of essential drugs. When policy decisions are based on the key performance indicators, the quality of primary health care services being rendered improves and the hope for achieving universal health coverage is in sight.

Biography:

Batool Pouraboli has completed her PhD and is an expert in qualitative and quantitative research in adults and paediatric and neonatal nursing. Currently, she is a Faculty in Tehran Nursing University, Iran.

Abstract:

Type II diabetes is one of the most prevalent chronic diseases that reduce happiness. Group hope therapy can be used to increase happiness of such patients. The present research aims to determine effectiveness of group hope therapy on happiness of patients with type II diabetes who referred to a diabetic clinic at southeast of Iran. This is a quasi-experimental study. Statistical population is all patients with type II diabetes who referred to a diabetic clinic at southeast of Iran. Among them, 40 individuals were selected based on inclusion criteria and they were placed in intervention and control groups using random numbers’ table. Intervention group received group hope therapy within 8 sessions. Oxford happiness questionnaire was used. Data were analysed using descriptive and inferential statistics such as independent t and paired t tests. Happiness was significantly increased in intervention group after group hope therapy (P<0.001). Moreover, mean happiness in control group was increased after group hope therapy but it was not significant (P=0.22). Results showed that group hope therapy improved happiness of diabetic patients and it can be used by healthcare team.

Biography:

Alok K Mathur has professional background of research, evaluation, program management and documentation in various innovative projects. He has done his PhD in Commerce, Master’s in EAFM, MBA in HRD and Bachelor’s in Journalism and Mass Communication. He has many international and national publications to his credit. He has developed and managed HIV prevention, care and support demonstration project “Saksham” addressing rural traditional female sex workers with the approach of empowerment. He has the credit of initiating first two sex workers collectively through ICHAP and first block level ‘Prevention of parent to child transmission centre’ through UNICEF in Rajasthan.

Abstract:

The present study was accomplished to examine the level of stress, anxiety and depression faced by the adolescents who were taking coaching for pre-medical and pre-engineering exams in Kota. The broad objective of the study was to assess the level of depression, anxiety and stress among students preparing for competitive exams like IIT, CPMT, RPMT, AFMC, AIEEE, RPET etc. and also to find out the difference in the level of sBackground: The present study was accomplished to examine the level of stress, anxiety and depression faced by the adolescents who were taking coaching for pre-medical and pre-engineering exams in Kota.

Objective: The broad objective of the study was to assess the level of depression, anxiety and stress among students preparing for competitive exams like IIT, CPMT, RPMT, AFMC, AIEEE, RPET etc. and also to find out the difference in the level of stress, anxiety and depression between those who are preparing for engineering and medical entrance exams.

Methods: The total population from 8 sample coaching institutes is 800 adolescents of which 400 students were from pre-medical and 400 were from pre-engineering coaching institutions of Kota city. The tool used to measure three negative emotional states was DASS (Depression, anxiety and stress scale). The anxiety level of adolescents was measured on four constructs: autonomic arousal, skeletal muscle effect, situational anxiety and subjective experience of anxious effect.

Results: The major findings suggested that nearly about one third of adolescents of the sample reported moderate level of anxiety, which was followed by normal, severe, extremely severe and mild level of anxiety. A substantially large number of students (approximately 30 percent) were found to be depressed at moderate level. The girls were found to be more depressed and having the feeling of hopelessness, sadness, decreased level of enthusiasm, anhedonia, inertia, etc.

Conclusion: The final analysis of stress, anxiety and depression reveals that extremely severe cases were found more in Medical students than in Engineering students.stress, anxiety and depression between those who are preparing for engineering and medical entrance exams. The total population of the 8 sample coaching institutes is 800 adolescents of which 400 students were from pre-medical and 400 were from pre-engineering coaching institutions of Kota city. The tool used to measure three negative emotional states was DASS (Depression, Anxiety and Stress Scale). The anxiety level of adolescents was measured on four constructs: autonomic arousal, skeletal muscle effect, situational anxiety, and subjective experience of anxious effect. The major findings suggested that near about one third of adolescents of the sample reported moderate level of anxiety, which was followed by normal, severe, extremely severe and mild level of anxiety. A substantially large number of students (approximately 30 percent) were found to be depressed at moderate level. The girls were found to be more depressed and having the feeling of hopelessness, sadness, decreased level of enthusiasm, Anhedonia, Inertia, etc. The final analysis of Stress, Anxiety and Depression reveals that extremely severe cases were found more in medical than Engineering.

Biography:

Harsha has his expertise on reproductive and health issues in developing country context. His open and contextual evaluation of reproductive health issues in emergency context help several of the organization to design the intervention in Nepalese context.  He has an enthusiasm to build the capacity of the students, social work and identification of gaps in health service delivery.

Abstract:

Biography:

Nehal Shata MD, MPH began her career in Public Health as a paediatrics teaching assistant at king -Abdulaziz University Jeddah, Saudi Arabia. She obtained her Masters of Public Health at the Johns Hopkins University Bloomberg School of Public Health. Her capstone project on child abuse outlined an overview of the situation in Saudi Arabia. After completing her degree, she did a year at Johns Hopkins School of Medicine as a postdoctoral research fellow investigating how sleep disturbance during critical illness modulates outcomes in children. She is currently a Pediatric resident at McGill University in Montreal, Canada, where she will continue her work as a child advocate in Public Health.

Abstract:

Statement of the Problem:In Saudi Arabia, child abuse still having underreporting problem, and remains a common problem in the country. Professionals and public servants of all child-focused fields must combat this problem through the implementation of an awareness program to increase reporting and easy detection of abuse.

Methodology & Theoretical Orientation: The search engines used for this review were: PubMed databases, PsycINFO, and Google Scholar. The research limited results to within Saudi Arabia and utilized the following keywords: maltreatment, Child Protective Services, reporting child abuse, child abuse types.

Findings & Conclusion: Child abuse is a public health concern globally, as well as within Saudi Arabia. A reporting system to indicate its prevalence was introduced to Saudi Arabia in 2010, and served as the first annual registry report for the region. Since that time, through the efforts of the National Family Safety Program, the reporting data has improved. According to current literature, physical abuse and neglect are currently the most common types of abuse, followed by sexual and emotional abuse. Parents are the most common perpetrators. The most common risk factors include: large family size of more than six people, paternal unemployment, and/or divorced parents. Although child protection teams now exist and notify the social protection department, police, and regional principals, under-recognition and under-reporting continue to pose major challenges.

Recommendations: The recommendations put forth at the conclusion of this review are as follows: first, that public child abuse prevention programs be implemented which apply to all thirteen regions of Saudi Arabia, including rural areas. Secondly, those health care providers receive training to recognize and report child abuse through implementation and follow-through on guidelines, workshops, and mandatory training programs. Additionally, to implement a large-scale parenting education program for parents, as they are the most common perpetrators. Implementation of school curriculum which teaches children how to protect themselves from abuse will also be vital. Finally, to conduct and evaluate the effectiveness of these preventive programs regularly, with emphasis on sustainability and regular follow ups as key elements of a successful program.