2^nd Annual Congress and Medicare Expo on Primary Care and General Pediatrics September 19-20, 2016 Phoenix, USA

Luciana Merley - Nurse , effective teacher of the nursing course of the Federal University of Tocantins . It operates in lines of research in child health , Emergency Department and Public Health .

SUMMARY: This study is aimed to know how Xerente people understand systemic hypertension and health care. Method: field research with qualitative measures, ethnographic approach, with 29 hypertensive indigenous Xerente. The data was based on Leininger analysis, it proposes the ethnographic method for Nursing, which divides the analysis into four phases: First phase is to collect and documentation gathering of raw data. Second is consisted in the study of data which observes similarities and differences in statements and behaviors. Third was held and contextual analysis of patterns. Finally, the fourth stage are the issues, findings and relevant theoretical formulations being analyzed and synthesized. Results: The power of indigenous people and their eating habits have undergone through changes over the years due to the contact with the city. The indigenous Xerente population does not perform any type of physical exercise in the villages. Much of the interviewees claim that they use the medicine prescribed by the doctor and also make use of plants as medicine. Conclusion: The indigenous hypertensive recognizes the process of being ill in their body, however, the health care for the same needs to be related to their way of life at the village. It's concluded that the necessary provision in health care in a way that meets the needs of indigenous in respect to their cultural values, through the inclusion of indigenous services and conducting health education activities, it is critical the training of professionals working with indigenoushealth. Keywords: Hypertension; Indigenous health; Nursing.

Mr Azeem Khan has completed his Nursing at the age of 25 from karachi. He is working as a male nurse with Al-Falah development organisation in tehsil headquarter hospital puran shangla swat

Patient satisfaction is multidimensional with different aspects of health service provision inclusive of the process of care as well as the outcome. The various aspects encompassed are staff courtesy, accessibility, professional competence of healthcare staff, safe and comfortable environment, overall quality of care and continuity of care To evaluate patient satisfaction in an outpatient service of a secondary health care hospital. Patient representative sample was selected through purposive convenience sampling consisting of outpatients visiting a secondary health care center. A structured pre-tested questionnaire was applied through interview, including the following variables: personal characteristics (gender, age, and occupation), distribution of responses toward various OPD services including physical facilities, doctor services and pharmacy services. Maximum number of patients N=533 (53%) were in the age group of 41 to 60 years. Amongst them 847(84%) patients were males and 153(15%) were females. Majority of patients were retired army personnel 253(25%) and serving army personnel 209 (20%) whereas 360(36%) of the patients were reluctant to disclose their occupation. Overall satisfaction towards OPD services was 96%. The areas where satisfaction was less than 80% were pharmacy services.

Daniel Tekie Ghebreselasie is an Eritrean Citizen, graduated his Medical studies and earned Degree of Doctor of Medicine from Latin America school of Medicine (ELAM), Cuba in 2009 at the Age of 26. He has recently completed his Masters studies in field of community medicine from University of Gezira, faculty of medicine in March, 2015. He is currently pursuing his PhD studies in field of Community Medicine at the University of Gezira, Sudan. As young junior doctor, he is always interested in research and publications. He has published three original articles in Gezira Journal of health science as lead author and presented an article in the Gezira first international Family & community medicine conference, under the theme“ Partnership & Integration towards comprehensive health care for families and communities” 26-28th, March, 2015, Wad-Medani city, Sudan. In Addition He has also Co-Authored an article in Journal of Eritrean Medical Association. He is so much interested in medical researches focusing mainly on Non-Communicable diseases.

The burden of non-communicable diseases is on the rise in middle and low income countries on top of the existing infectious diseases. Recently in Sudan NCDs accounted for a total of (44%) of the overall mortality. Moreover, the distributions of the specific risk factors are not systematically identified in the country, which hinder the designing of appropriate preventive and control strategies. The objective of this study was to describe the distribution & prevalence of risk factors for non-communicable diseases. This is a descriptive cross-sectional analytic community based study conducted from October to December, 2013 in Wad-Medani city, Gezira State, Sudan. In this house to house survey, data was collected using structured questionnaires, anthropometric measurements & Blood pressure apparatus. A total of 380 individuals of age 30 years & above were selected for the study by stratified proportional random sampling technique. Data was analyzed using SPSS for Windows version (16.0). The distributions of the various categories of risk factors were identified. The prevalence of smoking for males & females were (18.4%) & (0.3%) respectively, alcohol consumption (3.9%), only among males, consumption of fruits and vegetables below adequate level (72.9%), physical inactivity (75.0%). This study showed Cigarette /tobacco use & personal documented history of NCDs were associated and was found highly statistically significant (p-value <0.005). Similarly there was a statistical significance between association of physical activity with both age & educational level (p-value of 0.003 & 0.011) respectively. Mean systolic & diastolic blood pressures were 135.5 mmHg & 85 mmHg respectively for both sexes. The prevalence of hypertension was (29.7%) on physical assessment for both sexes. Based on BMI criteria, (1.6%) were underweight, (35.5%) were overweight and (22.6%) were obese & (0.8%) were severely obese. The prevalence of central obesity measured by waist circumference revealed that almost a quarter (24.7%) and above half (51.5%) of study participants were having an increased and a substantial increased values respectively. In this study, association between physical inactivity and central obesity was found statistically significant (p-value=0.002). This study also found statistically significant association between personal and family history of NCDs (p-value=0.00).In conclusion, the magnitude of risk factors for non-communicable diseases is considerably high in the study population.