Day 1 :
Keynote Forum
Roderick S. Hooker
Northern Arizona University, USA
Keynote: The Contributions of Physician Assistants and Nurse Practitioners in Primary Health Care
Time : 09:00-9:45
Biography:
Roderick S. Hooker is a health policy consultant with an interest in organizational efficiency. He spent two decades with Kaiser Permanente as a health services researcher, as a PA, and then moved to the University of Texas and the Department of Veterans Affairs in Dallas, Texas. Following the VA he became a Senior Director with The Lewin Group in Washington, DC, a health policy-consulting firm. He is a cofounder of the International Health Workforce Collaborative that meets biennially to discuss medical organizational economics. Over the past decade Dr. Hooker served as a consultant to the Ministry of Health in Ontario and New Brunswick. A similar consultancy was in Queensland and Scotland developing their PA corps. He is now retired and lives in Southwest Washington State.
Abstract:
After a half-century of development, the physician assistant and nurse practitioner are not only enmeshed in American culture but also deployed in 15 other countries. Their contributions to the delivery of primary health care is not only growing but serving as critical players able to backfill where scarce medical care delivery systems are present. The raison d’etre for their development was the shortage of generalists and the demands for health care services in underserved communities. What has emerged is a cadre of approximately 250,000 clinically active PAs and NPs that are providing a wide range of services within the full spectrum of North American communities – from Manitoba to The Virgin Islands. How they are utilized in primary health care and to what extent will be presented. Their economic and social contributions will be illustrated along with the benefits to physicians, medical teams, and the social stability of small communities. Growing evidence reveals that the presence of PAs/NPs in small and medium medical groups helps improve access, lower liability exposure, and malpractice rates, and reduce the likelihood of primary care physician burnout. The economics of PA/NP employment in primary care service delivery is only now being understood as significant. It is not enough to know that their wages are less than half of a family medicine physician, but their annual productivity matches that of a family medicine physician.
Keynote Forum
Mary E. O’Keefe
UTMB School of Nursing, USA
Keynote: Providing Care to Wards of Texas Probate Courts
Time : 09:45-10:30
Biography:
Dr. O'Keefe is a lawyer (JD) and a registered nurse (RN), with a doctor of philosophy (PhD) in nursing and a licensed professional counselor (LPC). She has a certification as a Clinical Nurse Specialist in Psychiatric and Mental Health Nursing (CNS Psych/Mental Health) and has extensive training in alternate dispute resolution, including mediation and arbitration. Dr. O’Keefe is a Professor in the UTMB School of Nursing, Galveston, Texas, where she has been awarded the Constance Brewer Koomey Endowed Professorship in Nursing and is recognized as an University of Texas Distinguished Teaching Professor. She is also a Professor in the UTMB Graduate School of Biomedical Sciences, a Clinical Associate Professor in the UTMB School of Medicine, and a Visiting Professor in the Shantou University Schools of Medicine and Nursing, Shantou, China. Dr. O’Keefe has published a series of textbooks known as Nursing Practice and the Law: Avoiding Malpractice and Other Legal Risks. She has a pending publication entitiled Policy, Power, & Politics: Creating the Leadership Potential in Nursing Practice
Abstract:
The State of Texas has over 54,000 legally incapacitated individuals, designated as Wards of the Court. Wards lack the physical and/or mental ability to provide shelter, financial management or physical care and therefore placed under Guardianship. This presentation discusses the Interprofessional partnership involving undergraduate nursing students in four programs across the State of Texas who served as Court Visitors to Texas Probate Courts. Students assessed the Wards providing independent evaluation of their health status. This groundbreaking Interprofessional entry into the legal system provided students with clinical experiences in non-traditional venues while serving as a springboard for the other seminal clinical programs including Interprofessional Pediatric Advocacy Model and Drug Court Clinical Model. Mentoring among and between professionals in nursing education and the legal system will be presented for the following campuses. (A) UTMB-School of Nursing (SON) and Galveston Court: (1) the Court Visitor Program Model (CVP); (2) Mentoring of Court, Faculty & Students in Model implementation; and, (3) Mentoring in development of unique related clinical programs. (B) UTMB-SON and CPS: (1) the Interprofessional Pediatric Advocacy Model; (2) Mentoring of Court, Faculty, and Students in Model implementation. (C) Blinn College Associate Degree Nursing Program: (1) Mentoring of Court, Faculty and Students in Model Implementation, and, (2) Drug Court Clinical Model. (D) UTArlington-SON and Tarrant Court: Court, Faculty and Student mentoring process in the development of the CVP. (E) UTAustin-SON and Travis Court: Court, Faculty and Student mentoring process in the development of the CVP for a RN-BSN Public Health Nursing practicum course.
Keynote Forum
Barbara Buchberger
University of Duisburg-Essen, Germany
Keynote: Prevalence of depressive and anxiety symptoms in youth with type 1 diabetes: A systematic review and meta-analysis
Time : 10:30-11:35
Biography:
Barbara Buchberger is the Head of the Research Unit Health Technology Assessment and Systematic Reviews at the Alfried Krupp von Bohlen u. Halbach Foundation. She is an Endowed Chair of Medicine Management University of Duisburg-Essen, Germany. She completed her Graduation from the Technical University of Berlin and the Berlin University of the Arts.
Abstract:
Background: There is a complex interaction between psychosocial factors and type 1 diabetes (T1D) resulting in compromised diabetes management and suboptimal glycemic control. Individuals with T1D are at increased risk of developing depression and anxiety. Screening for psychosocial risk factors from diagnosis of T1D has been recommended. International standard is integrated care by a multidisciplinary team.
Aim: Aim of this study was to perform a systematic review and meta-analysis to update the evidence base in this area.
Methods: We searched EMBASE, MEDLINE, The Cochrane Library, and PsycINFO in April 2014 with an update in May 2015. When possible, data were pooled to estimate summary effects.
Results: Our searches identified 14 publications investigating the correlation of anxiety and depression with T1D in children and adolescents. Using the children’s depression inventory, the pooled prevalence of depressive symptoms were 30.04% and 95% CI [16.33; 43.74]. There were correlations between symptom levels and glycemic control as well as three-way interactions between HbA1c, blood glucose monitoring frequency or diabetes-specific stress and depression. Symptoms of anxiety were reported for up to 32% of patients. A negative impact on glycemic control was demonstrated.
Conclusions: Our analyses confirmed a high prevalence of symptoms of depression and anxiety in youth with T1D that potentially compromise diabetes management and glycemic control. In our opinion, these findings support recommendations for early screening for psychological comorbidity and regular psychosocial assessment from diagnosis. Future prospective studies are warranted to further explore the interaction of symptoms of depression and anxiety with T1D and develop evidence-based treatment models.
- Primary Care
Session Introduction
Roderick S. Hooker
Northern Arizona University, USA
Title: The Contributions of Physician Assistants and Nurse Practitioners in Primary Health Care
Biography:
Roderick S. Hooker is a health policy consultant with an interest in organizational efficiency. He spent two decades with Kaiser Permanente as a health services researcher, as a PA, and then moved to the University of Texas and the Department of Veterans Affairs in Dallas, Texas. Following the VA he became a Senior Director with The Lewin Group in Washington, DC, a health policy-consulting firm. He is a cofounder of the International Health Workforce Collaborative that meets biennially to discuss medical organizational economics. Over the past decade Dr. Hooker served as a consultant to the Ministry of Health in Ontario and New Brunswick. A similar consultancy was in Queensland and Scotland developing their PA corps. He is now retired and lives in Southwest Washington State.
Abstract:
Peter D. Trice
The Innova Group, USA
Title: Starting From Scratch: Rebuilding an Ambulatory Care Network
Biography:
Peter Trice, a founder and vice president of the Innova Group, has spent more than 30 years developing his expertise in healthcare planning. As an industry leader in the integration of new concepts in healthcare strategy and clinical operations into hospital and health system design, Peter’s passion is finding creative data driven solutions to current obstacles to the delivery of effective healthcare. Mr. Trice is dedicated to improving the quality of care worldwide, project by project. His recent work has been in the Middle East, Latin America, the United States, Mainland China, Viet Nam, Singapore and most recently Brunei.
Abstract:
Jenny Mee
Federation University, Australia
Title: The challenges for business managers of home care services in meeting regulatory quality requirements in Australia.
Time : 11:35-12:05
Biography:
Abstract:
The ethical and political challenges facing home care provision is fraught with complexity, none more so than for those who conduct home care businesses. The gaps in the literature reveal that home care for-profit providers have not had a voice in Australia. The purpose of this research is to gather information about home care business in Australia and how owners/managers meet quality accreditation processes. The intent of the research is to provide a forum in which participants can share experiences and challenges with the wider home care governing and research communities about the business of home care. The research has implications for informing policy and practice relating to the recent changes in consumer directed home care that will improve service delivery. This has specific political and economic implications for Australia as the population ages and consumer directed home care packages are implemented. An inclusive analysis of the discursive events is an important starting point to inform consumer directed change and is vital for ensuring quality provision of home care services for the consumers. In addition it will provide insights into how consumer driven care can be provided universally with a focus on equity and inclusion. This presentation will explore the ethical considerations of inclusive practice for the project using a post structural framework.
Bettie Coplan
Arizona State University, USA
Title: How PAs and NPs Contribute to Chronic Disease Management in Primary Care
Biography:
Abstract:
The US health care system is facing complex challenges: an increasing and aging population, a paradigm shift from acute care to management of chronic disease, and impending shortages of physicians. Proposed solutions include greater reliance on team-based models of care delivery and creating environments in which health care professionals practice to the full extent of their education and training.1 Currently in the US, physician assistants (PAs) and nurse practitioners (NPs) contribute substantially to the provision of primary care services and chronic disease management, particularly in underserved communities where they often practice with little or no physician oversight.2 Nurse practitioners have full independent practice status in 21 states, and state laws that dictate PA practice generally allow for off-sight physician supervision. Research suggests that PAs and NPs can provide safe, high-quality care. In some settings, however, they may be underutilized. The main objectives of this presentation are to 1) review the recent literature on chronic disease management by PAs and NPs, 2) discuss the various roles NPs and PAs play in primary care, 3) examine barriers to PA and NP practice in primary care, and 4) discuss strategies for effective utilization of NPs and PAs going forward.
Leslie Zun
Chicago Medical School, USA
Title: Identificaiton and Treatment of Mental Illness in Primary Care
Biography:
Leslie S. Zun, M.D., M.B.A. is the System Chair of the Department of Emergency Medicine in the Sinai Health System in Chicago, Illinois and Chairman & Professor, Department of Emergency Medicine and a secondary appointment in the Department of Psychiatry at the Rosalind Franklin University of Medicine and Science/Chicago Medical School in North Chicago, Illinois. His background includes a medical degree (M.D.) from Rush Medical College and a business degree (M.B.A.) from Northwestern University's JL Kellogg School of Management. He is board certified in Emergency Medicine by the American Board of Emergency Medicine. Dr. Zun was a chief operating officer and acting chief executive officer for a 200 bed hospital in Chicago. Dr Zun’s research interests include healthcare administration, violence prevention and behavioral emergencies. His publications have addressed the administration of the hospitals and emergency departments, physicians’ bonus and incentive plans and quality improvement topics. He has presented his research and lectured on these topics both nationally and internationally. He is a board member of American Academy of Emergency Medicine and the President Elect for the American Association for Emergency Psychiatry. He is the chief editor of the Behavioral Emergencies for Emergency Physicians textbook and course director for the past five years for the National Update on Behavioral Emergencies conference.
Abstract:
Studies have demonstrated that up to 45% of adult patients and up to 40% of pediatric patietnes have undiagnosed mental illness. Undiagnosed mental illness impairs the evaluation and treatment of many medical disorders. Primary care is the front door to the diagnosis and treatment of patients with diagnosed and undiagnosed mental illness. This course will discuss the means to identify patients with mental illness, impact on their medical disorders and appropriate treatment. The course will feature common and uncommon mental illness that present to primary care.
Mary E. O’Keefe
UTMB School of Nursing, USA
Title: Providing Care to Wards of Texas Probate Courts
Biography:
Dr. O'Keefe is a lawyer (JD) and a registered nurse (RN), with a doctor of philosophy (PhD) in nursing and a licensed professional counselor (LPC). She has a certification as a Clinical Nurse Specialist in Psychiatric and Mental Health Nursing (CNS Psych/Mental Health) and has extensive training in alternate dispute resolution, including mediation and arbitration. Dr. O’Keefe is a Professor in the UTMB School of Nursing, Galveston, Texas, where she has been awarded the Constance Brewer Koomey Endowed Professorship in Nursing and is recognized as an University of Texas Distinguished Teaching Professor. She is also a Professor in the UTMB Graduate School of Biomedical Sciences, a Clinical Associate Professor in the UTMB School of Medicine, and a Visiting Professor in the Shantou University Schools of Medicine and Nursing, Shantou, China. Dr. O’Keefe has published a series of textbooks known as Nursing Practice and the Law: Avoiding Malpractice and Other Legal Risks. She has a pending publication entitiled Policy, Power, & Politics: Creating the Leadership Potential in Nursing Practice
Abstract:
The State of Texas has over 54,000 legally incapacitated individuals, designated as Wards of the Court. Wards lack the physical and/or mental ability to provide shelter, financial management or physical care and therefore placed under Guardianship. This presentation discusses the Interprofessional partnership involving undergraduate nursing students in four programs across the State of Texas who served as Court Visitors to Texas Probate Courts. Students assessed the Wards providing independent evaluation of their health status. This groundbreaking Interprofessional entry into the legal system provided students with clinical experiences in non-traditional venues while serving as a springboard for the other seminal clinical programs including Interprofessional Pediatric Advocacy Model and Drug Court Clinical Model. Mentoring among and between professionals in nursing education and the legal system will be presented for the following campuses. (A) UTMB-School of Nursing (SON) and Galveston Court: (1) the Court Visitor Program Model (CVP); (2) Mentoring of Court, Faculty & Students in Model implementation; and, (3) Mentoring in development of unique related clinical programs. (B) UTMB-SON and CPS: (1) the Interprofessional Pediatric Advocacy Model; (2) Mentoring of Court, Faculty, and Students in Model implementation. (C) Blinn College Associate Degree Nursing Program: (1) Mentoring of Court, Faculty and Students in Model Implementation, and, (2) Drug Court Clinical Model. (D) UTArlington-SON and Tarrant Court: Court, Faculty and Student mentoring process in the development of the CVP. (E) UTAustin-SON and Travis Court: Court, Faculty and Student mentoring process in the development of the CVP for a RN-BSN Public Health Nursing practicum course.
- Primary Care Nurse Practitioner
Session Introduction
Freida Toler
Amarillo Medical Specialists, USA
Title: Females With Down syndrome: Lost opportunities in primary care
Biography:
Freida Toler completed her Masters in Nursing from West Texas A & M University in Canyon Texas. She is an AANP Certified Family Nurse Practitioner. She is currently employed by Dr. Biggs, MD as a Nurse Practitioner at Amarillo Medical Specialists. She works full time in Endocrinology. She is an officer in the local Panhandle Nurse Practitioner Association and has recently been voted as Nurse Practitioner of the year. She has published an article in JAANP. She has been a guest speaker for Panhandle Nurse Practitioner Association in the area of womens health.
Abstract:
Tendai Nzirawa
Queens University Hospital, UK
Title: Does the intervention of a Community Neonatal Service, actually reduce hospital readmission? A case study of Nasogastric tube fed infant over a 12 months’ period
Time : 12:05-12:35
Biography:
Tendai Nzirawa completed Undergraduate Diploma in Nursing studies (Adult) in 2005 (City University, London). Completed Bachelor of Science with Honours in Nursing Studies (Neonatal Care) in 2012 (City University, London). Currently, studying a Master of Science in Nursing Studies (Neonatal Care) London Southbank University, London. Since 2010, have been involved in setting up and running a Neonatal Parent Support group with other health professionals. Also in June 2015 set up a Down Syndrome Parent Support Group, run it with the assistance of two mothers who have children with Down Syndrome. In 2012, participated at the European academy of Pediatric Societies, Turkey (Poster Presentation) – The experiences of parents of infants on Home Oxygen.
Abstract:
Every year our neonatal unit discharges at least 6 infants on nasogastric tube feeding, in order to reduce length of stay and promote parent-infant bonding in a relaxed environment. Although, in 2015 one infant proved that the input of a community neonatal service can reduce length of stay, and also reduce readmission to the children’s ward. (According to The Code-Nursing and Midwifery Council, 2015 the infant name has been changed and will be referred as Summer). Summer was born in a level 3 hospital at full term and at examination was diagnosed with Laryngomalacia and severe hypotonic, Summer was transferred to a local level 2 hospital for continuity of care, however after a total of 2 weeks in hospital, a discharge planning meeting was done to discuss Summer’s discharge including parental teaching for nasogastric tube feeding. Throughout, the 12 months’ period that Summer received support from the community neonatal nursing team, Summer never attended A&E and also never was readmitted in the children ward. Summer’s case study has proved that by having a Community Neonatal Service would reduce length of stay and reduce hospital readmission. In conclusion, it is important to recognize that this can only be achievable when there are other health professionals to ensure that the focus of the care is based on the infant’s needs and unlimited parental support.
Joe Tabor
University of Arizona College of Public Health, USA
Title: Who Provides Primary Care in Arizona?
Time : 12:35-13:05
Biography:
Joe Tabor is an Assistant Professor and Nicholas Jennings is a doctoral candidate. Both authors have appointments in Community, Environment and Policy Department at the University of Arizona’s College of Public Health in Tucson.
Abstract:
Results from a community-level analysis of health providers show high spatial variability of the workforce data, greater susceptibility to data errors, and bias due to incorrect assumptions about the data.
Arizona has growing needs for primary care providers but information about the role and distribution is lacking. Primary care physicians, PAs, and NPs compared at zip code and county levels showed geographical maldistribution of professions that could influence the selection of preceptorship and residency training locations. County level comparisons between physician licensing board data and Health Professional Shortage Areas (HPSAs) data show a differential bias in magnitude and direction. State level comparisons underscore how a state such as Alaska can improve primary healthcare rankings by including physician assistants, nurse practitioners and certified nurse midwives. Spatial analysis of healthcare workforce and points of services will better inform policy development by federal and state governments, educational and professional organizations, and the private sector.
Luciana Merley Belmiro de Assis Borborema
Federal University of Tocantins (UFT)- Brazil
Title: Xerente people: observing on hypertension and health care.
Biography:
Luciana Merley Belmiro de Assis Borborema- 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
Abstract:
- Primary Care Management
Session Introduction
Maha A. Al Turki
King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia
Title: Hospital Food Services; Dealing with Cultural Influences on Food Consumption Patterns
Time : 12:05-12:35
Biography:
Maha A. Al Turki obtained a Master of Medical Sciences in Human Nutrition in 2006 and PhD of Human Nutrition in 2014, both from the University of Sheffield/UK. Upon her return to Saudi Arabia, she joined King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) in Riyadh as an Assistant Professor of Clinical Nutrition. In her pursuit of academic excellence she is currently studying for a Master Degree of Medical Education at KSAU-HS. At present, she is holding a position of Assistant Dean at the College of Applied Medical Sciences at KSAU-HS.
Abstract:
Satish Chandrasekhar Nair
Tawam Hospital, UAE
Title: Primary Care Practice Based Research and Learning –Global Experience
Biography:
Abstract:
Zachary Hartsell
Wake Foret School of Medicine, USA
Title: Effectively benchmarking both financial and non-financial metrics for physician assistants and nurse practitioners practices
Biography:
Zachary Hartsell completed his physician assistant training at Touro College in 1998. He has worked in emergency medicine, cardiology, and hospital medicine. Mr. Hartsell has been working in both clinical and administrative roles at academic medical centers for the last 15 years. Most recently he worked as the Director of PAs at Wake Forest Baptist Medical Center and oversaw the workforce transformation and optimization of over 300 NPs and PAs. He is currently pursuing his doctorate in health administration at A.T. Still University with an emphasis in leadership development. Zachary regularly speaks both nationally and internationally on topics related to workforce optimization and development of NPs and PAs. Mr. Hartsell also serves on the editorial board of the Journal of the American Academy of Physician Assistants.
Abstract:
The rise of value-based care has created a system of greater accountability from providers in regards to cost, quality, and effectiveness. While many different frameworks and benchmarking models for physician productivity exist, there are few models that can be correctly measured nurse practitioners (NP) or physician assistants (PAs) true value. As a result, many NPs and PAs are inadequately represented and often invisible in the reporting and finance system. This inability to accurately track NP and PR performance creates uncertainty and tension with budget development, as the NP or PAs true value may be undervalued or counted against physician performance. With the increase utilization of NPs and PAs several benchmarking tools have become available, but these tools suffer from poor sensitivity and specificity towards the NP or PAs actual work performed. This presentation will introduce a benchmarking tool aimed at accurately capturing data on the wRVU production of NPS and PAs. Focus will aim at introducing the challenges with the current benchmarking system and the description of a reproducible predictive modeling tool to determine the expected revenue generation of NPs and PAs. The presentation will highlight the challenges in utilizing and developing financial benchmarking tools for NPs and PAs with a focus on understanding local/specialty practice patterns. The presentation will also introduce a nonfinancial incentive model focused on quality and patient satisfaction developed specifically for PAs. Finally, a review of the proper and improper application of shared visits will be discussed.
At the end of this presentation, participant should be able to
- Describe the challenges with using existing physician focused productivity benchmarking tools in the analysis of NP or PA practice.
- Explain the different types of nonfinancial quality metrics that capture the productivity of NPs and PAs most accurately.
- Apply shared visits in the appropriate setting and situation to maximize reimbursement and efficiency.
- Primary Care Epidemiology
Session Introduction
Mbuyiselo Douglas
Human Sciences Research Council, South Africa
Title: The Perceptions and Knowledge of Boys Regarding Deaths and Complications Related to Traditional Male Circumcision
Time : 13:50-14:20
Biography:
Dr. Mbuyiselo Douglas was awarded an AusAID, Nelson Mandela Scholarship to study Master of Public Health degree at Curtin University in Western Australia which he obtained in 2004. He graduated PhD in Health Sciences at Walter Sisulu University. He has been a senior lecturer and an acting head of department. He has published 5 papers in accredited journals and was also coordinating Ubuntu Bethu Circumcision Project at Nyandeni in the Eastern Cape Province funded by AIDS Foundation South Africa (AFSA). He is now on a three year contract for post-doctoral research fellowship at Human Sciences Research Council in South Africa.
Abstract:
Every year there are reported deaths of AmaXhosa male circumcision initiates, especially in the region of Pondoland in the Eastern Cape, a province in South Africa. These deaths are in particular due to complications such as dehydration, sepsis and gangrene. The primary purpose of the study was to explore the perceptions and knowledge of boys about the underlying determinants related to circumcision deaths and complications. A qualitative approach with exploratory and interpretive components was followed. A simple random sampling was used to select 3 focus group discussions with 36 circumcised boys. A purposive sampling was used to select 10 key informants for semi-structured interviews. One question was asked from the participants: Why boys are dying in the circumcision initiation schools? The Tesch’s eight steps data analysis method was used. The data was organised and prepared for analysis by first transcribing the interviews verbatim and then translating the transcriptions. Four overall themes were developed during data analysis:
(1) Unskilful and inexperienced traditional practitioners; (2) Assaults and torture in the initiation schools; (3) Restriction of fluids and food; (4) Action that should be taken to prevent the problem. The inexperienced and unskilful traditional practitioners were identified to be the main cause of the problem. The preventive action was recommended to empower the target groups and thereby protect the children.
Innocent Emmanuel KONGO
University Libre of Kinshasa - DRC
Title: Access to health care in the Democratic Republic of Congo: Major challenge for the poor (case report).
Time : 14:20-14:50
Biography:
Innocent Emmanuel KONGO has completed his graduation at the age of 27 years from University Libre of Kinshasa and is International Master Studies from Sao Paolo Institute of Public Health. He was the director of Medical staff service of CARITAS organization. He has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute. The Libyan Board of Medical Specialties and Jamaharya Medical Revue, DRC Epidemiological Revue, He is actually CEO of CAMPUS of HEALTH DRC NGO working in partnership with the Ministry of Health, The Ministry of Gender, Family & Child and The Christian Church in DRC.
Abstract:
General situation of hospitals and health care
Access to health care is a universally human rights established and recognized internationally, regionally and nationally by several legal instruments including the Universal Declaration of Human Rights, the International Covenant on Economic Social and Cultural Rights, the African Charter on Human Rights and peoples and the Constitution of 18 February 2006 in the Democratic Republic of Congo.
The best quality of health care depends on several parameters: political, cultural, demographic, security, socio - economic. In order to improve the health sector, the Congolese Government had, in the legislature from 2006 to 2011, placed health in five priorities project of the Democratic Republic of Congo. [ 1 In the context of reaching the completion Point, the Democratic Republic of Congo received from the international financial institutions to reduce its debt by 12.3 billion US dollars.] The CAMPUS of HEALTH -NGO and its allies were compelled to launch the investigation in difference’s hospitals. To do this, We’ve sending investigators to collect lots of data relevant to the preparation of this report with patients, doctors, nurses and the public.
- Quality in Primary Care
Session Introduction
Daniel Tekie Ghebreselasie
University of Gezira, Sudan
Title: Risk factors of Non-Communicable Diseases among Population in Wad- Medani City, Gezira State, Sudan (2013)
Biography:
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.
Abstract:
Tendai Nzirawa
Queens University Hospital, Essex, UK
Title: The past, present and future of the community neonatal nursing
Time : 12:35-13:05
Biography:
Tendai Nzirawa completed his Undergraduate Diploma in Nursing Studies (Adult) in 2005 (City University, London) and Bachelor of Science with Honours in Nursing Studies (Neonatal Care) in 2012 (City University, London). Currently, she is pursuing her Master of Science in Nursing Studies (Neonatal Care) from London Southbank University, London. Since 2010, she has been involved in setting up and running a Neonatal Parent Support Group with other health professionals. In July 2016, she won the Tony Fuller Cup- Clinical Audit Competition and in August 2016, she received the best poster award for presenting at the 6th World Nursing and Healthcare Conference, London.
Abstract:
Reviewing the data of the current community neonatal service in North East London over the past six years, there is political evidence of moving more hospital based services into community. In 2014, our trust closed level one special care baby unit and moved all neonatal services to the level two hospitals. The recent internal audits has shown the increase in early hospital discharge from the neonatal unit, increased home visits and increase in more complex babies being followed up by the community neonatal nurses. Reviewing all this evidence, the question would be what does the future hold for our pre-term and complex babies? Where our health care resources should be increased in terms of follow up in the community?
- General Pediatrics
Session Introduction
Asma Javed
Mayo Clinic, Rochester MN, USA
Title: The honest hairy truth about PCOS: What your teenage patient wants to know but is afraid to ask?
Time : 14:50-15:20
Biography:
Asma Javed, MD has completed her Medical School degree in Pakistan at Aga Khan University. She then completed Residency in Pediatrics at Mayo Clinic, Rochester MN followed by Pediatric Endocrinology Fellowship training at Mayo Clinic, Rochester MN. She is currently on staff at Mayo Clinic and speaks frequently at regional and national meetings on topics related to Women’s Health.
Abstract:
The overall purpose of the proposed activity would be to discuss evidence based guidelines for the diagnosis and management of PCOS in light of the most common complaints adolescents with PCOS present with. Current controversies in management of young females with PCOS will be highlighted using a case based discussion format. At the end of the session, participants will be expected to: Understand the concept of morphing PCOS phenotype across stages of life and the role of prenatal (fetal) programming to early childhood obesity and premature puberty in the development of PCOS; work through a number of cases highlighting common complaints the adolescent with PCOS presents with such as hirsutism and acanthosis nigricans and provide best practice advice including new treatment modalities available to address hirsutism and acanthosis nigricans and; discover current controversies in PCOS evaluation such as ‘mass screening’ for complications such as glucose intolerance and ‘pan androgen testing’.
- Global Primary Care
Session Introduction
Lori Sanderson
Loma Linda University, USA
Title: Barriers and Facilitators of Physical Activity and Unhealthy Eating for Children Diagnosed with Kidney Disease or Diabetes
Time : 13:05-13:35
Biography:
Abstract:
Over eighty nine percent of children diagnosed with type 2 diabetes are considered obese or overweight (19). Childhood obesity is associated with an increased risk of kidney disease and the progression to and mortality of kidney disease (33). Most hospitals consider patient education as sufficient to helping this population to increase their physical activity and healthy eating (3,4,14). Without identifying the barriers to successful weight loss or successful increase in physical activity and health eating, this population will remain stagnant in their efforts to change. The purpose of this article is to identify the barriers of physical activity and healthy eating for patients with kidney disease or diabetes. A systemic literature review was conducted to identify the barriers of weight management for children and adolescents who have been diagnosed with kidney disease or diabetes. Upon identifying the barriers, the facilitators, which aim to improve health, can be established. Studies were found using pubmed, academic search premier, and the global internet. Search criteria included obesity rates for children, obesity rates for children with kidney disease, obesity rates for children with diabetes, physical inactivity rates for children, physical activity rates for children with kidney disease, physical activity rates for children with diabetes, unhealthy eating rates for children, unhealthy eating rates for children with kidney disease, unhealthy eating rates for children with diabetes, risk factors for children to acquire diabetes, risk factors for children to acquire kidney disease, barriers to healthy eating for children with kidney disease, barriers to healthy eating for children with diabetes, barriers to healthy eating, barriers to exercise, barriers to exercise for children with kidney disease, and barriers to exercise for children with diabetes. Although not all of the barriers were from research studies of patients with kidney disease or diabetes, there were multiple barriers which occurred in more than one study. These comprised lack of time, physical or personal appearance, lack of social support, lack of motivation, lack of money, weather, fatigue, and lack of access to exercise facilities for physical activity. Lack of time and cost of healthy food were both identified in at least two articles. Patient education alone is not sufficient to helping this population to increase their physical activity and healthy eating. Investigators must first understand what prevents the population from increasing their physical activity and healthy eating, so that they can develop and test potential solutions (facilitators) to the problem. More research is needed to identify barriers among specific populations such as children with diabetes or kidney disease, and to understand why many barriers differ among various populations. More research is also needed to identify and test facilitators to healthy eating and physical activity. Without identification of barriers and the facilitators to change, morbidity and mortality statistics of children with diabetes or kidney disease will continue to increase.
Mónica Carrasco-Gómez
National Institute of Public Health in Mexico
Title: The Role of Health Inequality in the Maternal Health Services Provided by Public Institutions in Mexico
Biography:
Mónica Carrasco-Gómez has completed his PhD at the age of 31 years from National Institute of Public Health in Mexico. She is Professor of National Council for Science and Technology attached to CIESAS-Sureste, a public research center in Mexico. She has published more than 3 papers in reputed journals.
Abstract:
This work aims to determine the role of inequality in the provision of maternal health services among five regions in Mexico (northwest, northeast, central, the Mexico City-State of Mexico re- gion and the south). We consider the most important service providers corresponding to the main health institutions in Mexico (IMSS, ISSSTE, SESAS, IMSS-Oportunidades). Therefore, a cross-sec- tional prospective study was conducted to analyze eight intervention packages (Prenatal Care, Syphilis, Influenza, Obstetric Urgent Care, HIV in pregnancy, delivery care, neonatal care and ac- cessibility) offered by the Maternal and Perinatal Health (MPH) program. A quantitative analysis demonstrates low to marginal performance of the MPH program in three regions (South, Mexico City-State of Mexico and the Northwest) and marginal in two other regions (Central and Northeast). Furthermore, four of the intervention packages presented the lowest performance in the South (Prenatal Care, Syphilis, Influenza and Obstetric Urgent Care), as did the average of the total of the MPH packages. The performance of HIV in Pregnancy package was marginal in the Southern and Mexico City-State of Mexico regions and Neonatal Care was low in the Northwest. The assessment of the MPH intervention packages allows us to identify their strengths and weaknesses. This in- formation allows us to identify similarities and differences among the geographical regions in or- der to describe and analyze the strengths, weaknesses, opportunities and threats in the current system and hence to improve the decision making regarding the Maternal and Perinatal Health Programs in Mexico. The results suggest that a homogenization has taken place in terms of the low quality of the services.
Litty Varghese
Ambulatory Healthcare Services, SEHA, UAE
Title: “ Challenges to Immunizing women of reproductive age and strategies to improve coverageâ€
Biography:
Abstract:
NOELLA MARIA DELIA PEREIRA
BAI JERBAI WADIA HOSPITAL FOR CHILDREN, MUMBAI
Title: Postnatal lactational counseling and neonatal weight pattern
Biography:
Noella Pereira has completed her D.C.H. and D.N.B. at the age of 32 years from the University of Mumbai and the National Board of Examinations, New Delhi respectively. She has been an Assistant Professor in Pediatrics for over two years at the Bai Jerbai Wadia Hospital for Children, in Mumbai, an academic centre of excellence for training post graduates. She has been awarded the Best Poster award for her research paper at Pedicon 2013 – a National Conference for Pediatricians and has published 5 papers in reputed international journals. She has even peer - reviewed an article for an international journal.
Abstract:
- Primary Healthcare in USA
Session Introduction
David K. Jones
Boston University’s School of Public Health, USA
Title: Primary Healthcare in USA
Biography:
David K. Jones is an Assistant Professor in the Department of Health Law, Policy and Management at Boston University’s School of Public Health. His research examines the political and policy issues surrounding the ACA’s implementation. He is working on a book about how states made decisions about what type of health insurance exchange to establish. His work has appeared in the New England Journal of Medicine, The Journal of the American Medical Association, The Journal of Health Politics, Policy and Law, and The American Journal of Public Health among other places. He has been cited in media outlets such as the New York Times, the Washington Post, and the Wall Street Journal. He is a part of multiple organizations focused on developing and disseminating research on the ACA. Dr. Jones is the winner of Academy Health’s Outstanding Dissertation Award for his doctoral thesis completed at the University of Michigan.
Abstract:
2016 is an important transition year for the debate over health reform in America. By the time a new president takes office in January 2017, it will have been nearly seven years since the enactment of the Affordable Care Act (ACA). What comes next—whether we build on the law or dismantle it—will largely depend on the results of this November’s elections. I will discuss what is at stake with this election, including what the leading candidates from the two parties say they will do if elected. I will address how these changes are likely to affect primary care providers. I will also present results from a study examining how state leaders have made decisions about whether or not to extend the ACA’s temporary increase in Medicaid reimbursement levels for primary care providers.
Biography:
Abstract:
Rosamar Torres
UCLA School of Nursing, USA
Title: Perceived prenatal care benefits in late adolescent latinas born in the United States
Time : 15:20-15:50
Biography:
Rosamar Torres completed her PhD in Nursing from The University of Texas at Austin. She competed her Post-doctoral training at University of California, San Francisco, School of Nursing. She is currently an Assistant Professor at University of California, Los Angeles, School of Nursing. Her clinical background is in Pediatric and Neonatal ICU nursing.
Abstract:
In an effort to understand latinas’ inadequate use of prenatal care (PNC) services, research has centered on exploring perceived barriers to access/utilization and has focused on latinas overall without accounting for age or birth country. Therefore, little is known about the perceived benefits of PNC utilization in late adolescent latinas. This retrospective study included 54 latinas that were recruited from online blogs, discussion forums, and groups geared towards pregnant teens and/or latinas. Eligibility criteria were: Born in the U.S.; between 18-21 years; ≤12 months postpartum and; uncomplicated pregnancy and delivery. Perceived PNC benefits were measured by the Better Babies Survey (BBS). A majority (95%) of participants perceived timely (1st trimester) and adequate (≥12 visits) PNC as important. However, only 56% of the sample entered PNC in the 1st trimester, and over 90% of the sample obtained inadequate PNC. There were no statistically significant differences in BBS scores between participants with timely or late PNC or with adequate or inadequate PNC. A logistic regression determined that BBS scores predicted timely entry into PNC, χ2(3)=13.38, p=.004. A multinomial regression determined that BBS scores did not predicted adequate, intermediate or inadequate PNC utilization (p=.51). This study reveals that late adolescent latinas have positive opinions of PNC and they believe that it is important for healthy pregnancy/delivery outcomes, and are aware of the appropriate timing and utilization of care. However, this population likely faces multiple access and utilization barriers beyond their control.
- Primary Care: Fitness and wellness
Session Introduction
Eva Stephens
University of Texas, USA
Title: A Descriptive Study: Weight Management Practices of Members of A Professional Nurses Association trying to lose weight
Biography:
Abstract:
Luke Allen
University of Oxford, UK
Title: Data driven healthy weight services and the global context
Biography:
Luke completed his medical training at Bristol University (UK) in 2012 and worked as a hospital doctor before undertaking a Global Health MPH at Harvard in 2014. He currently works as a global health researcher at Oxford University alongside consultancy work for the WHO. He is retiurning to clinical practice next year as a primary care trainee.
Abstract:
The English National Childhood Measurement Programme aims to establish the Body Mass Index (BMI) of approximately 1m school children every year. Data from this rolling initiative is used to inform the healthy weight services provided in the primary care setting across England. Data are also used to allow analysis of trends in growth patterns, and for as a vehicle for engaging children and families on matters of healthy weight. This national programme that feeds into regional service planning is an excellent model for countries aiming to extend health coverage through better surveillance and strategic use of data. The model also provides cautionary lessons, as disadvantaged groups with the highest prevalence of obesity can be systematically excluded from data-collection: Schools for children with special needs are often exempted and BMI is an inappropriate measure of healthy weight in children with certain disabilities. Means for identifying and overcoming these barriers are discussed, along with the broader use of epidemiological surveillance in service of universal health coverage. The political economy of the British health system is discussed in reference to other models of provision around the world.
Ayedh A. Alhajri
Royal College of Surgeons in Ireland, Ireland
Title: Attitudes of Paediatricians and General Practitioners in Diagnosing Hypertension in Children
Time : 14:15-15:15
Biography:
Ayedh Alhajri is a first class honour medical student at the Royal College of Surgeons in Ireland and he is expected to graduate in May 2018 with MB, BCh, BAO, LRCP and LRCSI at the age of 25. He is a research assistant at Kuwait University, Faculty of Medicine, Department of Pediatrics. He is the founder of Kuwait Medical Students Team in Ireland which is functional since April 2014. He has contributed in two papers about pediatrics so far.
Abstract:
Chiyori HAGA
Okayama University, Japan
Title: Child care providers’ perceptions of chil-dren’s lifestyles and risk factors for obesity: A focus group study
Time : 14:45-15:15
Biography:
Chiyori HAGA has completed her PhD in 2012 from Yamanashi University and worked there as an assistant professor. She is associate professor at Okayama University Graduate School of Health Sciences. She has conducted some cohort studies about health promotion for both children with and without disabilities. She has been serving as an editorial board member of International Journal of Nursing & Clinical Practice.
Abstract:
Child care providers’ perceptions of chil-dren’s lifestyles and risk factors for obesity: The lifestyles of insufficient sleep and skipping breakfast have been pointed out as the problems on child-hood lifestyle since 2008. If the nurses have not had health guidance for parents in spite of knowing these associations, they would not grasp the recent situation on childhood lifestyles. This suggest that the nurses who will have a health guidance for childhood should interview not only parents, but also childcare providers. Therefore, this study attempts to understand child care providers’ perceptions of remarkable children’s lifestyles and discusses potentially successful strategies of cooperation among child care providers, parents, and health professionals for health promotion and the prevention of obesity in preschool children. We conducted 6 focus group discussions consisting of 34 child care providers employed by private and public child care centers, and a public kindergarten in Japan. Systematic thematic analysis was conducted to generate themes to address the study questions. Our results indicate that what the focus group participants discussed with felt mainly into the 3 different kinds of points: “Concerns of Child Care Providers Regarding Parental Attitudes about Nutrition and Nurture,” “Tensions Between Parents and Child Care Providers,” and “Current Obesity Prevention Activities and the Role of Child Care Profession-als.” Child care providers needed a system to demand helps from public health nurses in guiding parents would be effective in pre-venting childhood obesity.
Biography:
Dr. Hasan Al Khaldi has completed his PhD in physical education specialized in sport management, He has worked in al Hashemite University in Jordan as assistant professor. He was chair of sport administration and training Department, He was chair of sport rehabilitation department. He published more than 17 articles in field of sport administration, training and health. Beside that he has worked as fitness instructor in FIFA, AFC, JFA
Abstract:
- Lifestyle Disorders
Session Introduction
Joni K Roberts
University of Mississippi Medical Center, USA
Title: Understanding Access to Care: Lessons from a Malawian study
Biography:
Joni K Roberts completed her Doctorate from Loma Linda University and is currently a Clinical and Community-Based HIV/AIDS Research Training (CCRT) Fellow for 2016-2018 at Brown University. She is an assistant professor at the University of Mississippi Medical Center, where she serves as the Health Education Curriculum Coordinator. Roberts is a certified health education specialist, with research interests in maternal and child health, sexual health, adolescent health and global health issues concerning accessibility and barriers to health care. She brings a passion for community engagement, and as a result, frequently volunteers for professional organizations both locally and internationally.
Abstract:
According to healthy people 2020, approximately 25% of Americans do not have primary care physician or a health center for regular services, this same number of people also lack health insurance. The debate of access to health care has long surrounded around health insurance coverage, costs associated with care and transportation. However, access to health care is much more perplexed than insurance coverage, fees and transportation. A recent study accessing barriers to care among pregnant urban women in Malawi, identified contributors to the access to health care problem beyond insurance, costs and transportation. Malawi is considered the poorest country in the world and has universal health care for all residents at all government health facilities. In spite of full coverage of care, Malawi continues to see an underutilization of services among its citizen’s especially pregnant mothers. Roberts, J., et al., identified three main barriers to accessing care among pregnant women: 1) culture, 2) patient-provider relationship and 3) facility systemic operations. This paper discusses these barriers and identifies ways to use this knowledge to improve health care access for all.
Joyceline NtohYuh
University of Oldenburg, Germany
Title: Socio-Cultural construction of HIV/AIDS Stigma among African Migrant Women in Lower Saxony, Germany.
Biography:
Joyceline Ntoh Yuh is a Feminist and Ph.D candidate in the University of Oldenburg, Germany. She holds an MA in Women & Gender Studies from the ISS Erasmus University Netherlands. Her research interest includes HIV/AIDS related stigma, gender issues, Sexual and Reproductive health. Since 2006 she took keen interest in the field of HIV/AIDS were she researched on the impact of HIV on Agriculture affecting mostly women with the UN FAO Gender unit,mainstreaming HIV policies in UNFFE Uganda,HIV stigma & child bearing in Cameroon and currently facilitates workshops with MA students in the area of Gender, Migration & HIV/AIDS(Health).
Abstract:
Dinkar Sahal
ICGEB, INDIA
Title: Confluence of Biological Inspiration and chemical intuition in search of Novel Drugs Against Malaria
Time : 16:10-16:40
Biography:
Dinkar Sahal’s laboratory epitomizes a vibrant atmosphere for both design and discovery of novel antibiotic peptides and antimalarial drugs. The foundations for understanding the mechanisms of action and discovery of the origins of potency, synergy among antibiotics and broad spectrum of action of antibiotic peptides has been laid in his laboratory. Likewise discovery of novel drugs against drug resistant malaria is a major passion of his laboratory. He has published more than 75 papers in reputed journals and has been serving as a Reviewer and an Editorial Board Member of different journals.
Abstract:
The parasite that causes malaria has been tormenting mankind for a long time and the image of a child dying of malaria every minute continues to haunt us even today. Our handling of malaria for the last hundred years has taught us that the malaria parasite which relishes riding on the invertebrate mosquito vector to fly from one vertebrate victim to another vertebrate host is not easy to control. Its ancient heritage appears to have taught the parasite to emerge with heightened vengeance whenever we have challenged it with either ill equipped vaccines or misused drugs. Today’s malaria parasite is well equipped to conquer almost all antimalarial drugs through resistance and we have miles to go before we have credible vaccines against malaria. While it is true that our best drugs against several diseases including Malaria have been gifts of Nature, it is equally true that synthetic medicinal chemistry has played a commendable role in chiselling and tweaking Nature’s pharmacophores to enhance potency, decrease toxicity and making drugs affordable for the poorest of the poor. My talk will illustrate the ethos of my laboratory which is to study marine organisms, medicinal plants, Cyanobacteria and endophytic fungi for new drugs against Malaria. Towards this mission, we are using high through put fluorescence based microtiter plate assays to culture the malaria parasite in human red blood cells and to examine the effects of potential drugs on the growth of the parasite. On finding hits, we subject natural extracts to activity guided high resolution chromatographic separation to isolate highly purified compounds against Malaria. Working in close association with “chemical collaborators” we then determine the chemical structures of Nature’s pharmacophores and validate the same through chemical synthesis. While the pursuit of discovering novel antimalarials is continuing, we are currently engaged in fine tuning of a natural antimalarial for optimum medicinal properties and drugability.
Solmaz Fakhari
Tabriz University of Medical Sciences, Iran.
Title: Adjustment of Preoperative Fasting Guidelines for Adult Patients Undergoing Elective Surgery
Time : 16:40-17:10
Biography:
Dr Solmaz Fakhari is an assistant Professor of anesthesiology, and is an academic member of department of anesthesiology at the Tabriz University of Medical Sciences (TUMS), IRAN, since 2011. She qualified in general medicine (1993-2000) and specialty in anesthesiology (2005-2009) at the TUMS, with getting the second score in iranian board certification in anesthesiology in 2009. She qualified in palliative care medicine in 2011 after participating in 18 month long period fellowship program at TUMS. She experienced the working in ophthalmic, gynecologic and orthopedic anesthesia and pain medicine fields, and collaborated in many research, nine of them were published in medial journals.
Abstract:
- Primary Care : Healthcare technology
Session Introduction
James McMorran
Oxbridge Solutions Limited and Coventry and Rugby Clinical Commissioning Group, UK
Title: 20 years of GPnotebook: from a medical student project to a national and international resource
Biography:
Abstract:
Evgeny A. Yumatov
National Research University, Russia,
Title: : "INFORMATION MEDICINE" - the control and prevention disorders of the vital functions of a human in everyday conditions".
Biography:
Abstract:
- Primary Care Services
Session Introduction
Harmandeep Kaur
Panjab University,India
Title: An observational study and targeted preventive care of Female Sex Workers (FSW), Men (MSM), Transgender (TGs), and Injecting drug users (IDUs) in India
Time : 15:15-15:45
Biography:
Harmandeep Kaur has completed her Bachelor’s in Anaesthesiology from Govt Medical College And Hospital (GMCH), Chandigarh, India. She is now doing research in Panjab University, Chandigarh. She has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute
Abstract:
AIDS is a severe immunological disorder caused by the retrovirus HIV, resulting in a defect in cell-mediated immune response that is manifested by increased susceptibility to opportunistic infections and to certain rare cancers. It is transmitted primarily by exposure to contaminated body fluids, especially blood and semen.
An observational study was conducted on randomly selected Female Sex Workers (FSW), High risk men who have sex with men (MSM), and transgender (TGs),Injecting drug users (IDUs) in the year 2015-16 in Chandigarh, Punjab, and Nepal.
The activities mainly includes STI services, Condom use, Behaviour Change Communication (BCC) through peer and outreach, Building enabling environment, Ownership building in the community, Linking prevention to HIV related care and support services. These activities are provided through ICTC, mobile ICTC, ART centres, network clinics and dispensaries. These activities are carried out as per the guidelines of NACO.
It can be concluded as the TI project focuses on FSWs to provide them preventive, promotive and curative facilities against HIV/AIDS
Rabaa K. Al Momen
Prince Sultan Military Medical City, KSA.
Title: Patient Enablement in Chronic Diseases in Primary Health Care, Riyadh City, KSA
Time : 16:05-16:35
Biography:
Dr. Rabaa K Almomen, is a consultant and trainer family physician. Worked in the training of family physicians and research for many years. Interested in doctor -patient communication skills teaching, quality improvement and patients safety, evidence based medicine and women health care. Conducted and published research in the areas of interest.
Abstract:
Chronic diseases continue to cause high morbidity and mortality in Saudi Arabia. Patients severing from diabetes mellitus, hypertension and associated complications have recently increased and most of these patients find it extremely difficult to understand or cope with their illness. The objective of this study is to determine the level of patients’ enablement in chronic disease and its predictors. Methods: A community based cross-sectional study was conducted between December 2014 and January 2015. Six hundred and four (604) Patients attending the Chronic Disease Clinic in Alwazarat Health center were randomly selected to participate in the study. Patients aged 18 years and above, who willingly agreed to participate, were included in the study. Self-reported questionnaire was used to determine patient level of enablement. Descriptive statistics such as mean and median were calculated and binary logistic regression was employed to determine the predictors of patient’s enablement to chronic disease.
Results: Our results show that five hundred and sixty five (565) out of (604) patients participated in the study with 86.6% response rate. Type 2 diabetes mellitus affecting 40.65% while hypertension affecting 37.79% of the patients in Al wazarat health center. Patient’s enablement to chronic disease was very low and ranged between 2.41 and 1.53 out of 5.0. Binary logistic regression shows that age (male: OR; 0.84, 95% CI, 0.72 - 1.04, female. OR; 1.04, 95% CI 0.88 - 1.39), marital status (male: OR; 0.72, 95% CI 0.54 - 1.11, female: OR 1.01; 95% CI 0.82 - 1.29), patient educational level and number of problems discussed with physician and consultation length between male patients and their physician were statistically significant and correlated with patients enablement to chronic disease (P < 0.05).
Conclusion: This study shows that patient’s enablement in chronic disease is very low but constitutes an important arm in patients care management. It should be considered as a measurable patient outcome from healthcare services. More prospective studies on this important topic are highly recommended.
- Primary Home Care
Session Introduction
Qamarunissa Muhabat Khan
Aga Khan University Hospital, Pakistan
Title: Clinical Presentation of Ovarian Tumor
Time : 16:35-17:05
Biography:
Dr. Qamarunissa Muhabat Khan has been Graduated from Chandka Medical College, Larkana Pakistan as MBBS doctor. Later on she obtained his post-graduation in obstetrics and gynecology from Isra University Hospital Hyderabad and passed FCPS examination from College of Physician and Surgeons Pakistan (CPSP) and then started working at The Aga Khan Maternal and Child Care Centre, Hyderabad , Pakistan as Consultant.
Abstract:
Mahin Yazdani Zonouz
Tabriz University of Medical Sciences, Iran
Title: Depression in adolescent students, Tabriz, Iran
Time : 17:05-17:35
Biography:
Mahin Yazdani Zonouz is a Registerd Nurse of Faculty of Nursing & Midwifery at Medical Sciences University of Tabriz. She has completed her MS in Mental Health & Psychiatric Nursing of Medical Sciences. She has presented four articles in international conference. She has more than 25 years of experiences as a Nursing Instructor in Clinical Nursing Education.
Abstract:
Introduction: Depression is the most common mental disorders and a serious health problem in the world. It causes social, educational and biological problems in adolescents. Physiological changes during adolescence cause mental distress and make them more prone to depression. So, early diagnosis and treatment is very important.
Aim: Aim of this study was to examine depression in adolescent students and effects of related factors in schools of Tabriz, Iran.
Materials & Method: Data was gathered through the center of epidemiological studies depression scale for children from 903 adolescent students, including 455 boys and 448 girls who were selected by multi-stage cluster sampling. Data were analyzed by SPSS software/PC.
Results: The results showed that depression is a common event among adolescents. It was more in girls. There was correlation between depression and some factors such as: increased age, school and family problems, life events and self-concept of adolescents (p<0.05).
Conclusion: It is necessary that parents, primary healthcare centers and healthcare teams should pay more attention to risk factors of depression in adolescents.
Biography:
Abstract: