Day 1 :
Keynote Forum
Mayer B Davidson
Professor, Charles R Drew University, USA
Keynote: Comparison of insulin dose adjustments by primary care physicians and endocrinologists
Biography:
Mayer B Davidson is a Professor of Medicine at Charles R Drew University and the David Geffen School of Medicine at UCLA. He has been caring for diabetic
patients for 50 years. He was the Past President of the American Diabetes Association (1997-1998) and the Editor-in-Chief of Diabetes Care (2002-2006). He has
received the Outstanding Physician-Clinician in Diabetes Award from the American Diabetes in June 2016. He is also the Chief Medical Officer of Insulin Algorithms
Inc.
Abstract:
Primary care physicians (PCPs) are reluctant to start/intensify insulin. Two possible reasons are lack of time or (perceived)
and lack of ability. To test the latter, we developed 20 simulated cases based on patients’ meter downloads and assigned the
following insulin regimens: 3 basal insulin alone, 4 basal-bolus, 6 self-mixed-split, 5 premixed, 1 with U-500 regular insulin
and 1 with delayed responses to NPH insulin. The insulin dose adjustments of 9 PCPs and 9 endocrinologists were compared
to a Gold Standard (GS). The senior author has taught house staff, nurses, physician assistants and clinical pharmacists how to
adjust insulin doses for 50 years. A registered nurse (not an NP) taught these principles and supervised by PCPs who referred
patients to her lowered HbA1c levels of 111 taking insulin at referral from 11.0% to 7.3%. These computerized principles
served as the GS against which the PCPs and endocrinologists were compared. In 162 instances where the GS did not make
dose changes, the PCPs and endocrinologists also did not, 53% and 49% of the time, respectively. In 396 instances where the
GS did make dose changes, both groups did 67% of the time. The mean unit difference from the GS was significantly (P<0.01)
less with PCPs (-1.2) than with endocrinologists (-5.1). In conclusion, the abilities of PCPs to adjust insulin doses are like
endocrinologists suggesting that time constraints are a major barrier. Utilizing reports generated by these computerized insulin
dose adjustment algorithms after meters are downloaded in the office or remotely will save PCPs time and face-to-face visits if
done remotely. The latter telemedicine approach is economically feasible because of a CMS monthly fee of $42.
Keynote Forum
Walter Eichendorf
Deputy Director General of the German Social Accident Insurance (DGUV) and Director of DGUV’s prevention division
Keynote: Establishing a culture of prevention
Biography:
Walter Eichendorf has studied Physics and Mathematics. He was the Head of Statistical Department from 1983, Director of Public Relations from 1989, Deputy
Director General since 1998. Since 2007, he is Deputy Director General of the German Social Accident Insurance (DGUV) and Director of DGUV’s prevention
division. In addition, he is President of the German Road Safety Council (DVR). In the International Social Security Association (ISSA) he is Vice President of both
the Research Section and the Prevention Culture Section.
Abstract:
As digitalization continues, work forms and locations will change. Promoting a culture of prevention in companies
and organizations can encourage greater self-responsibility for one’s own safety and health at work, as well as support
the leadership and motivation of employees. Raising awareness of safety and health as important values for all people, all
organizations and for society as well as integrating safety and health into how we think and act will become crucial. Safety and
health must become the benchmark for all our actions. If safety and health become a mandatory established as values in every
school pupil, student, employee, employer and manager they can act as a benchmark for all their actions. Individuals would
be empowered to automatically make those values an important factor in all their thoughts and actions. At that point safety
and health could be seen to represent values that are both actively lived and perform a beacon function. This would represent
the completion of a significant process of cultural change. Therefore the DGUV has decided to start a ten-years-campaign to
promote the culture of prevention in Germany which will be launched on October 18, 2017. The target groups will range from
young children to elderly people. The evolution of a culture in which safety and health are firmly established as integral, lived
values requires companies and institutions to adopt a holistic approach spread across six fields of action. The six fields of action
are leadership, communication, participation, error culture, social climate/organizational climate and prevention which are
as an integral part of all tasks. The latter field has a special role to play as it is ideally to influence all other fields of action. The
conceptual concept will be presented as well as the communication structure of the campaign.
Keynote Forum
Ann Mitchell
Professor of Nursing and Psychiatry at the University of Pittsburgh School of Nursing
Keynote: Screening, brief intervention and referral to treatment for at-risk substance use: Nurse practitioners poised to make a difference in primary care settings
Biography:
Ann M Mitchell is a Professor of Nursing and Psychiatry at the University of Pittsburgh School of Nursing. She has served as Project Director (PI) on three HRSA-
funded projects related to screening, brief intervention, and referral to treatment (SBIRT) for alcohol and other drug use and is currently funded by SAMHSA
to integrate SBIRT education into the Nurse Practitioner curriculum, addressing substance use across the lifespan. Lastly, she is working with the CDC on two
projects to incorporate Alcohol Screening and Brief Intervention (Alcohol SBI) into nursing practice with the ultimate goal of preventing Fetal Alcohol Spectrum
Disorders (FASD).
Abstract:
Background: Alcohol and other drug use and misuse are public health problems resulting in high healthcare and societal
costs. This presentation will review the implementation of a screening, brief intervention, and referral to treatment (SBIRT)
program across multiple groups of advanced practice students to reach vulnerable populations at risk. Policy support for
SBIRT utilization comes from the US Preventive Services Task Force, the American Nurses Association, the American College
of Surgeons, the Joint Commission, and the Centers for Medicare and Medicaid. Outcome results, after the incorporation
of SBIRT into three advanced practice graduate nursing school curricula, including knowledge, skills, and attitudes will be
presented.
Methods: A mixed-method approach was used to measure the effects of education and curriculum infusion of SBIRT into
three advanced practice graduate nursing school curricula. Pre-to-post attitude surveys of nursing students towards working
with individuals who use alcohol or other drugs were measured as well as knowledge and skills post-training.
Results: SBIRT education positively influenced participants’ attitudes towards working with individuals who use alcohol or
other drugs. SBIRT education had the most pronounced significant effect on indicators of role security, including role adequacy
and role legitimacy (p<0.05) across all programs. Effects on indicators of therapeutic commitment, including motivation
and role support varied depending upon the program. Knowledge surveys indicated a significant increase in post-training
knowledge of SBIRT across all programs and participants’ skills were satisfactory post-training.
Conclusions: Nurse practitioners are in an ideal position to have a positive impact on patient care and patient outcomes
through the incorporation of screening for alcohol and other drug use, and when appropriate to provide a brief intervention
or a referral for further assessment or treatment.
- Primary Healthcare | Nursing | Mental Primary Healthcare Management | Dental Primary Care | Primary Womens Healthcare |Primary Healthcare Nursing | Primary Healthcare: Individualised Care | Primary Healthcare in Psychology
Location: PLAZA I
Chair
Muhammad Ajmal Zahid
Chairman, Kuwait University
Co-Chair
Walter Eichendorf
Deputy Director General of the German Social Accident Insurance (DGUV) and Director of DGUV’s prevention division
Session Introduction
Kwabena A. Kyei
Head (Chair) of the Department of Statistics at the University of Venda, Thohoyandou
Title: Accessing health care services by students at the university of venda, thohoyandou, South Africa
Biography:
Kwabena A Kyei is statistician & demographer, having a bachelor’s degree in Mathematics (with Statistics) from the University of Science and Technology,
Kumasi, Ghana, a master’s degree from Universite Catholique de Louvain, Louvain-la-Neuve, Belgium and a doctoral degree in Demography from the University
of Pretoria, Pretoria, South Africa. I have been a lecturer in statistics and demography at the university for over twenty-five years. I am currently the Head (Chair)
of the Department of Statistics at the University of Venda, Thohoyandou. I have published over thirty-seven articles in accredited journals, covering topics on
unemployment, childhood mortality, breastfeeding, profitability in banking, etc. and spanning through areas in economics, demography and primary health care. I
also did post-doctoral studies in actuarial science & biostatistics
Abstract:
South African youth experience obstacles related to accessing age-specific health care services. School-based health centers
provide youth-friendly services tailored to meeting the healthcare needs of young people. Are there obstacles preventing
students from accessing healthcare services? The study aims to assess the level of awareness regarding the University of Venda
(UNIVEN) campus health services and to determine the availability and acceptability barriers experienced by students in
accessing the campus health services. Five hundred and thirty-four respondents drawn from all the residences in the University
campus and comprising students from all the schools and levels were sampled using two stage sampling. Questionnaires were
administered face-to-face to respondents. The validity and reliability of the study was ensured. Ethical considerations, such as
informed consent, right to privacy, and no-harm to participants, were observed and addressed. The results from data analysis
indicated that the average age of the study population was 21.85 years with almost all the respondents (95%) being aware of
the existence of a health clinic in the University campus. However, only 63% had gone for consultation at the clinic. Awareness
of the clinic’s services appears to be poor. HIV counselling and testing was the most known service, while minor illnesses’
management was the most utilised service (48%). Barriers experienced by the respondents were related to waiting times and
opening hours of the clinic, with only 33% and 39% respectively, describing them as ideal. The study provides evidence that
although University health services may be provided at no cost, students still experience barriers in accessing them. Effective
measures are needed to increase students’ awareness of the clinic’s services and to shorten waiting times and improve clinic
opening hours.
Imran Ali
Assistant Professor, Jamia Millia Islamia (Central University), India
Title: Nano anti-cancer drugs: Hope for future
Biography:
He is a world recognized academician and researcher. He completed his Ph.D. from Indian Institute of Technology Roorkee, Roorkee, India. Prof. Ali is known
globally due to his great contribution in anti-cancer and chiral drugs development and water treatment. He has published 350 papers in reputed journals including
papers in Nature and Chemical Reviews. He has also five books published by Marcel Dekker, Inc., USA; Taylor & Francis, USA; John Wiley & Sons, USA; John
Wiley & Sons, UK; Elsevier, The Netherlands. His citation is 112000 with H index 46.
Abstract:
Routine chemotherapy for cancer treatment has several side and toxic effects. Recently, a new approach of nano anti-cancer
drug has been developed and only few drugs are available in the market today. The unique features of these drugs are
targeted action on cancer cells only without any side effect and, hence, called magic drugs. The important molecules used
for preparation of nano anti-cancer drugs are cisplatin, carboplatin, bleomycin, 5-fluorouracil, doxorubicin, dactinomycin,
6-mercaptopurine, paclitaxel, topotecan, vinblastin and etoposide etc. The most commonly used materials for preparing nano
particles carriers are dendrimers, polymeric, liposomal, micelles inorganic, organic etc. The proposed lecture will comprise
the-of-art of nano drugs in cancer chemo-therapy including preparation, types of drugs, mechanism, future perspectives etc.
Lauren Madere Hoel
University of Texas Health Science Center, USA
Title: The changing landscape of urological management in women
Biography:
Lauren Madere Hoel has been a Registered Nurse for 35 years and a Nurse Practitioner for 18 years. She brings a wide variety of practice experience to the
Department of Urology, Pediatric HIV Research and Clinical Care, Cardiology, Allergy and Immunology, Nephrology and joining the Urology Department in May of
2014. She has been a volunteer for the National Alliance on Mental Illness for 3 years.
Abstract:
In the recently published Primary Care update on urinary tract infection, the American Urological Association estimated that
over 150 million UTIs occur annually worldwide, with an estimated healthcare cost of over $6 billion. There are a variety
of diagnoses associated with urinary tract symptoms that may occur in the absence of bacterial infection. In the interest of
healthcare cost savings there have been some recommendations to avoid UCX and just treat UTI based on sex and urine dipstick.
Primary healthcare providers will continue to evaluate and manage the clear majority of UTIs in the outpatient population.
Providers should be armed with the knowledge of emerging trends in UTI diagnosis and treatment. This presentation seeks to
explore these trends and identify the tools needed to direct cost effective, yet population protective, management of outpatient
UTIs in women throughout the lifespan. Providers need to consider whether testing is indicated or not. Selecting a treatment
regimen should be carried out with consideration of culture specific pathogen results as well as complicating patient factors and
the suspected, vs proven, site of illness. Highlights of this presentation include associated issues such as up to date antibiotic
stewardship recommendations, current trends in pathogen resistance and recommendations regarding testing, management
and where appropriate, referral for urological evaluation with Subspecialty services.
V Rama
Asst Professor in the ECE Dept., NIT, Warangal
Title: Early detection of Cardiac disorder using artificial intelligence
Biography:
Mrs. V. Rama obtained her B.Tech in Electronics and Communication Engineering from JNTU, Kakinada and M. Tech. (E&I) from NIT, Warangal. Pursuing Ph D
from NIT, Warangal under the guidance of Dr.C.B.Rama Rao. She has been working as Asst Professor in the ECE Dept., NIT, Warangal for 18 years. Her area of
research is Bio Medical Signal Processing. She has published no. of papers in national and international conferences and Journals.
Abstract:
In the modern industrialized countries every year millions of people die due to cardiac disorders. India has highest incidence
of heart related diseases in the world. The WHO’s world statictics report 2016 shows that the life expectancy in India was
68.3 years. If no initiative is taken to check this most predictable and preventable among all chronic diseases, life expectancy
may further decrease. The main aim of this work is to enable the clinical doctors to diagnose cardiac disorders using computer
based analysis as the manual analysis is tedious and time consuming task. Early detection of cardiac disease is of paramount
importance for saving the life of patients. Electrocardiogram (ECG) is an important bio-medical signal representing the
electrical activity of the heart. A significant amount of work has been done in the past to identify cardiac disorders. All the
developed linear algorithms considered that the ECG signal as stationery. But on observing the fact that ECG is non-stationery.
It has been duly noted from Maedeh Kiani Sarkaleh (2012) paper in which the author has successfully classified 10 files,
which include both normal and two types of cardiac disorders and produced results with an accuracy of 96.5%. However, this
paper concentrates on developing novel feature extraction scheme using nonlinear signal processing technique and supervised
learning technique to improve classification accuracy of cardiac arrhythmias. The proposed system aims at classifying Normal
Sinus Rhythm (NSR) and 4 types of Cardiac arrhythmias-Sudden Cardiac Arrest (SCA), Ventricular Tachycardia(VT),
Ventricular Fibrillation(VF) and Cardiac Ischemia(CI). Daubechies wavelet transform (db4) 6-level decomposition technique
is used for extraction of ECG features. Finally these features are fed to Multi-Layer Perceptron Neural Network classifier.
The classification accuracy obtained is 100% and its computation time is only 0.28 seconds. Selection of optimum number of
features is essential to improve classification accuracy. The feasibility of all the above proposed method has been tested using
benchmarked MIT-BIH database and the performance of MLP classifier has been evaluated in Waikato Environment for
Knowledge Analysis.
Zeeshan Haider
Cyprus International University, Cyprus
Title: The impact of work place stressors on work quality of nurses in health care sector. Case study of private medical institutions in the (TRNC)
Biography:
Zeeshan Haider has his experience in passion and evaluation for the betterment of health care and other issues. His constant support, critical and indispensable
help of constructive comments and suggestions have contributed to the new pathways for healthcare improvement. Work related element of life in a medical care
environment has become an important aspect in the modern world.
Abstract:
In the Nursing work place of present world, stress is leading to be a one of the major and serious threat in health sector.
Among the people related to the health care professional, Nurse’s stress has a negative effect on their work quality, work
health and ability to do. Various studies have been discussed in the past time to predispose the contact of work place stressors
on work quality of Nurse. Most of the studies focused on the work place stressors and their relationship between work related
quality of life of Nurses that how stressors can affect the work quality of Nurses and what are the reasons or is there any
negative or positive relation between stressors and work quality. This study seeks to analyze the impact of work place stressors
among nurses in their work quality. If the stressors that alter the task quality of Nurses work more comfortable and relaxed.
The main findings suggest that there is a symbolic negative relationship of job place stressors with work nature and aspect of
Nurses. The result discloses that the frequencies of job place stressors have an eloquent contact on work quality of Nurses and
there is a statistically expressive negative linear contingency within job related element of life and Nurses stress. In health care
organization, designing and creating work to be more important and meaningful in their performance and in the manner at
which their contributions are acknowledged.
Zeeshan Haider
Cyprus International University, Cyprus
Title: The impact of work place stressors on work quality of nurses in health care sector. Case study of private medical institutions in the (TRNC)
Biography:
Zeeshan Haider has his experience in passion and evaluation for the betterment of health care and other issues. His constant support, critical and indispensable
help of constructive comments and suggestions have contributed to the new pathways for healthcare improvement. Work related element of life in a medical care
environment has become an important aspect in the modern world.
Abstract:
In the Nursing work place of present world, stress is leading to be a one of the major and serious threat in health sector.
Among the people related to the health care professional, Nurse’s stress has a negative effect on their work quality, work
health and ability to do. Various studies have been discussed in the past time to predispose the contact of work place stressors
on work quality of Nurse. Most of the studies focused on the work place stressors and their relationship between work related
quality of life of Nurses that how stressors can affect the work quality of Nurses and what are the reasons or is there any
negative or positive relation between stressors and work quality. This study seeks to analyze the impact of work place stressors
among nurses in their work quality. If the stressors that alter the task quality of Nurses work more comfortable and relaxed.
The main findings suggest that there is a symbolic negative relationship of job place stressors with work nature and aspect of
Nurses. The result discloses that the frequencies of job place stressors have an eloquent contact on work quality of Nurses and
there is a statistically expressive negative linear contingency within job related element of life and Nurses stress. In health care
organization, designing and creating work to be more important and meaningful in their performance and in the manner at
which their contributions are acknowledged.