7^th Annual Congress on Primary Healthcare, Nursing and Neonatal Screening July 27-28,2018 Vancouver, British Columbia, Canada

Fatemeh Oskouie, BScN, MScOH and DrPH, is a Professor of School of Nursing and Midwifery, Iran University of Medical Sciences (IUMS) Tehran, Iran. She is

currently the head of Nursing Care Research Center (since 2007). She established WHO Collaborating Center for Education and Research in Nursing and Midwifery

in 2014. She also established the National Nursing Research Network in 2016. She works as a member of Nursing Board and is research advisor to the Nursing

Deputy of Ministry of Health of Iran. Her research interests are Public Health, Nursing Education, Quality of life, Non-communicable Diseases.

Statement of the Problem: Attrition is a major challenge facing nursing students that results in substantial costs on the

education, health, and treatment systems across countries and can have an unwanted effect on the quality and quantity of health

services provided as well as on the health of citizens. The purpose of this study is to describe nursing students' perceptions

toward factors influencing attrition.

Methodology & Theoretical Orientation: A qualitative study conducted using a content analysis approach. Nineteen

undergraduate nursing students enrolled in the nursing bachelor program were recruited using purposive and snowball

sampling. In-depth face-to-face focus and group interviews and participant observation were used for data production.

Conventional content analysis approach utilized for analyzing.

Findings: In this study nursing students’ attrition factors were categorized into two themes: ‘before admission’ and ‘after

admission’. The obligation to choose to nurse in the National Entrance Exam, poor management in workforce provision and

improper supervision, the discrepancy between expectations and experiences, and being work abused in clinical training were

the main factors of attrition.

Conclusion & Significance: Authorities in education and practice sectors can use these findings to improve the quality of

clinical and theoretical education and to avoid nursing student attrition. This can be accomplished through an expansion in

network consciousness of the character of nursing, proficient administration of workforce arrangement and clear and succinct

supervision of exercises in both hypothetical and clinical fields.

Dr Rafiqul Islam is working as an Associate Professor at Medical Information Center of Kyushu University Hospital under Kyushu University, Fukuoka, Japan.

Before joining here, he has been working as a Director of Global Communication Center, the ICT based R&D center of Grameen Communications, Bangladesh

for about 8 years. Earlier Dr Islam worked in Japanese IT industries for 12 years after completing his PhD in Information Engineering in 1993 from Hokkaido University,

Japan. Dr Islam has been associated with various Internet standardization organizations, government bodies and business communities. He has attended

many International Conference, Seminars and events of ICT around the world and spoke on ICT for development with a special focus on the healthcare sector. His

interest also covers in the areas including ICT for agriculture, education, energy, and environment.

Statement of the Problem: Two main obstacles to ensuring basic healthcare service in remote areas of developing countries

are the poor doctor-patient ratio and insufficient medical facilities. The Portable Health Clinic (PHC) system made it possible

to provide primary healthcare services to the doorstep of the rural communities in affordable price by providing telemedicine

service in a preventive healthcare way. The PHC system introduces a triage process based on the concept of “Bangladesh

Logic” for the people of Bangladesh and it classifies the subjects under investigation into four categories, namely, (1) green

or healthy (2) yellow or alarming (3) orange or sick and (4) red or emergent, based on the gradual higher risk status of

their health. The subjects under orange and red are primarily diagnosed as in the risky zone who need doctor`s consultancy.

However, the major part of the subjects who are diagnosed in the safe and alarming zone (yellow) can be served by the trained

health workers without medication and they can be mostly prevented not to shift into the risky zone being under the guided

lifestyle. This reduces the pressure on the doctors enabling them to focus on the risky patients who deserve better attention.

The Tele-Pathology module of the PHC system enables the rural diagnostic centers operated by the laboratory technologist

for producing a quality pathological report with the support of the qualified remote pathologist. Thus, the PHC telehealth

care system offers a unique opportunity for ensuring better healthcare service to the unreached rural communities of the

developing countries. Although it was developed aiming to the low-income rural communities, it is found equality useful for

the urban rich aged community for home delivery service due to its portability and easy operation.

Dale M Hilty, Associate Professor, received his PhD in counseling psychology from Department of Psychology at the Ohio State University. He has published

studies in the areas of psychology, sociology, and religion. Between April 2017 and April 2018, his ten research teams published 55 posters at local, state, regional, national, and international nursing conferences. His colleague sharing the author line of this poster is Aimee Shea, MPH, RDN, CSO, LD.

Unique Innovation: The goal of this project was to improve student knowledge regarding how different diet choices hinder an

individual’s ability to meet the Dietary Guidelines for Americans. A 30-minute presentation included a nutrient analysis per

meal for four diets: Omni Heart, Fancy Fast Foods (Panera), Fast Foods (McDonald's), and Snack Diets (Vending Machine).

Undergraduate nursing students observed how choosing two Omni Heart meals per day plus one meal from any of the other

three diets resulted in positive energy balance and the potential for significant weight gain.

Method: Independent variable: 30-minute presentation. The dependent variables were student completion of (1) cognitive

nutrition pre/post-test questions (2pre/post-test Nutrition Assessment Questionnaire (NAQ). Fiber, added sugars, fats, protein,

and sodium subscale scores are available for the NAQ. Subjects: Undergraduate students (66, 3rd year; 64, 1st year students).

Hypothesis: The 30-minute presentation will cause a statistically significant improvement on the pre- and post-test cognitive

questions and the overall NAQ score as well as on the fiber, added sugars, fats, protein, and sodium subscales.

Favorable Outcomes: Statistically significant differences (p<003, dependent t-test) were found on each of the dependent

variable measures (cognitive knowledge questions, overall NAQ total score, NAQ subscales: fiber, added sugars, fats, protein,

and sodium).

Application Relevance: In this educational intervention, student nutrition knowledge increased significantly from the pre to

the post-test measures based on the independent variable (30-minute classroom presentation). These findings could facilitate

health promotion efforts by increasing nursing student self-knowledge and their ability to educate patients.

Babita Saxena is currently professor in gynec and obstetrics department at Government homeopathic medical college and hospital in Bhopal since last 15 years. During her journey of practicing, she had encountered and treated many cases of DUB successfully of which approximately 15% need surgical intervention. Presently she is working for autistic children and a common pubertal problem i.e. polycystic ovarian disease. They have specific geriatric unit in which they manage menopausal complaints of females through proper counseling and medication. She is fond of reading, writing, and cooking she also likes to join job as freelancer in other countries. She has completed her Post Graduation from Mumbai University in Materia Medica.

Statement of the Problem: Menopause, the term in itself brings many thoughts in a female’s life. Especially if, it is related to

the excessive hemorrhage during menstrual periods. Dysfunctional uterine bleeding (DUB) is a variety of manifestations of

the anovulatory cycle (in the absence of pathology or medical illness).

(a) DUB in menarche i.e. puberty menorrhagia

(b) DUB in middle age female as metropathia hemorrhagic

(c) DUB in premenopausal female i.e. heavy bleeding in a woman approaching menopause.

Of these, the third point affects women the most as they are in troubles related to menopause itself.

Cause: As approaching menopause time ovaries start devoid of mature follicles. So, FSH start increasing as a result initially

proliferative endometrium grows up to 5-6 mm size which is very fragile, only estrogenic primed endometrium. So, as soon as

estrogen level decreases, tissues undergo spontaneous breakage and bleeding as one site heals another, yet another new site of

breakdown will appear. Endometrial control mechanism is missing. So, excess blood loss is due to disorderly, abrupt, random

breakage of tissue- with opening of multiple vascular channels. (a) No vasoconstriction (b) No tight coiling of spiral vessel (c)

No collapse to induce stasis. As a result, a most common treatment program for such cases is: (i) Hormones OCP (ii) Estrogen

therapy (iii) Maintenance of hemoglobin (iv) Use of antiprostaglandins (v) GnRH (gonadotropin-releasing hormone) agonists

(vi) Ablation of the endometrium (vii) Surgical removal of uterus i.e. hysterectomy

An agent from this entire homeopathy -an alternative science is a better choice where without hormonal side effects bleeding

and the cycle can be controlled satisfactorily. Few things to take care like: (a) Proper case taking (b) Selection of similimum

(c) Selection of good potency (d) Selection of intercurrent remedy (e) Selection of mother tinctures for acute conditions (f)

Re-case taking- taking miasm behind into consideration (g) Give mental symptoms top priority (h) Reassurance to patient (i)

Spending some extra time with patient alone then with husband and children counseling them (j) See the response of cases.

So, managing DUB in the premenopausal female is time taking with best results.