Healthcare

Biography

Dr. Roser Francisco is a registered nurse and a biologist, and has completed her PhD on Biomedicine from the University of Barcelona. She is the Head of the rare diseases program of the Catalan Health Servicie (CatSalut), a public health administration. Her work has always been related to rare disesases, from research to health planning. Thanks to her experience she has an holistic knowledge of RD’s needs: doctoral thesis on the rare paediatric oncologic disease neuroblastoma, advice and monitoring of clinical trials in rare diseases, participation in the wording and implementation of the Catalan RD’s Care Model.

Abstract

People living with rare diseases (RD) are vulnerable to healthcare systems because standard procedures are not adequate for these patients. Catalonia’s Health Ministry has been working since 2009 on different health policies that seek to improve awareness, diagnosis and treatment of people affected by RD.

One of these policies defines the Catalan RD Care Model. This model aims to achieve a person-centred care and to guarantee equity of access to speciealized care; it integrates the different patient care levels and optimizes the resources available by identifying and guaranteeing the access to clinical reference units (UEC) which are responsable for leading an integrated care network in collaboration with the territorial/community level (the one close to the home of the patient: includes primary healthcare, territorial hospitals and other health services as well as social, educational and labour resources). The integrated care network implies a collaborative attitude and depends largely on eHealth tools usage.

The model has been designed with the advice of a RD Advisory Committee (CAMM) and takes into account the viewpoint of patients, clinicians and professionals of different administration bodies (health, welfare and education). Furthermore it is aligned with the RD national and European strategies (Estrategia nacional de Enfermedades raras and European Reference Networks -ERNs-).

The model implementation process has been designed by phases; RDs are grouped in thematic groups (similar to ERN grouping) which are priorized and worked in collaboration with professional experts of our territory. In 2017, the first catalan network was designated, it addresses genetic cognitive behavioural diseases. At least two more networks will be designated during 2018.

Biography

Abstract

The two-leading cause of under-five mortality is diarrhoea and pneumonia accounts for more than 30%. The evidence suggests us that hand washing with soap is cost effective yet very impactful intervention. Hand hygiene promotion interventions has potential to interrupt the transmission of diarrhea-causing pathogens. The Handwashing with soap can reduce significantly the incidence of diarrhea and pneumonia (Luby, 2005). As far as evidences are telling us that handwash is most cost-effective intervention and can reduce morbidity due to diarrhea by 44%. India has high number more than 50% of children’s are malnourished & under-nutrition is quite high in children from 6-24 months. Nevertheless, not only mortality but morbidity due to diarrhea and repeated occurrence in children can lead to severe malnourishment. Even the children’s borne healthy with normal weight nutrition status falls once child reached 6-24 months. Diarrhea is mainly caused by eating infected foods or liquids and person-to-person contact (mainly hand to hand then hand to mouth). Hand washing with soap is one of the most cost effective intervention. Hand wash & hygiene at key occasions specially before eating food and after toilet is important but not easy to practice and this requires behavior change and need to be practiced daily to adopt in routine habit. Children at early age during habit formation or at preschool stage need to taught & also parents need to practice that at household level. Hand wash & hygiene requires sharper behavioral change approach in the community to adopt this behavior and practice it as a daily habit. Sepsis is other leading cause of children within a month they are born and clean cord care & hand hygiene can prevent sepsis in neonate. Under-nutrition is the other leading cause of child death is often masked by the reported disease. Data says that 45% of all under-five mortality (more than 3.1 million per year) are due to diarrhea and pneumonia. (Horton, 2013).

Biography

Dr. Ajong Brian Ngongheh  Graduated from University of Buea of as Medical Doctor. Later on he obtained a Masters in Public Health at the London School of Hygiene and Tropical Medicine during which my chosen modules focused on the design, implementation and evaluation of disease control programs in developing countries. He is a dynamic public health specialist with working experience as a clinician and health manager in international NGOs (Red Cross, Medecins Sans Frontieres, International Medical Corps) in emergency contexts. He is interested in innovative public health interventions for controlling infectious diseases and their implementation and incorporation into routine health systems. He currently works in Medair South Sudan as the medical manager of the Emergency Response Team.

Abstract

This study sought to measure the prevalence and identify risk factors of anaemia among pregnant women attending their first antenatal visit in the Buea.

A cross sectional study was conducted during which pregnant women attending their first antenatal visit over a period of 5 months were invited to participate. An interviewer administered questionnaire was used to collect Socio-demographic data and risk factors for anaemia in pregnancy. Blood was used to measure the haemoglobin concentration, determine HIV serologic status and examined for malaria parasitaemia using standard techniques. Risk factors to anaemia in pregnancy were identified using univariable and multivariable analysis in logistic regression.

Among 250 pregnant women included in the study, 171 (68.4%, 95% CI: 60% - 72%) were anaemic. In multivariable analysis, malaria infection and gravidity were significantly associated with anaemia. Relative to women without malaria, those with malaria parasitaemia were 9.47 times more likely of being anaemic (OR = 9.47, CI: 4.20 - 21.29, p < 0.001). Furthermore, relative to multigravida, primigravida had 1.98 times the odds of being anaemic (OR 1.98, CI: 1.01 - 3.88, p = 0.044).

The high prevalence of anaemia in pregnancy in this study clearly demonstrates its public health importance in the first antenatal visit. Malaria infection and parity are strong modifiable and non-modifiable risk factors respectively for anaemia in pregnancy. Early interventions to reduce anaemia and malaria, targeting women of reproductive age before conception and pregnant women early during the gestational period, especially in primigravida may be helpful.

Biography

Dr. Alaa Elhaj Hadad has grduated from University of Khartoum, faculty of medicine as a medical doctor. she started working as a research assistant at the educational development center where she participated in conducting researches on the national level of the country. Presently she is working  as the director of research office at the sudanese childhood diabetes association and head of youth office. She is currently obtaining her master degree in public health from Neelain university in Khartoum.

Abstract

Background and objective : The physician-patient relationship is crucial to the successful delivery of health care. The aim of this study was to assess the level of doctor patient relationship at Ibrahim Malik teaching hospital.

Materials and Methods : participants were patients admitted to Ibrahim Malik hospital at the time of the study, the 200-participants completed a twelve-questions questionnaire which included the seven-questions scale that assessed the level of the relationship.

The scale consisted of the following elements : trust, liking, concordance, patient’s education, verbal communication and compliance with medications.

Results : 75% of patients were found to have a poor level of relationship with their doctors, concordance was found to have the lion’s share of this percent followed by patient’s compliance to medications .

The majority of the participants – 92% and 81% - have trusted and liked their doctors respectively.

Liking and trust were significantly associated with each other.

Significantly ; Concordance and patient’s compliance with medications were also associated with each other.

Recommendations : education of both the doctors and the patients about the importance of the doctor patient relationship is extremely important as it will improve the delivery of health services. The introduction of workshops, trainings and medical exams in medical universities and hospitals is of an equal importance since it will ensure the appropriate application of the doctor patient relationship.

Biography

Anton is a dynamic speaker and healthcare guru that teaches leaders how to embrace change, improve engagement and overcome adversity. His presentations inspire leaders to think differently and act differently. Offstage, He rolls up his sleeves with individuals and organizations to guide them through proven, easy-to-implement strategies that helps them to achieve leadership greatness.

Anton used these same leadership skills to help Barack Obama battle through one of his toughest challenges as President of the United States of America, health care reform. After 

achieving the honor, privilege and responsibility of leading at the highest level as a state legislator and advisor to the President of the United States, it was in the healthcare industry where 

Anton’s true gift of teaching professionals how to become influential leaders would have the greatest impact.

Abstract

Healthcare reform has ushered in a new era of healthcare delivery. Health systems and their leaders are being forced to adapt and adjust to the changes brought on by Obamacare and Trumpcare. Regardless of the changes, learn how you can create new opportunities to deliver better care, better value and better outcomes in a highly reliable healthcare environment for the populations you serve.

In this enlightening and engaging program delivered by Power Speaker, Anton Gunn you will learn where healthcare reform is going and how you can thrive in the new future.

 In this program, you will learn to:

• Recognize the impact of Obamacare and Trumpcare on the patient population.

• Understand the impact of consumerism on health care

• Outline the impact of diversity, health disparities and health equity.

• Identify the principles of high reliability organizations and the impact on quality outcomes and patient experience.

Biography

Dr. Mohammed Ali Darwish has been Graduated from Faculty of Oral and Dental Medicine, Suez Canal University, EGYPT, as an Oral and Dental Doctor, with the specialties including Oral Medicine, Dental Surgery, Diploma in Hospital Management from , Suez Canal University, EGYPT, Diploma in Total Quality Management for Healthcare Reform. Also he is a Certified Healthcare Quality Profissional from the HQCC, Chicago, and then started working at The Egyptian Ministry of Health where he has continued his research. Presently he is an Operations and Quality Manager at Magarabi Hospital and Centers, KSA.

Abstract

Empowerment as an essential approach in nowadays total quality management carried implications for people management and employers were urged to move away from an approach based on compliance, hierarchical authority and limited employee discretion to one where there was greater emphasis on high trust relations, teamworking and empowerment, with calls for employee commitment and the utilisation of workforce expertise. Under TQM, continuous improvement is undertaken by those involved in a process and this introduces elements of bottom-up issue identification and problem solving. As a result TQM may empower employees by delegating functions that were previously the preserve of more senior organisational members and as a result institutionalise participation on a permanent basis. The term empowerment has been used very loosely by practitioners and indeed academics. Empowerment could be associated with the redistribution of power, but in practice empowerment is usually seen as a form of employee involvement, designed by management and intended to generate commitment and enhance employee contributions to the organisation. The message is the need to move away from the hard rationalist models driven by accountants and engineers to a more simple intuitive style of management. “Productivity through people”, “autonomy and entrepreneurship” summed up the philosophy which when combined with “the customer is king” provided the context for current empowerment ideas.

Biography

Abstract

Background:  Persistent dry cough is commonest undesirable effect of the angiotensin converting enzyme inhibitors. The mechanism of cough due to ACE  inhibitors  is  uncertain, but  most  likely is due to  the cough mediators as substance P agents & brdykinin  which are degraded by ACE inhibitors. Objective: To compare the incidence of cough in hypertensive which were prescribed lisinopril, perindopril & ramipril.

Study Design: Mainly cross sectional prospective multicenter, open labeled study of 100 patients.

Place & Duration of Study: Department of Medicine of University Medical Diagnostic Centre & District Head Quarter Hospital Sargodha, period January 2016 to June 2016.

 Methodology: 100 Patients using three types of ACE inhibitors were selected and an especially designed performa was completed. In our study we gave preference to those patients who were prescribed ACE inhibitors for the first time. The patients were instructed (at the baseline visit) to inform during the succeeding visit about the onset of any adverse drug reactions like cough, hypotension, headache, dizziness, fatigue, nausea, angioedema. Patients were not informed that incidence of cough was the main seek of the study, so there was no chance for Hawthorne effect.

Results: The incidence of ACE inhibitor  induced cough has been reported to as:  perindopril was 5.4 %, ramipril 6.89 % & lisinopril 8.82 %. Overall incidence of dry cough was 7.0 % with three different ACE inhibitors.

The onset of cough after taking ACE inhibitors ranges from within days of the first dose to months after  starting the therapy. Cough usually resolves within 1 to 4 weeks after the cessation of treatment.

Conclusion: Chronic dry cough is a general consequence of angiotensin converting enzyme inhibitors. The cough is also associated with irritating & tickling sensations in throat.

Biography

Dr. Eka Wahyu Harsawardhani, MARS has graduated from the Faculty of Medicine Atma Jaya Catholic University with a Bachelor Degree and later she obtained her Master Degree from the University of Indonesia with a major of Hospital Administration. She is a practitioner who has experience working as a consultant on risk management, quality improvement & patient safety in several hospitals. Her expertise is in the areas of risk management, patient safety & quality for more than 10 years in several hospitals in Indonesia. 

Abstract

Healthcare risk management program is mandatory to be conducted for hospital patient safety efforts since 2012 in order to control risks and anticipating incidents inherent in any patient services. Patient safety is an integral part of healthcare risk management which is a proactive approach to identify, asses and prioritize risks to eliminate or minimize their impact. This research used a qualitative study approach with the method of case studies to examine the implementation of the risk management program in three hospitals with the same class, namely class C in three different Provinces in Indonesia. The data analyzed is a patient safety culture survey results with Manchester Patient Safety Framework (MaPSaF) from the National Patient Safety Agency (NPSA), in-depth interview with leaders of the hospital, patient safety and quality committee, direct observation on a high-risk service unit as well as the review of documents. The result shows that X Hospital already has a culture of proactive risk management program, but risk management is still in silos. Y and Z Hospital have a reactive culture and do not have a risk management program. While the three Hospital have not yet implemented risks register. In conclusion, Hospitals are advised to improve their knowledge, understand, and implement risk management program in a formal and integrated structured while also focusing on all steps of risk management process i.e. identification, analysis, evaluation, risk mapping and appropriate treatment of risk domain to minimize and prevent losses in both financial and reputation.

Biography

Dr. Arsuaga is a medical doctor at the Hospital Universitario La Paz-Carlos III, Madrid, Spain. Her primary research interest includes tropical infection diseases and bloodborne parasites.

Abstract

We report a case of babesiosis, caused by Babesia microti, in a missionary who worked in Equatorial Guinea but also visited rural Spain. The initial diagnosis, based on clinical features and microscopy, was malaria. The patient’s recov- ery was delayed until she received appropriate treatment for babesiosis

Biography

Jailan Gabr is a knowledgeable and committed person .has  worked at kuwait control cancer center as a medical lab technologist, also quality and safety officer at cytology lab. Her evaluation based on lab quality indicators and statistical data for improving lab performance. She has participated as a speaker in Turkey and Amsterdam. Her experience in quality is 6 years. Participating in hospital committee’s and is one of the lab accreditation team at Kuwait control cancer center.

Abstract

OBJECTIVES: 1.To examine the TAT of the cytology lab at the KCCC before and after implementation of the laboratory information system.

2. To  examine the impact of the system on TAT and gain insight of causes delay in TAT and areas that need improvement

 METHODS: We identified specimens received at our lab over a period of four years:  2015 &2016 before LIS and  2017 & Jan-Aug.2018 after LIS. Referred consultations were excluded. TAT was measured in working days from the time the specimen was accessioned in the lab to the time of sign-out. TAT targets were determined based on specimen priority as follows: 2 days for Fine Needle Aspiration Clinic (FNAC) & Non gynecology cases, 3 days for Gynecology cases. For any specific specimen priority, TAT was considered satisfactory when ≥85% of specimens met the TAT target, per month.

RESULTS: Of 4667 specimens in 2015, 2799 (73%) were FNAC, 1426 (72%) Non Gynecology specimens, 440 (75%) Gynecology specimens. Of 5197 in 2016, 3000 (76%) were FNAC, 1670 (77%) Non Gynecology specimens. 527 (82%) Gynecology specimen., For FNAC prior to LIS, specimen percentages meeting the TAT target of 2 working days fluctuated from 73% to 92%, across the defined 1-year period (2017). After LIS, a significant improvement was noticed with 97% of cases meeting the target across the defined 2-years period (2018). Other specimen priorities also showed improved TATs and less fluctuations across the years as follows: Non Gynecology specimens 75%-77% vs 85%- 93%, Gynecology specimens 75%-82% vs 88%-100% (before and after LIS respectively). Overall, the trends after LIS implementation were more consistent and showed no abrupt dips (less outliers).

CONCLUSIONS: Implementing an LIS has improved TAT & overall performance at our cytology lab enabling flagging & prioritization of urgent cases. Laboratory leaders play a critical role in supporting such large-scale projects and in choosing an LIS that contributes to the overall success of the healthcare organization.

Biography

Dr. Joima Panisello Royo received his B.Sc. and M.Sc. degrees from, Barcelona, Spain and his Ph.D. from the University of Barcelona “cum laude”.  She was a Research Assistant Professor of Medicine at the University of  Barcelona in Spain in from 1988 to 1991. She was Post Graduate   in Health Management in ESADE in 2000 and postgraduate in quality in Health Services in Institute of Medical Education  Avedis Donabedian. She was Head of Department of Hospital General Igualada  1996 since 2004. Nowadays She is general director of FUFOSA, Health Foundation in Madrid (SPAIN). In 2013 she achieved a Master´s degree Digital Health Technology in Ramon Llull University. Since 2012 is chief mediacl officer of two health digotal platform, Medtep and Iwopi.

Abstract

A range of innovative websites, mobile technologies, eHealth and mHealth platforms have emerged to support chronic diseases. Most research into mobile health and the others has focused on validating single entrepreneurial apps, rather than pursuing rigorous RCTs to validate principles that can guide development of future apps and to validate their results according to medicine based care.

Medtep Inc. is a Care Management Platform that facilitates lasting behavioral changes by personalizing validated prevention and treatment plans for chronic and rare diseases, and mental health. It is divided into two sections: Medtep Professionals (for healthcare professionals) and Medtep (for patients). 

Clinical protocols from leading experts in the healthcare sector are turned into digital Care Plans that patients can easily understand and engage with, favoring increased adherence and system cost reduction. These digital Care Plans are specifically designed to meet the needs of the users. These are typical data entry systems (e.g., custom protocols or integration with third party tracking devices) and processed data representation systems in the form of dashboards (e.g., graphics, statistics or personalized advice). 

We will present our results in: Asthma, mental health, hemophylia, obesity, and multiple myeloma patients follow during a year at least.

Biography

Dr. Josh Luke is a healthcare futurist, hospital CEO and health system vice president well known for his humorous and entertaining personal stories that engage audiences. His expertise includes sharing simple tactics on how hospitals and health systems can partner with innovative disease specific providers to increase revenues and market share. His knowledge of these specialized providers comes as a result of his role with Forbes as an author and contributor known to Fortune 500 Companies as America’s Healthcare Affordability Authority.

Abstract

Three Take-Aways

1. Attendees will understand the shift in control from the hospital sector to the insurance sector and how home based care will be the focus of the industry.
2. Attendees will understand that hospitals are shifting from profit centers to the largest expense in a bigger model.
3. Attendees will learn new revenue streams for health systems transforming to value based care that are no longer able to rely solely on inpatient revenue and surgical programs for profitability.

Biography

Kao-Chang Lin, as a qualified neurologist in Taiwan and leading holistic care unit in Chi-Mei medical center since 2012, also a professor and teaching in Southern Taiwan University of Technology and Science in Tainan. The Ministry of Health and Welfare promoted integrating care model at wards (Hospitalist-HOS) from 2014, and Dr Lin was the first one to establish this HOS at ED in Taiwan.

Abstract

Background: The hospitalist model (HOS) setting at wards can improve quality of patient care and shorten length of stay, however, their efficacy at emergency department (ED) is still lacking in Taiwan.

Objective: To realize if HOS is working at ED in a designed academic care program.

Design/Setting: Before-and-after intervention of HOS in a 1200-bed tertiary medical center in Taiwan.

Measurement: A three-shift duty with 8 internal subspecialists was adapted for their working schedule in 3:1:1 physicians round. From 2012~2016, 4 years data was collected retrospectively such as length of stay, over-waiting (>48 hours) period, mortality, 6- and 24-hour deterioration after hospitalization, and satisfaction questionnaire were analyzed before and after HOS intervention was compared.

Results: There was no significant difference in patient number, age, and sex before and after HOS program at ED. In total, 4 years data analyzed (520,409 ED visitors, 111,949 hospitalized) was shown that decline of waiting time, over-waiting (>48 hours), mortality rate, post-hospitalized 6- and 24 hours transferring to intensive care unit were statistically significant (ANOVA, p≦0.05 individually). In average 55-60 patients per month discharged from holistic care unit without admission. Satisfactory questionnaire for pre-hospitalized care in disease explanation, service attitudes, symptom relief and overall impression about healthcare reached 90% in two times survey (427 and 459 sample sizes).

Conclusions: HOS at ED can lessen over-crowded conditions, shorten pre-hospitalized length, decline mortality, and improve quality of care and patient satisfaction. Although data comes from a single medical center, it still shows good efficiency and outcome since HOS implemented at emergency.

Biography

Dr Zhou obtained his PhD in Biochemistry (2006) at Heriot-Watt University, Edinburgh.  He had more than 10 years experiences in Healthcare and Life Sciences. His previous research was focusing on the Cancer Research; his major academic achievements were published in journal Oncogene, one of Nature Publication Group, co-authored papers were published in journal Cell & Cancer Cell. The recognition and awards he received were from Chinese Embassy in UK, Cancer Research UK and Children’s Brain Tumor Foundation (US). He founded Beyond Lab in 2014 aiming to bridge the gap between UK and China in Life Sciences, Medical and Healthcare sectors. He is also the Director of China Medical City-UK Incubator.    

Abstract

The total health market in China is estimated as over £1 trillion in this year.  The digital health market is predicted to have a rapid growth, from $3billion in 2014 to a projected $110 in 2020. The Chinese healthcare system is different to the UK/Europe. For example, there is no primary care in China. Due to the 1.38 billon large population living in 9.6 million Km², the digital healthcare is suggested to be the solution to overcome the geographic problem. But as a foreign company, how could we make us to be China-Ready, 3 points to be considered

1. Product: Regulatory & IP protection.

Same to the rest of world, healthcare is a strictly regulated sector in China. Therefore, for any company who wants to enter into Chinese Market, the first thing is always to clear the regulatory and compliance on the company’s products. If one is diagnostic or treatment related software, then it is likely regulated by the China Food and Drug Administration (CFDA).  Some software will be classified as same as the hardware. Therefore clinical trial might be a necessary in order to obtain the CFDA approval. Digital healthcare will deal with patients or public’s data. Company needs to be aware the data protection regime in China, similar to the General Data Protection Regulation (GDPR) in Europe.  At last the company need to discuss the intellectual property issues with their own attorney before going to China. Filing a patent and/or registration of trademark should be prioritized in the China-Ready To-Do-List as China is a very challenging market.  

2. Business: China Strategy.  

To do business successfully in China, a good business strategy is also needed. An in-depth analysis on the market, competition, and business model should be done for the serious company. For digital healthcare, setting up a correct price is sometime challenging. Most of time, who will pay the bill is dependant on the healthcare system. Therefore a good understanding of the China’s healthcare system and local business model will help the company to choose the correct pathway in China.  In addition, the culture difference should also be addressed in the business strategy.  Grab any chance to go to China, that will help the decision maker to open their eyes and understand better the culture and the Chinese Business sprit.

3. People: partner and local team

Many big western companies, e.g. Google, Ebay, and Apple has failed or are failing in China. Many of them blame the barriers setup by central or local governments and the Non-transparent business environment. The most-successful foreign business in China is the German car-maker, for example, Volkswagen, Audi etc. Their success is partly due to the Joint Venture (JV) format of business. Therefore a good business partner (or investor if lucky) is the key for the success in China. A good/strong local partner will use their network (Guangxi) to help the foreign business and attract the most resource and supports for the mutual benefits. Building up a local Chinese team is always a good practise when the company land in China.    

Biography

Abstract

Background

Patient Safety is characterized as the mission for the decreasing and controlling of risky performances inside the health care organizations, and the operation of best practices appeared to enhance the ultimate patient outcomes." There are numerous characteristics of patient safety, and it's authoritative that everybody required in patient safety, including patients, their families, and social services, familiar with the whole process and the main aspects and models of patient safety for ensuring determined safety for everyone.

Objectives

Expressive a knowledgeable history, definition, explanation, aspects and model of patient safety. Defining patient safety as a castigation in the health care givers that implement safety models regarding the main goal of achieving a reliable system of health care delivery. Moreover defining patient safety as a quality of health care systems that reduces the incidence and impact of occurrence variance events. Description and explain the aspects of patient safety includes: why the field of patient safety exists (the high prevalence of avoidable occurrence variance events); What is the nature of patient safety; Where does patient safety happen its essential focus of action (the microsystem); how patient safety works (e.g., high- reliability design, use of safety sciences, methods for causing change, including cultural change); and who its practitioners are (i.e., all health care workers, patients, and advocates). Simple and principal model identifies four domains of patient safety (recipients of care, providers, therapeutics, and methods) and the elements that fall within the domains.

Biography

Dr. Md. Rashed Alam is an associate professor in population science and human resource development with particular expertise on adolescent reproductive health and fertility. He leads a research group on reproductive health and fertility, at Rajshahi University (RU) with approximately 10 multidisciplinary researchers. Over the last 12 years he has lead a few  number of research projects in Bangladesh, aiming at more effective program implementation of HIV/AIDS knowledge, awareness and attitudes; women’s working status on fertility and determinants of academic performance of the universities students.  Dr. Alam has been joined various training program such as reproductive health and HIV/AIDS; and initiatives in science education, research and capacity building in home and aboard. He received his B.Sc ,MSc and PhD degree from the department of Population Science and Human resource development, University of Rajshahi, Bangladesh.  He also awards scholarships on the above degree. Dr. Alam join various conference in home and aboard and he has been published 14 research articles in various journals. He is the leader of departmental indoor and outdoor games.

Abstract

Adolescent childbearing is a major public health problem worldwide especially in South Asian Countries. Adolescent pregnancy below 17 years of age has been considered to have a higher risk than adult pregnancy, because of biological immaturity of the teenager. This study conducted the systematic review and meta-analysis to summarize the adverse birth and health outcomes associated with adolescent pregnancy. We adopted the PRISMA consensus statement. PubMed database were searched on February 13, 2016. 24 studies were included, 10 studies go to the quantative synthesis and others go to narrative reviews. Meta analysis was used to pool the result of the individual studies. Adolescent pregnancy found to be significantly associated with higher risk of low birth weight (LBW), (OR, 1.50; 95% CI 1.27 – 1.78), preterm birth (PTB) (OR, 1.49; 95% CI 1.15 – 1.93), small for gestational age (SGA) (OR, 1.33; 95% CI 1.13 – 1.56) and neonatal mortality (OR,1.45; 95% CI 1.20 – 1.76) . Lower risk of cesarean delivery (OR, 0.77; 95% CI 0.60 – 0.98) also reported among the adolescent mothers. Risk of perinatal mortality also found lower (OR, 0.80; 95% CI 0.42 – 1.51) among adolescent mothers, however, the risk was not statistically significant. The findings concluded that adolescence pregnancy increase the risk of LBW, PTB, SGA, neonatal mortality. The risk of cesarean delivery and perinatal mortality found lower among adolescent mothers. Increase awareness about the adverse effect of adolescent pregnancy outcomes may protective rules in adolescent marriage help to reduce such outcomes for the welfare of mother as well as children.

Biography

Dr. Mohammed Salman has been Graduated from Basra Medical College in 1993 with MBChB as Medical Doctor, in 2001 he gradute from same coolege with D.C.H with the specialties in Pediatric. Later on he obtained his post-graduation from National University of Irlend RCSI Bahrain with MSc in healthcare management. He started working at many hospitals in Iraq / Basrah where he has continued his learning experience and skills. Presently he has been working at Al Kindi Specialised Hospital in Bahrain.

Abstract

Mediaction errors still consider one of the leading cause of death killing more people each year more than AIDA and Airplan crash.  Medication errors represent any unintended preventable event that may cause to inappropriate medication use or lead to patient harm. Doctors responsible for 56%  from the total medication error as prescribing errors and nursing responsible for 34% as administration erorrs and the remaining 10% is made by pharmacisit.

Presenation illustrate the common etiology, effect and prevention methods with discription for the guidelines for medication management and the 10 rights of medication     

Biography

Abstract

GUIDING PRINCIPLES

• Commit to placing the patient as the focus of our services
• Be internationally known for excellence in everything we do
• Provide a learning environment for all
• Build a culture of respect and trust through open communication
• Be an agile and innovative organization
• Be distinguished by multidisciplinary teamwork
• Use human, financial, and environmental resources wisely and with foresight.

Biography

My name is Mohsin Ali Shaikh s/o Usman Ali Shaikh, born on 11th August 1987 at Hyderabad, Sindh, Pakistan. I Completed my Bachelor of Engineering in Textile Engineering (2008-2012) and Master Degree in Industrial Engineering and Management (2014-2017) from Mehran UET, Jamshoro Pakistan. After completed my master I have gotten scholarship in USTC, china as a PhD student in safety science and engineering department. It is great honor for me that I have published four conference paper and one international paper is in proceeding in safety science journal. This research will play a vital role to solve the human being issue at the workplace. It is the interdisciplinary academic field which systematically studies human interaction with the environment in the interests of solving complex problems. Moreover, Public health research is a broad field of study that includes also the natural issues, built environment, and the sets of relationships between them.           

Abstract

Across the globe, Occupational health hazards have increased along with the progressive development in public health hospital. The recently occupational accidents and injuries cases shows that hospital organizations need to reduce the work-related occupational health hazards at workplace. The aim of this study to provide better health facilities and protect the health care workers (HCWs) from occupational hazards. HCWs are facing the tremendous health hazards related occupational place. The main objective of this study to determine work-related occupational health hazards among HCWs in Karachi, Pakistan. Data was collected from one public health hospital and SPSS software were used to analyze the data. In which mean, frequency and percentage were used to compile the data.  The result shows that there were total 150 HCWs participated in which majority of the workers were exposed from physical hazards, biological hazard, chemical hazards, ergonomic hazards, electrical hazards and psychological hazards. It is concluded that health care organization became failed to provide better workplace for HCWs. Workers were deprived of the training of handling infectious materials and they were facing skin contact disease and injuries. It is recommended that more challenges are required to providing better occupational health facilities and services to HCWs workers.

Biography

Ms. Mervat is the Director of Quality and Patient Safety at AL Zahra Hospital Dubai. With more than 20 years of experience in healthcare,   Ms Mervat  has extensive knowledge of quality improvement, organizational excellence, accreditation, clinical care programs certification and risk management.

 She has received many awards:  Distinguished Woman in Healthcare Award(2018), “Quality Team of the Year Award” from the Chartered Quality Institute, UK(2018) and 100 Employees at SEHA in 2012.

Ms. Mervat is a Certified Professional in Healthcare Quality (CPHQ), EFQM Assessor, Innovation Assessor, Lean Professional , SSBB , and a judge for Steve International Business Awards. 

Abstract

Although Lean Imporvement as a philosophy and practice started more than 70 years  back in the automotaive insustry in Japan, its adoption in the healthcare field was late, starting slowly  from 2000 onwards where hospitals in USA and Europe started adopting the practices and concepts.

In only 2 hours workshop, I am going to introduce major lean concepts and take the audience into interesing hands-on experience  of implementing lean concepts  with reflection on daily practices, highlighting impact of lean concepts and tools on communciation, coordination of care, safety, , inventory, utilization management , etc.

The flow of the workshop will be as follows: History of lean, 14 lean concepts  , why

lean concepts are needed, First Round of hands-on excersie of buiding a plane from paper, then introduction to the 8 types of wastes and some lean tools followed by the Second Round of the excercise implementing the lean concepts learned in the same session . There will be comparison between the process flow and efficiency  in the 2 rounds with reflection on learnings that can be taken back to work place to make a difference.

The session will be very interactive,with adult learning concepts utilized to grasp the maximum beenfit and positive feedback

Biography

Ms Nancy Mbae is a PhD student at Jomo Kenyatta University of Agriculture and Technology Moi University. I graduated from Moi University with master of public health- epidemiology and disease control specialization, Bachelor of science in medical microbiology and post graduate Diploma in psychological counseling from the Kenya Institute of psychological counseling.           

I have diverse research experience while working at The Moi Teaching and Referral Hospital, Kenya Institute of Public Policy and Research Analysis, Futures Group International and Kenya Methodist University. Presently, am working at Tharaka Nithi County Government in Kenya as senior assistant director public health.

Abstract

Cryptococcus meningitis is a serious fungal infection in Human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV AIDS) patients. India ink test is the most used method for laboratory rapid detection of Cryptococcus neoformans in CSF specimens. Use of CrAg for laboratory detection of cryptococcus neoformans from cerebrospinal fluid will help reduce mortality. It is important therefore to compare the sensitivity of India ink test and Cryptoccocus Antigen (CrAg) against fungal culture for diagnosis of fungal meningitis in HIV AIDS patients. The main aim of this presentation is to compare level of patients missed during laboratory diagnosis of Cryptococcus meningitis by use of India Ink and CrAg.

       It was found out that cryptococcus meningitis in this study accounted for prevalence of 18% of defining illnesses in HIV/AIDS patients at Moi Teaching and Referral Hospital (M.T.R.H). Risk ratio of CrAg compared to India ink in this study gave an estimate of 2.12 which is statistically significant at 95% confidence interval of confidence limits of 1.65 and 2.74.  The level of patients missed for cryptococcus meningitis using India ink was found to be 55.5% compared to 5.6% patients missed by CrAg. Based on the study, it was suspected that more missed cases were to be reported at M.T.R.H if continued use of India ink for diagnosis of cryptococcus meningitis, therefore, CrAg test recommended to India ink test (that was used routinely for diagnosis of cryptococcus meningitis).

Biography

Ms. Omaima Nassar is HCAC’s Standards Development head unit since 2011.  She is a Certified Hospital Surveyor, Certified Primary Health Care Surveyor, Certified Breast Imaging Surveyor, and Certified Center of Excellence Assessor at HCAC. She chairs the research and development committee at HCAC. Additionally, Omaima has special expertise in the developing and maintaining HCAC standards that improving the quality and safety and driving change in patient care.

Prior to Joining the HCAC Ms. Omaima was the head of quality and safety officer of College of American Pathologists CAP accreditation/quality office of Pathology and Laboratory Medicine Department at King Hussein Cancer Center. Prior to her work with the King Hussein Cancer Center, Ms. Omaima worked with Triumpharma Clinical Research Center as a quality officer to supervise the bioequivalence studies and ensure full compliance with sponsor’s clinical protocols

Ms. Omaima holds a Master’s in quality control and management from Jordan University of Science and Technology, and a Bachelor in Pharmacy from Jordan University of Science and Technology, Ms. Omaima is a certified CAP inspector within the Middle East region, she participated in inspections at Lebanon, Cairo, UAE, and Saudi Arabia.

Abstract

Health promotion and disease prevention are key objectives of primary health care. Educational interventions are essential in the treatment of disease and in the maintenance of health. In order to achieve these objectives, it is imperative that the primary health care centers assess the educational needs of the community that they serve. The primary health care accreditation standards has been developed by the Health Care Accrediation Council The Health Care Accreditation Council (“HCAC”), Jordan’s leading independent not-for-profit quality improvement organization, was established in 2007 with the goal of fostering the continuous improvement in the quality and safety standards of healthcare throughout Jordan. HCAC is a member of the International Society for Quality in Health Care “ISQua” Federation, a global organization aimed at inspiring, promoting and supporting continuous improvement in the safety and quality of health care worldwide. HCAC is the only institution in the Arab world and the region that has its organization, standards and surveyor training accredited by ISQua.

The HCAC primary health care standards are dividied into clusters , one of these clsuters is titled Health education, this cluster contains standards  that focus on the importance of developing health care educational plan for each primary health center that is devloped in line with  the community needs and then the standards require the implemenation of the  plans; education curriculms are to be “evidence base” and provided by qualified health educators who use educational methods that are consistent with the patients and families values, preferences, and their readiness to learn. by evaluating  the eduational efforts, we concluded that patient’s education has led to patient empowerment and that educated patients are more capable to make decisions regariding their health; for example  the educatienal interventions decreased the unintended pregnancy,maternal and child mortality.

Biography

Abstract

Heart failure is a life‐threatening disease and addressing it should be considered a global health priority. Approximately half of all patients with heart failure have preserved ejection fraction (HFpEF) and, as life expectancies continue to increase in western societies, the prevalence of HFpEF will continue to grow. In contrast to heart failure with reduced ejection fraction (HFrEF), no treatment has been proven in pivotal clinical trials to be effective for HFpEF, largely because of the pathophysiological heterogeneity that exists within the broad spectrum of HFpEF. This syndrome was historically considered to be caused exclusively by left ventricular diastolic dysfunction, but research has identified several other contributory factors, including limitations in left ventricular systolic reserve, systemic and pulmonary vascular function, nitric oxide bioavailability, chronotropic reserve, right heart function, autonomic tone, left atrial function, and peripheral impairments. Multiple individual mechanisms frequently coexist within the same patient to cause symptomatic heart failure, but between patients with HFpEF the extent to which each component is operative can differ widely, confounding treatment approaches.

Biography

Physiologist and Diplomate of the Accreditation Council for Clinical Lipidology for which is the immediate past president.  Immediate past president of the Southeast Lipid Association.  Consultant to many health care and accountable care organizations on inaugurating systematic approaches to managing cardiometabolic risk in primary and secondary prevention. Senior consultant to the U.S. Indian and Alaskan Health Service Division of Diabetes Treatment and Prevention. Member of the teaching faculty at the University of North Carolina Chapel Hill Complementary and Integrative Medicine. Former coordinator and faculty of the Duke Lipid Disorder Physician Education Program at Duke University Medical Center, Division of Endocrinology, Metabolism and Nutrition where he is currently consulting faculty.

Abstract

Moderate levels of weekly physical activity (1000-1500 kcal/wk) is most often insufficient to significantly reduce body weight and LDL-cholesterol.  Still, those who transition from very little or no daily physical activity to moderate levels, e.g., 120-150 minutes per week, do have clinically meaningful reductions in cardiometabolic risk and this fact is supported by scores of controlled trials. All physical activity is good and can help reduce cardiometabolic risk via biologic mechanisms that are not entirely dependent on body weight or BMI reduction. The immediate cardiometabolic (CMR) effects of physical activity which directly impact CMR risk reduction include AMPK activation, arterial endothelial function, PPAR gamma/delta activation, lipoprotein particle changes, and lipoprotein lipase increases. Recent research demonstrates significant reductions in diabetes risk for those who have prediabetes and/or the metabolic syndrome who increase their physical activity levels but with little or no weight loss.  These individuals should be given credit for any and all physical activity principally through objective measures of changes in physical activity.  There are practical, economic and effective tools and strategies that can be prescribed in outpatient healthcare settings particularly in endocrine and cardiovascular healthcare settings that can had have been successfully employed. Health care providers have distinct options to better score physical activity outcomes and become more practical in instructing patients on strategies to increase weekly energy expenditure.

Biography

Reem AbdElmoniem Dahab Khalil is a 24years old medical laboratory specialist, studied at University of Medical Sciences and Technology, Sudan and completed the master degree by the age of 23, now she is a lecturer in International University of Africa, Sudan and at the same time working at a hospital, she is a beginner researcher, and she is very interested in the research work.

Abstract

Background: Carbapenem used as antibiotics of a last resort for treating infections due to multidrug-resistant Gram-negative bacilli. However, emergence of Carbapenem resistant Gram-negative bacilli have been reported due to the production of Carbapenemase enzymes, which significantly limits treatment options for life-threatening infections. This study aimed to detect Carbapenem resistant Gram-negative bacilli from patients attending different hospitals in Khartoum state, and to detect Carbapenemase enzyme production by phenotypic and genotypic methods.

Methods: A hospital-based cross sectional study was conducted in Khartoum state in the period from February to August 2016. One hundred and forty nine Gram-negative bacilli bacteria were isolated from different clinical specimens. Blood agar, CLED media, MacConkey agar, XLD media, Chromogenic agar media and standard biochemical tests were used for isolation and identification of Gram-negative bacilli from different samples. Standard antimicrobial susceptibility testing to Carbapenem antibiotic was performed for all isolates, then detection of Carbapenemase enzymes production for the resistant isolates was performed using Modified Hodge Test and PCR.

Results: Once hundred and forty nine Gram-negative bacilli were isolated from 147 different clinical specimens. The most predominant Gram-negative bacilli isolate was Escherichia coli (54.4%) followed by Klebsiella species (29.5%). More than 50% of the isolates were Carbapenem resistant. 56% of the resistant isolates were positive by Modified Hodge Test. By using PCR, 17.3% of resistant organisms harboured the bla_OXA48 gene, and 6.7% harbored the bla_IMP gene. E.coli was the most predominant bacteria that harbored the bla_oxa48gene followed by Klebsiella species. bla_IMP gene was harbored only by E.coli.

Conclusion: The percentage of resistance to Carbapenems due to production of Carbapenemase enzymes is very high in Sudan.bla_OXA48 gene is more predominant than bla_IMP in this study. Further studies including larger sample size, using of other primers set and specific tests for detection of Carbapenemase enzymes and other mechanism of Carbapenem resistant will be of a great value

Biography

Dr. Reham Elsheikh has been Graduated from International University of Africa in Khartoum, Sudan,  as Medical Doctor in 2010, later on she has done Internal Medicine Residency in Riyadh, Saudi Arabia for 4 years. Then she has done UN internship for 5 months in WHO Sudan.  Recently she awarded a master degree of public health (MPH) “primary care” from King’s College London University. Now she is pursuing the GMC registration to practice in clinical and public health fields in United Kingdom.

Abstract

Hemorrhagic stroke (HS) comprises 20% of all strokes, nevertheless it is known to have lower survival probability than ischemic stroke. Studies on incidence rates of primary intracerebral hemorrhage (PICH) and subarachnoid hemorrhage (SAH) are lacking. Therfore we aim to estimate incidence rates of PICH and SAH.
In a multiethnic-population of 357 308 residents in south London, all HS cases were ascertained and registered in the South London Stroke Register (SLSR) between 1995 and 2015. Incidence rates per 100,000 persons per year were calculated for PICH and SAH by age, sex, and ethnic groups. Age-adjustment to the 2013 European Standard Population was conducted and trends were analyzed by the Cochran-Armitage test. Changes in pre-stroke risk factors were investigated by the chisquared tests for trends.

During study-period, 979 first-ever hemorrhagic stroke cases were registered. Over the study period a 51.8% incidence reduction was recorded – from 38.53 (34.8-42.6) in 1995-2001 to 18.56 (16.1-21.4) in 2009-2015 (p<0.0001). Reductions were significant in both PICH (28.88–13.4, p<0.0001) and SAH (9.7–3.3, p<0.0001). Remarkable reduction was observed in males and younger adults aged <55y. The black population had similar reduction in stroke incidence except in SAH. The gap in sex and ethnic disparities is reducing. A decline in the prevalence of pre-stroke hypertension, smoking, and drinking was observed among HS cases.
A significant reduction of HS over a 21-year period was observed in our population. Sex and ethnic differences in hemorrhagic stroke incidence is declining. Designing comprehensive prevention strategies might warrant further reduction in stroke incidence.

Biography

Robert Grey  MA FCII has a Masters Degree from St Edmund Hall, Oxford in Law, and is a Fellow of the Chartered Insurance Institute. He has worked in insurance in the United Kingdom and abroad. He has spent the past 20 years in the Middle East as General Manager for Bahrain National Life Insurance with a focus on the expansion of Health insurance. He was Director of American Mission Hospital, Bahrain, responsible for risk management and quality of care. He was on the national committee investigating compulsory health insurance. He is a qualified UK Athletics coach focusing on the benefits of exercise on health.

Abstract

Many studies have considered the beneficial effects of exercise on health as a general topic. These beneficial effects can be sub-divided into: extending longevity, lowering body mass index measurements, reducing the  risk of some cancers, heart disease and other chronic illnesses, improving fertility, reducing the risk of falls and more.

How much of this is attributable to exercise and how much to the healthy diet that  acompanies exercise. By considering and analysing the main benefits of exercise and diet we can assess how these two factors contribute to an overall improvement in health and the prevention of some illnesses and diseases.

We will examine how exercise affects the following:

• improving feelings of well-being and reduce feelings of depression and stress.Does being deprived of exercise increase negativity.
• Weight reduction but which is more effective exercise or diet. Exercise is crucial to encouraging and maintaining an active metabolism that burns more calories.
• Maintaining strong muscles and bones and reducing the risk of osteoporosis
• How much of an increase in energy levals
• Reducing the risk of chronic desease by daily physical activity
• Promoting antioxidant protection and promotion of blood flow to protect skin and delay signs of aging
• Exercise can reduce changes in the brain that can cause Alzheimers disease.
•  How much exercise is essential to a good nights quality sleep.
• How exercise can increase tolerance to pain
• How exercise improves sexual desire, function and performance in men and women.

Biography

Abstract

Simple inexpensive clinical health improving procedures, Universal Designs, are offered which should be promoted by public health organizations everywhere. These procedures are the result of discovering the cure for the author's severe laryngospasm disorder. Discovering the SAM prompted reflections on improving simple valuable self-care for all. All techniques are described and recommended for improving health care and comfortable living for everyone everywhere old enough to follow directions. They have to be daily practiced and made routine. Following these twelve procedures should improve everyone's health. They should be universally understood and practiced. Change your routines and stay healthy.

Biography

Abstract

Introduction: A new law “Regeneration of Areas under Disaster Risk” was published in May 2012 and after adaptation of law 35 risky cities are determined as risky areas within the scope of urban renovation studies. Due to the improvement of living conditions and having highly risk of earthquake reasons, demoliting of nearly 7 million buildings at our country  has started and in this context with the renovation of illegal, risky or poor buildings it is aimed to construct more healthy and safe buildings.

As a result of uncontrolled or insufficient demolition studies one of the possible health problem is asbestos exposure.  In light of asbestos usage history in Turkey we can estimate that 30 or elder aged buildings have high possibility to involve asbestos built-in. Asbestos is a cancerogenic material and usage, production, import, export and sailing of asbestos is banned in Turkey in 2010. In despite of urban regeneration’s benefit, asbestos risk needs attention during demolition or dismantling operations because it threatens public, employer and environmental health and causes irreversible diseases.

Objectives: The aim of this study is; evaluation of asbestos existence at buildings and their distribution in Ä°stanbul. Results are deduced from the asbestos survey reports which must be prepared by an impartial asbestos company before demolition of old building.

Methods: Asbestos survey studies which have realized by 5 different asbestos company between January, 2016 and June, 2018 are viewed and as a person accompanied some of the survey studies. 6993 asbestos bulk sample analysis are realized in the scope of 974 survey studies and sample analysis are done by using Polarise Light Microscope and Scanning Electron Microscope. Results represents the 23 different district of Ä°stanbul and samples are taken from different part of buildings such as isolation ad ceiling material, sheet rock, putty, coatings, gaskets, vinyl floor covering etc.

Results: 420 of 6993 samples are containing different type and individual or mixed form of asbestos. Most of asbestos containing materials are eternit ceiling material, putties, isolation material and gaskets.

Conclusion:

Asbestos is cancerogenic material and during demolition of old buildings asbestos management carries vital importance. As a legal necessity owner of building must declare asbestos survey report and according the bulk sample analysis results continuing or stopping the demolition activity is decided. Regarding demolition activities of 23 different district in Ä°stanbul, 6 % of buildings have asbestos containing material.

Biography

Abstract

Adopting of electronic medical record is to improve the quality of nursing care by new solutions to make the nursing have the scope of patient centered care. Aim:to assess the effect of using electronic medical record on the quality of nursing care . Descriptive correlational design was utilized to attain the aim of the present study. Sample:  convenient samples of 94 nurses. Setting:  In pediatric oncology Hospital were recruited in the study. Tools : Data was collected through 3 tools developed by the researcher: First tool: Demographic data sheet for staff nurses, second tool: Electronic Medical Record Nurses Practice Observational Checklist to observe the nurse competencies on electronic medical record, Third tool: quality of nursing care Observational chick list to observe nursing care provided to pediatric oncology patients, Results: The study shows that there is  a highly  statistical significances correlation between Electronic Medical Recording and Quality of nursing care dimensions. Conclusion: The present study concluded the utilization of   electronic medical record by nurses was effective in providing high quality of nursing care. Recommendations Preparing separated orientation program for the super-user, charge nurse and the supervision levels so that they can detect and follow the data entry defect of the nurses and guide them. 

Biography

Abstract

Care activities are generally dense, often technically sensitive and dangerous. Many healthcare professionals are frequently interrupted during an act of care. This is both dangerous and a waste of time, and therefore of productivity. It is estimated that there are approximately seven task interruptions per hour per caregiver in the broad sense. The care professionals who are most interrupted in their work are nursing caregivers. The duration of a task interruption is often short: a few minutes at most, but this is enough to disrupt everything. Interrupted tasks are mainly medication preparations, medication administrations, as well as care preparations and realizations. Task interruptions are too often trivialized. Yet they are risky and disruptive. A task interruption causes stress that disrupts brain activity. The brain tries to keep in memory what it was doing, while trying to respond as well as possible to the solicitation that interrupted it. In reality, both tasks are systematically altered. Each task interruption carries a serious and potentially serious risk of error that averages 14%, which is far too high. Task interruptions are almost always linked to a deficient organisation, the care unit or service, a lack of rigour and discipline and a trivialization of care activities which are often critical. Strict and mandatory rules must be introduced to combat interruptions in work. In particular, brightly coloured vests marked "do not disturb" should be worn when necessary. When necessary, a sign must be placed on the doors of rooms marked "do not disturb". It is a matter of safety culture, discipline and mutual respect. The ability to interrupt a task should not be a privilege of physicians or nurse leaders.

Biography

Suresh Ponnudurai’s journey of 15 years took him to the UK and the US in the late 70’s before returning to Malaysia in the early 90’s. Having accumulated a wealth of experience by building a career in the US, and in Asia for Fortune 500 companies in manufacturing over 18 years saw him being attached to small as well as large companies in the US and other MNC companies including Dupont and Akzo Nobel for the Asia Pacific region. Suresh decided on a career change from manufacturing by becoming an entrepreneur at 45, and today is the co-founder and CEO of primarily three companies focusing in the area of health care. MHC Global Sdn Bhd (MHCG) is the consulting arm for his Aged care initiatives as well as for all his partnerships, with his services platform, Tropical Flow Sdn. Bhd (MALAYSIAHEALTHCARE), and technology platform, World of Wellness Online2U Sdn. Bhd (WOW).  He combined a decade of experience in health care for services and health data technology that is now part of his aged care initiatives by looking to build Retirement, Nursing, Rehabilitation facilities and other services with a target market of the high-net-worth (HNW) individuals looking to live in Malaysia and Asia. He has quickly carved out a reputation for himself as a creative Ideator, charismatic and highly successful business leader, identifying and managing businesses that has a unique value-add for health care.

Abstract

This presentation sets out the vision & mission of MHCG (malaysiahealthcare global) a private limited company based in Malaysia that will transform health care in Asia by preparing nations for the large ageing population expected via its “Wellness Lifestyle Aged Care” initiatives.  

In a changing health care landscape, populations are living longer, however, challengers are the ever increasing cost of medical care,  inefficiency of non-digital data, and health information that lacks inter-operability, coupled with limited integration by most health care stakeholders.

MHCG’s initiatives will build “smart” aged care infrastructure, intergrate stakeholders, engage international operators and meet environmental demands using green technology, etc., thus targeting retirees local and foreign to enjoy their twilight years by living a lifestyle that gives them peace of mind, in terms of well being, health, wellness and security within a community currently not found anywhere in Asia.

MHCG’s presentation will highlight its plan of building “smart” aged care infrastructure and delivering world class services for this aging population that is supported by wealthy middle to upper class society who can afford to pay for these services. This infrastructure and services will  ultimately help reduce reliance on Government hospitals as medical care, wellness can be managed within these facilities meeting the mandate of social, environmental and governance obligations.

MHCG’s concept of transforming this landscape brings world class international partners, operators, technology and environment solution providers that enables world class services for an elder population combined with health care and wellness services integrated via a technology platform.

Biography

After having bachelor's degree in Japan, Mr. Tomoya SHISHIDO  has obtained post-graduation from IESE Business School in Barcelona, Spain, as MBA class of 2018. He was selected as a MBA sponsorship program of Mitsui&Co for his leadership potential. He has continued his professional career in the company, and is presently based in Tokyo. He has diverse healthcare professinal experiences in Mitsui & Co., including sales and product development for of tele-care business in Japan, strategic planning and business development of hospital business in Asia Pacific, and M&A projects and PMI planning of healthcare businesses in the globe.

Abstract

The three fundamental aims of healthcare system: access, quality and cost effectiveness, have been unmet in emering Asian countires, while cost effectiveness has been relatively prioritized in developed ones including Japan. To tackle this issue, as western developed countires had experienced, the healhtcare ecosystem has stared to be built, the sytem in which payors, providers, and patients are connected more efficently and effectively through intergrations, innovations and collaborations in Asian countries suhc as Singapore, Malaysia, Indonesia, India and China. The purose of this presentation is to summarize the recent trend and evolution of Asian healthcare ecosystem mainly from hospital and other providers’ perspectives. Mitsui&Co., one of the largest global congremerates in Japan, has been involved in such industrial evolution with its long term vision and commitment for private healthcare sector. It has contributed the development of healthare businesses such as provider services, manufacturing, and heatlhcare IT in Asian regions through capital and business partnerships with leading healthcare palyers such as IHH in Asia Pacific, DaVita Care in US and Panasonic Healhtcare in Japan. With these partners, Mitsui strives to build a healthcare ecosystem that integrates “Places”, “People”, “Products”, “Information” and “Services”, and enhances both quality and quantity of these five elements. Also, it’s trying to respond to the needs of patients, doctors and hospitals by filling the supply and demand gap and sharing best practice across the globe.

Biography

Yann de Cambourg  is co-founder of Synodis, an innovative player in the healthcare sector based in Paris, France. Yann has developped expertise as a facilitator and accelerator in business transformation projects with a focus on Interoperability and Data sharing ; helping healthcare actors enter the patient data centric ecosystem.

Abstract

What is the role of the patient, in the framework of his/her medical care? One of the illustrations of the development of the role of the patient is the structured coordination of the Common Cancer Record used in cancer care. In this context, when the disease is declared, a personalized care plan is established, and this plan can evolve ! This is an example of the fundamental change in the role of the patient, who becomes an actor of his own medical care with the support and advice of physicians.

Moreover in the coming years, improvements will come from genetic inheritance and lifestyle. Collecting patient data will be a necessay step ; patient consents will have to be managed. New skills will prevail around IOT or AI. The relations between actors is evolving  : patient, citizen, physicians, EHR, ...

The physician is a connection between the Hospital and the outside world, with relations with town medical care (the patient physician), laboratories (medical, investigation, research), and peers (research, publications, etc).

Currently, the gap between the city and the hospital is being filled, partly through the development of outpatient care. This development is actually a major change of the role of health care institutions, which goes from being curative to being simple stage in the life journey. Physicians are positioned as coordinators of the course of care, but actually a whole chain of practitioners is involved in dealing with the patient.

Biography

Dr Yolima Cossio-Gil is a Clinical Medical Doctor specialist in Preventive Medicine and Public Health and Masters in Public Health. Research background in epidemiology, vaccines, quality and patient safety. Experience working in health management and policies both in hospitals and primary care, clinical research and epidemiology in Colombia, UK, Spain, South Africa and Southeast-Asia. Currently subdirector of the Data and Innovation Department of the Vall d’Hebron University hospital (Catalan Institue of Health), in Barcelona Spain.

Abstract

The aging of the population, the raising in the chronic conditions, the active role of the patients, the changes to regulations and reimbursement, and the explosion of new therapies, information and technology are some of the challenges that health care providers are facing.

To succeed in this era characterized by uncertainty and rapid change, the primary care must become more nimble and proactive. The patients, professionals,  organizations and the governments have to adapt in order to keep the system affordable as well as sustainable and, at the same time, keep up with the latest advances and achieve the best quality.

The information technology applications appear to be the solution that can radically revolutionize and improve the way we do things. However, as there are some great opportunities for improving health with new technologies, there are also concerns for these rapidly evolving technological advancements.

In this conference, I 'll use the five diseases with more burden and economic costs in the world ( CVD, diabetes, COPD, obesity,  cancer, and mental diseases) and I'll describe five case experiences of the application of new technologies: Big data and Artificial Intelligence;  Internet of Medical Things (IoMT); Hybrid Closed-Loop Insulin Delivery System and the Non;  Algorithms to better-purchasing behavior and apps to help patients manage health risk behaviors; genomics and personalized medicine; and virtual reality.

The discussion will be focused on the real evidence of these new technologies, and we’ll go through the reason why some of these strategies had failed and discuss the role of professionals, consumers and the organizations.

There is a need for commitment to a human-centered design, enabling collaboration between all stakeholders through effective and secure communication and guaranteeing the patient engagement as a key component of the solutions.

Finally to remark that technology is not an end but a means. Therefore, it has to enable coordination,  continuous care, reduce cost, and (most importantly): to improve health outcomes and experience of the population.

Biography

Abstract

The odds of preserving gonadal function after gonadotoxic chemotherapy are significantly better for prepubertal girls than for boys. Although ovarian function has been preserved in most long-term female survivors treated prepubertally for lymphoma,but only in approximately half of the similarly treated adult reproductive-age women, it is clinically logical to generate a tem- porary and reversible prepubertal milieu before and during the gonadotoxic chemotherapy. Many groups of clinicians have been using gonadotropin-releasing hormone agonist (GnRHa) cotreat- ment for minimizing the gonadotoxic effects of chemotherapy, by simulating a prepubertal hormonal milieu, with the rationale that preventing premature ovarian insufficiency (POI) is preferable to treating it. However, reported results addressing this strategy have been conflicting, and several major international guidelines still consider it experimental.

Biography

Cahayu Putri S.Farm has been Graduated from University of Industrial Technology and Pharmacy as Pharmacist Indonesia (STTIF Bogor) with the specialize in Herbal research, Phytochemical, and Instrumentation Analysis. Have worked for almost 6 years as Quality Control in Pharmacy Industry and latest position as Head of QC in Japfa Group.

Abstract

Diabetes mellitus (DM) is a metabolic disorder caused by damage of Langerhans β cells in the pancreas gland so that the hormone insulin is secreted in small amounts neither not even at all. Cherry leaves and green tea leaves are rich of antioxidant compounds that can protect the β Langerhans cells from damage by radicals.The purpose of this research is to obtain the herbal tea preparations from combination of cherry leaves (Muntingia calabura L.) and green tea leaves (Camellia sinensis) which fulfilled with SNI 01-4324-1996 requirements and also to obtain the data of stability intrepretation as a shelf life of the product. Phytochemical testing was carried out on the both simplicia, which then were made as herbal tea combination of cherry leaves and green tea leaves of proportion 1: 1, 2: 3, and 3: 2 were met the quality requirements and tested for stability with ASLT method by Arrhenius method. The phytochemical test results from both simplicia shown positive results containing alkaloids, flavonoids, tannin, saponins, steroids and triterpenoids. Stability testing of the product was carried out for 30 days that packed in a box of ivory LLDPE laminate paper at 3 differents temperature 5^oC±3^oC, 25^oC±2^oC/RH60%±5 and 45^oC±2^oC/RH 75%±5 with parameters water content, total phenol content, and flavonoid content. The optimum storage temperature of 3:2 proportion obtained a shelflife at 5^oC of 125 days, at 25^oC of 114 days and at  45^oC of 89 days. Every  change of 10^oC temperature would affect the quality of  the herbal tea.

Biography

Abstract

The healthcare sector contributes more than 10% of gross domestic product (GDP) in most developed countries. This sector assigns approximately 18% of New Zealand 2018 budget to itself, after social development, which indicates its importance. Growing medical expenses, over diagnosing, and clinical errors are major issues for governments and the public necessitates the need for effective management of supply and demand. Additionally, increase in capacity usage and demand in one hand, and workforce and population aging, in another hand, resluted in critical problem for medical centres. Indeed, in most countries, New Zealand in particular, the current situation of health care providers is no longer an all-time feasible solution necessitating decision making in operational and tactical levels to cope with different issues.

Emergency department (ED) is one of the most challenging parts in a medical center as it faces high unpredictable demand and complexity in its every moment of performance. Managing such a complex and uncertain environment to save people’s lives is difficult. In almost all studies in this area, researchers have tried to find the optimal assignment of different resources such as physicians, nurses, beds, and other equipment to meet the patients’ uncertain demand considering time and cost constraints. However, in this paper we aim to consider the managerial aspects of resource allocation between triage and ED, from New Zealand healthcare industry perspective.  

In this study, first, we provided a structural literature review to investigate research stream on nursing at emergency departments. Subsequently, we named different factors to identify optimal team composition according between team members to improve not only nurse utilization but also patient's outcomes. Our case study would be the ED of MiddleMore Hospital, the biggest public hospital in Auckland. So, this paper aims to answer the following questions;

• Question one:

• How “team composition” lead to improve nurses’ outcome in terms of less error and better diagnosis? (Strategies to Make Optimal Team Composition to Improve Nurses’ Outcomes)

• Question two:

• How the optimal team composition (identified in the first question) leads to maximizing patient’s outcome in terms of minimizing service time and waiting time? (Strategies to Make Optimal Team Composition to Improve Patients’ Outcomes)

• Question three:

• What are the recommendations for the EDs to use the optimal team composition as a leverage to increase both patient outcomes and nurse collaboration in the EDs?

Biography

Abstract

Background

Rising life expectancy in western societies is accompanied by a rising incidence of dependence on assistance and care among elderly people. The purpose of this study was 1) to examine the effect of social determinants on care dependency onset and progression, and 2) to analyse the effect of social determinants on various levels of care dependency.

Methods

We used data from the Berlin Initiative Study (BIS), a prospective, longitudinal, population-based cohort study including 2069 older participants (≥70 years of age) with visits in 2009, 2011 and 2013. Care dependency was assessed if participants require substantial assistance in at least two activities of daily living for 90 minutes daily (level 1) or three hours+ daily (level 2). Multi-state time to event regression modeling which simultaneously model several competing events were used to estimate the effects of social determinants (partnership status, education, income and gender) and morbidity (stroke, myocardial infarction, cancer, diabetes, kidney disease).

Results

During the study period, 556 participants (27.5%) changed their status of care dependency. Having no partner compared to having a partner was associated with a higher risk of transition from no care dependency to level 1 (HR: 1.25, 95% CI: 0.97-1.64). Both women and men without a partner had a higher risk for onset of care dependency. However, in our multistate models, these effects were not significant. The significant association between care dependency and income and between care dependency and education ceased in the multistate models.

Conclusions

Results indicate that older people without a partner tend to be on a higher risk of care dependency onset but not on a higher risk of care dependency progression. Inequality between education and income groups can be explained in terms of morbidity. Further research should focus on partnership status to get more knowledge about their possible role regarding the delay or prevention of care dependency.

Biography

Tsabang Nolé has completed his PhD at the age of 48 years from Yaounde 1 University. He is first author and co-author of 25 and 39 articles respectively, and principal investigator of 4 books edited by Heifer International Project Cameroon.  Besides Biodiversity research, Dr Tsabang Nolé teaches Ecology, Ecophysiology, Ethnobotany, Ethnopharmacology, Environmental sciences, Agroforestry, Sustainable development and Traditional medicine, at the Faculty of Medicine and Biomedical Sciences, at the University of Dschang and at the Higher Institute of Environmental Sciences as visiting lecturer. He has higher consulting experience in Environmental and social impact assessment, Ethnopharmacology and articles reviewing.

Abstract

Commonly in Cameroon manifold patients affected by various diseases need efficient, non toxic and very cheap phytodrugs. Meanwhile, Cameroon’s ecosystems are very rich in plant species with medical value and the bioactivity of many of them is already confirmed for several diseases. The principal diseases treated by traditional healers are: metabolic diseases like diabetes, high blood pressure; infectious diseases that include diarrheas, malaria, typhoid fever, sexual transmitted diseases and genetic pathologies like Alzheimer's disease, Sickle cell disease; cancer, prostate cancer. The objective of this work was to facilitate the preparation of improved herbal medicines with identified and documented important medicinal plants used in Cameroon’s sociocultural medicicine. To achieve this objective, an ethnopharmacological survey realized beside 17 popular traditional healers, selected with the aim of their patients was conducted. The detailed methods of preparation and modes of administration, and posology of herbal medicines were recorded for each herbal medicine. Previous studies were necessary to identify plants with active ingredings known and/or clinical trail realized. Tirsty-two (32) patients courrently treated at the traditional healers recognized by their community were recorded. A total of 26 synergistic herbal medicines were prepared using 32 plants. The detailed ethno pharmacological preparation method presented in this work may be a scientific way to improve their use in primary healthcare. But they will still sufferng from poor manufacturing conditions. The world would win much by improving herbal medicine throughout standardization and stabilization.

Biography

He is an M.Tech in Energy Engineering and Management from National Institute of Technology, Calicut.

Abstract

The present paper deals with the fluid flow and heat transfer in a channel filled with porous material sandwiched between two viscous fluids bounded by heated oscillating plates. The Darcy-Forchheimer and the Navier-Stokes equations are employed in the porous and clear fluid domains, respectively. At the interface, the flow boundary condition imposed is a stress jump together with a continuity of velocity. The thermal boundary condition is continuity of temperature and heat flux. Solutions for the flow velocity and temperature field are obtained numerically. The effects of flow parameters on the flow fields and heat transfer are discussed.

One of the important application is Carbon Sequestration. It is the process of capturing and storing atmospheric carbon dioxide. In this process, carbon is captured and stored where carbon dioxide is removed from flue gases, such as power stations before it is stored in underground reservoirs. Long term storage of carbon dioxide or other forms of carbon can mitigate or defer global warming and avoid dangerous climatic changes. It slows down the atmospheric and marine accumulation of greenhouse gases, which are released by burning fossil fuels. Considering the environment and renewable energy sources in mind, this technology is very important. With this technology it is possible to decrease greenhouse gas emissions while using fossil fuels and retaining our existing energy-distribution infrastructure. It reduces emissions from fossil fuel-burning power stations, whether gas or coal-fired, by as much as 90 percent. It is very useful in Australia, which is heavily reliant on fossil fuels and has extensive potential geological storage resources.

Biography

Mr. Utsav Sen has been Graduated from Department of Pharmaceutical Technology of Jadavpur University. He is currently a post graduate Business Administration student from Vinod Gupta School of Management, IIT Kharagpur at Kharagpur. His key areas of interest include pharmaceutical markets and pharmacoeconomics with its implications to the public health, especially of India.

Abstract

Generics, or more specifically, non-branded Generics refers to the class of medicines which contain the same Active Pharmaceutical Ingredient (API), responsible for the therapeutic activity, but is usually available at a far less premium in comparison to its branded counterparts.

In a country like India, a huge segment of out-of-pocket expenditure in the family is incurred to cater to the healthcare expenditures. In this context, the cost benefit which non-branded generics can provide is of paramount importance; yet, the acceptance of the same has not been as promising as expected. This, despite the promotional campaigns of the Government of India towards adopting Generics.

The research analyzes the perception of non-branded generic medicines among doctors and pharmacists, the two key decision making stakeholders in the buying behaviour of pharmaceuticals in India. At the same time, it analyses the awareness which the general public have with regards to generic medicines. The research uncovers the primary hindrances which inhibit doctors from prescribing generic versions as well as prevent pharmacists from dispensing generic medicines. The study reveals some interesting insights into prescription and dispensation of generic medicines in addition to the expected apprehensions like fear of increased toxicity and reservations regarding efficacy of generic medicines.

Biography

Daniel Uribe, MBA, CEO & Co Founder of Genobank.io, Serial Entrepreneur, Angel Investor, +15 years experience in Cybersecurity, Cloud Computing; +4 years experience in Blockchain & Bioinformatics. Recently specializes in Bioethics, Genomic & Healthcare Data.

He Holds a Bs. Electronics Engineering, MBA from IPADE Business School, Executive Programs in Stanford GSB, Singularity University, Data Science at Galvanize, Digital Marketing at General Assembly & RNAseq at EcSeq Bioinformatics GmbH (Berlin).

Abstract

In 2017 over  2.6  billion  data  records  have  been  compromised  globally¹.  Unlike genetic data collected in a hospital, the information that Saliva direct-to-consumer DNA tests gather about you is subject to general data privacy protection laws around the World. Which places some restrictions on how platforms & healthcare providers can share information about their users, but usually these laws are very dificult to enforce/proof and fail to proactively protect the data owners from cybersecurity breaches that these providers suffer because they centralize millions of DNA data sets and become a “mine of gold” for hackers. Once the data is out, you cannot change your DNA.

Genobank.io is a decentralized network capable of storing digital signatures in a blockchain representing consent over the use of genomic data and the corresponding encrypted digital repository for each individual/patient.

Genobank.io aims to become the most trusted platform/network to store and share genomic data by keeping track of its provenance and facilitate tools for bioinformaticians, laboratories, health institutions, government agencies and other organizations to collaborate with “privacy preserving” large-scale precision medicine research programs  globally.