Day 2 :
Institute for Health Metrics and Evaluation, USA
Keynote: The global burden of disease, injuries, and risk factors in 195 countries; Findings from the 2015 Global Burden of Disease, 1990-2015
Time : 9:30-10:05
Ali H Mokdad, PhD is the Director of Middle Eastern Initiatives and Professor of Global Health at the Institute for Health Metrics and Evaluation at the University of Washington. He started his career at the US Centers for Disease Control and Prevention (CDC) in 1990. He has published more than 350 articles and numerous reports and received several awards, including the Global Health Achievement Award for his work in Banda Aceh after the tsunami, the Department of Health and Human Services Honor Award for his work on flu monitoring, and the Shepard Award for outstanding scientific contribution to public health.
The Global Burden of Disease 2015 (GBD) is a systematic, scientific effort to quantify the comparative magnitude of health loss from all major diseases, injuries, and risk factors by age, sex, and population. We quantified a complete set of health loss metrics with uncertainty for 195 countries and territories, 11 of which—Brazil, China, India, Japan, Kenya, Mexico, Saudi Arabia, South Africa, Sweden, the United Kingdom, and the United States—were analyzed at the subnational level. In addition to the traditional health metrics such as disease and injury prevalence and incidence, death numbers and rates, GBD provides several metrics to report results on health loss related to specific diseases, injuries and risk factors: years of life lost due to premature mortality (YLLs), prevalence and prevalence rates for sequelae, years lived with disability (YLDs), and disability-adjusted life years (DALYs). We also report our findings by the Socio-demographic Index (SDI), developed as a summary measure of overall development based on estimates of lag dependent income per capita (LDI), average educational attainment over age 15 years, and total fertility rate (TFR). Life expectancy increased from 61.7 years (95% uncertainty interval 61.2-62.2) in 1980 to 71.8 years (71.2-72.4) in 2015. However, for some countries, life expectancy did not improve or declined. Non-communicable diseases (NCDs) deaths, increased by 14.4% to 39.8 million deaths (38.5‒41.3 million) in 2015 while age-standardized rates decreased by 13.0% (9.7‒16.2%). By contrast, both total deaths and age-standardized death rates due to communicable, maternal, neonatal, and nutritional conditions significantly declined between 2005 and 2015. From 1990 to 2015, four risks – unsafe sanitation, household air pollution, childhood underweight, and childhood stunting – saw a decrease of more than 30%; further, such reductions in risk exposure were similar among men and women. Our study showed that age-specific mortality has steadily improved over the last 35 years with progress made at a faster pace in the majority of countries with high SDI.
Transformational Health Industry Analyst, Frost & Sullivan, Malaysia
Shalani Andria, the Transformational Health Industry Analyst at Frost & Sullivan is a subject matter expert in Asia Pacific digital health market with thought leadership covering broad range of sectors within the digital health market including Video Telemedicine, Mobile Health, Remote Patient Monitoring, Home Care, Healthcare IT, Healthcare Big Data Analytics, Healthcare Interoperability and Internet of Medical Things. Shalani has extensive experience in strategy consulting, merger & acquisition, and public-private partnerships. She has advised top telehealth vendors, healthcare IT vendors, medical device vendors, hospital groups, and ministries on disruptive technologies, business model innovation, and sustainable ecosystem. She has been quoted in multiple industry magazines and journals.
Asia-Pacific (APAC) is moving from centralized to decentralized care-delivery models, with the need for efficient healthcare services outside the hospital. There has been an increase in demand for remote patient monitoring (RPM) devices by both healthcare providers and consumers in the home but adoption and adherence is low. The major roadblock is funding for high-tech devices and care management platforms. Some of the key challenges include:
• Absence of sustainable business models due to under-developed healthcare regulations and reimbursement mechanisms
• Lack of an ecosystem strategy that includes sustainable partnerships between telecommunication providers, healthcare providers, insurance companies, governments or others for home monitoring.
Failure to address these challenges result in inability to monetize home health monitoring solutions, although the market is packed with unexplored opportunities. This presentation will highlight some innovative business models that address these issues, and educate stakeholders on how and why the models are successful.
- Infectious Disease & Prevention | Healthcare & Chronic Diseases
Bingol University, Turkey
Time : 11:00-11:30
Imran Aslan has done his four years healthcare education as Emergency Medical Technician at Batman Health Vocational High School between the years 1996-2000. Moreover, he has graduated as an Industrial Engineering from Marmara University, Turkey in 2005 and did his Master’s with “Organizing Supplier Chain Activities of Gretsch Unitas”, thesis at FHOOW, Germany in 2007. Furthermore, he has done his PhD in numerical methods with, “The Effect of Information Technology in Turkish Healthcare System: E- Prescription Case Study”, PhD thesis at Business Administration Department, Atatürk University, Turkey between the years 2009-2014. Moreover, he has published more than 25 international articles at famous SSCI, ISI etc. indexed journals and also a book named as, “Healthcare Management: Optimization of Resources and Determining Success and Performance Factors ”, has been published in 2015.
The numbers of Chronic Kidney Failure (CKF) cases have increased dramatically in the last years in Turkey. For that reason, the causes of CKFs and costs related to treatment of CKF are being assessed to compare the types of treatments and to plan the necessary budget for future. Through this study, the aim is to view the success factors of CKF treatment and quantify the results by Decision Tools. Hypertension and Diabetics are main causes of CKF. In a past study carried out by (Aslan & Ozen, 2013) in Turkey, it was found that first three stages of CKF are generally ignored and attention is given to the last two stages of CKF kidneys not being able to perform their functions. In the first case study, the average cost for treatment of each patient and probabilities are drawn to estimate future costs. In the second case study, average lifespan, average parameters of important body signs and cost estimations under different conditions were presented based on the data of Turkish Society Nephrology (TNS) with sensitivity analysis. It is found that the most beneficial treatment method is Transplantation (TX), but it is not possible to find a donor for each patient in Turkey. The expected lifespan is higher for Haemodialysis (HD) patients but, Dialysis (PD) provides more flexibility than HD. The expected cost of a patient for his/her living years with HD is 160,933.04 TL/Life and the expected cost of a PD patient during the life span is 142, 730.67 TL/life.
Sylvain haba Admission to Bachelor in 1984, orientation to school nurses 1985-88. 1989- 1997 Internship in a medical post in Sèbètèrè Gaoual Prefecture. 1992-1993 Remote Training on medical semology. In 1998 admitted to the public service test. 2004-2005 Training in traditional medicine in DR Congo. Back Guinea in 2006 establishment of the Medico-Spiritual Center Tradi koumi Talitha (Marc5: 41-42) to (Labe) Guinea. 2008 Transfer of the center in Conakry.
The practice of nursing in the Family confronts mediocre traditional practices cannot advance nursing. Despite the evolution of science from 60 to 80% of the population believe in quacks, magicians, marabouts in their vain consultation so the diagnosis is usually about: wizards, poisoning, the devil and evil spirits denying the real causes scientists.Nurses who reject their diagnoses are threatened sometimes even their family tested using the mesmerizing plant whose research has allowed me to discover some plants:
Raphyostylis bénénien Family: Icacinaceae (partly used sheets)
Phaullopsus Falicicepala (Part used leaf and fruit)
Datura stramonium Family: Solanaceae (Part used seed)
This combination is used to hypnotize. The same combination is used for other events. A religious ignited the spark plug on the fingers of a child into sorcerer claims to the name of the Holy Spirit in him.
A Catholic priest based in kizao m'vété (Matadi DRC) retrieves abandoned children through this ordeal by their parents. The struggle between Magicians. Man could not be separated from his wife after sex for two (2) days
A group of magicians did the sexes disappear shaking people's hands. When the nurse talking about malaria, infection, infestation, or even hereditary disease outbreak etc. Some of the difficulties lie in the lack of medical equipment, medicine Educational films for health, awareness Exclude all who have not received training for health care and anything that is not scientific. Train; inform to transform adapting our lifestyles as time and circumstances
Universiti Sains , Malaysia
Time : 12:00-12:30
Chandrika Murugaiah completed her graduation at Universiti Malaysia Sabah, Malaysia
Cholera, a severe form of gastroenteritis, is one of the most widespread diseases in developing countries.The mechanism of intestinal infection caused by V. cholerae O139 remains unclear. In order to exploresome morphological aspects of its infection in the intestine including Peyer's patches, we investigatedthe V. cholerae O139 infection at intestinal site of the rabbit gut-loop model. The electron microscopicanalysis revealed denuded mucosal surface with loss of microvilli and integrity of the surface epithelium.Infection of the intestine with V. cholerae O139 induces destruction of villi, microvilli and lining epithelium with exposure of crypts of Lieberkuhn.
King Saud bin Abdul-Aziz University for Health Sciences, KSA
Ebtsam Aly AbouHashish has been promoted as an Assistant Professor of Nursing Management from Faculty of Nursing, Alexandria University, Egypt. She attained Doctorate of Nursing Adminstration in 2010, Master of Nursing Adminstration in 2006 and Bachelor of Nursing Science in 2001 from Faculty of Nursing, Alexandria University, Egypt. She teaches many courses for Under-graduates and Post-graduates, and participated in supervising many dissertations and thesis as an Academic Supervisor. She has published many research articles and two books internationally. She is intersested in quantitative and qualitative research in all areas of nursing management and partcipated as a Reviewer for Nursing Ethics Journal and always strives for excellence as an academic.
Background: There has been an increased emphasis on the importance of providing efficient and effective methods of career awareness, education, and knowledge for nursing students which could affect their talent and self-efficacy development and enable them to overcome the potential career-related obstacles and barriers.
Purpose: The aim of this study was two-fold; a) to investigate the effect of career awareness sessions on perceived career and talent development self-efficacy and career barriers among nursing students. b) To identify the nature of the relationship between career and talent development self-efficacy and career barriers.
Methods: A quasi-experimental research with one group, pre-test post-test design was conducted using a convenience sample of all nursing students (N=245) who enrolled in the second year of Technical Nursing Institute, Alexandria University and agreed to participate in the research study. The career awareness sessions were introduced to nursing students after obtaining ethical approval for the study. Career and Talent Development Self-Efficacy Scale and Career Barriers Inventory were proved valid and reliable to measure study variables pre and post awareness sessions.
Results: The present study indicated a significant effect of career awareness sessions on the study variables where career and talent development self-efficacy score of nursing students significantly increased. On the contrary, career barriers score significantly decreased after sessions (p<0.001). A significant negative correlation between career and talent development self-efficacy and career barriers was found. Also, career barriers can significantly predict 49.5% of career and talent development self-efficacy among nursing students (F=46.779, p<0.001).
Conclusion & Recommendations: Overall, increasing the career awareness of nursing students emerged as being effective in enhancing their career and talent development self-efficacy and decreasing career barriers. Nursing curricula should prepare nursing students and graduates by offering systematic and continuous career educational opportunities to assist them in choosing career paths that match their interests and professional roles.