9^th Asia-Pacific Global Summit on Healthcare & Immunology July 03-05, 2017 Kuala Lumpur, Malaysia

Biography:

Dr Fatme Mawas is an immunologist/microbiologist by training and got her PhD 1995  from King’s College (London).

She is Principal Scientist and Group Leader at the Division of Bacteriology at NIBSC with over 19-years’ experience in the quality control and standardisation of conjugate vaccines against Haemophilus influenzae b, animal models and vaccine immunology.

She has over 29 refereed papers covering various aspects of assay development, standardisation and R&D in the field of conjugate vaccines, vaccine candidates and novel delivery systems.

Abstract:

Haemophilus influenzae type b (Hib) was a leading cause of meningitis in infants in the UK until October 1992, when Hib conjugate vaccine was introduced for children at age 2, 3, and 4 months.

Quality control testing of the vaccine is very important to ensure the quality, safety and efficacy of the vaccine. Here we describe our experience at the UK National Institute for Biological standards & Control in the testing and investigation of quality and efficacy of Hib vaccines in monovalent formulations and in combination with other vaccines such as meningococcal C or DTP-based combination vaccines

Biography:

Ching-Liang Chu has completed his PhD from National Defense Medical College/Academia Sinica, Taiwan and postdoctoral studies from School of Medicine, UCSF, CA, USA. He is the Associate Professor of Graduate Institute of Immunology, National Taiwan University, Taiwan. He has published more than 40 papers in reputed journals and has been serving as a reviewer of more than 20 reputed journals.
 

Abstract:

The inhibitory effect of immunoreceptor tyrosine-based activation motif (ITAM)-containing adapters DAP12 and FceRI g-chain (FcRg) has been found in many immune functions; however, the role of these adapters is not known in C-type lectin receptor (CLRs) response.  In this report, we identified that FcRg, but not DAP12, could negatively regulate the Dectin-1 responses in dendritic cells (DCs).  Loss of FcRg or both DAP12 and FcRg enhanced the maturation and cytokine production in DCs upon Dectin-1 activation compared to normal cells, whereas DCs lacking only DAP12 showed little changes.  In addition, increment of recall T-cell proliferation was observed in FcRg-deficient mice.  Examining the Dectin-1 signaling, we revealed that the activations of several signaling molecules were augmented in FcRg-deficient DCs stimulated with Dectin-1 ligands.  Furthermore, we demonstrated that the association of phosphatases SHP-1 and PTEN with FcRg may contribute to the negative regulation of FcRg in Dectin-1 activation in DCs.  These results extend the inhibitory effect of ITAM-containing adapters to Dectin-1 response in immune functions, even though Dectin-1 contains an ITAM-like intracellular domain.  According to the role of Dectin-1 in responding to microbes and tumor cells, our finding may have applications in the development of vaccine and cancer therapy.

Biography:

Kuan-Yin Shen received his PhD from Graduate Institute of Life Science of National Defense Medical Center in 2014. He accepted postdoctoral fellowship in National Health Research Institutes in 2016. He has his expertise in the flied of tumor immunology to explore the mechanism of antigen processing for tumor vaccine development. To establish novel approach for immunotherapeutic tumor vaccines, he investigates the immune responses induced by lipo-immunogens, recombinant lipoproteins and lipo-peptides

Abstract:

Cross-presentation is an important function of dendritic cells (DCs), which present exogenous antigens on MHC class Imolecules to prime cytotoxic T lymphocyte (CTL) responses. The effects of Toll-like receptor (TLR) 2 triggering on the cross-presentation of exogenous antigens by DCs remain unclear. Here, we used synthetic di-palmitoylated peptides and TLR2 agonist-conjugated peptides as models to elucidate the mechanisms of TLR2-mediated cross-presentation. We observed that the internalization of di-palmitoylated peptides by bone marrow-derived DCs (BMDCs) was promoted by TLR2 via clathrin-mediated endocytosis. The administration of these di-palmitoylated peptide-pulsed BMDCs eliminated established tumors through TLR2 signaling. We further investigated that the induction of antigen-specific CTL responses and tumor regression by di-palmitoylated peptides was transporter associated with antigen processing (TAP) independent. Moreover, presentation of di-palmitoylated peptides by MHC class Imolecules were inhibited in the presence of an endosomal acidification inhibitor (chloroquine) or a cathepsin S inhibitor (Z-FL-COCHO). The endocytosed di-palmitoylated peptide also passed rapidly from early endosome antigen-1 (EEA1)-positive endosomes to RAS-related GTP-binding protein 7 (Rab7)-associated late endosomes compared with their non-lipidated counterparts. Furthermore, we found that di-palmitoylated peptide-upregulated Rab7 expression correlated with antigen presentation via the TLR2/MyD88 pathway. Both JNK and ERK signaling pathway are required for upregulation of Rab7. In summary, our data suggest that TLR2-mediated cross-presentation occurs through the upregulation of Rab7 and a TAP-independent pathway.

Biography:

En-Chih, Liao. Current Position is an Assistant Professor in Mackay Medical College,  New Taipei City, Taiwan. His major degree is PhD from National Yang-Ming University, Institute of Clinical Medicine, Taipei, Taiwan. His Specialty is in fields of Microbiology, Basic and Clinical immunology, Tropical Medicine, and Translation Medicine. Research Interest focus on the house dust mite allergen characterization,  animal model of bronchial asthma, biomedical wafer of diagnostic development. Special honors for him are 2011 Seoul International Invention Fair (SIIF)(Gold Prize)、(Russian House Award) and 2014, 11th National Innovation Award 

Abstract:

Tropomyosin was found to be responsible for the cross-reactivity between shrimp and dust mite, and measurement of tropomyosin specific IgE was reported superior to shrimp for predicting clinically allergic reaction. The aim of this study is to identify the cross-reactivity of tropomyosin among shrimp-Pen m 1 and dust mite-Der p 10. A total of 120 subjects were enrolled in this study: 60 children (<18 yr), 30 middle-age adults (18-65 yr) and 30 elderly adult (>65 yr). In the group of middle-age adult, there were four non-shrimp exposure vegetarians recruited for further analysis. Two recombinant allergens of dust mite (rDer p10) and shrimp (rPen m1) were generated to investigate their cross-reactivity. The cross-reactivity between shrimps and mites were determined by basophil histamine release (BHR) before and after allergen absorption. The results showed that there were more children sensitive to mite (91.7%) than to shrimp (28.3%). In the group of middle-age adult, the mite sensitivity rate was decreased to 56.6% and shrimp sensitivity rate increased to 73.3%. In the elderly adult, the mite sensitivity rate was decreased down to 46.6%, however the shrimp sensitivity remained constant (73.3%). The rates of cosensitivity to shrimp and mite were 26.6% in children group, 56.6% in middle-age adult group and 43% in elderly adult group. A total of 45 subjects who sensitized to both shrimp and mite were recruited for BHR assay. Similar results were observed in the BHR assay, the content of histamine stimulated by mites (69.3%) was significantly higher than shrimp (48.4%) in the children group. Converse results were showed in the elderly adult group, shrimp-stimulated BHR (61.0%) was significantly higher than mite (44.5%). In the inhibition BHR assay, the results showed the shrimp-stimulated BHR could be decreased significantly by absorption with Der p 10 in the children group. The mite-stimulated BHR could be absorbed significantly with Pen m1 in the elderly adult group. In the inhibition assay of Western blot and BHR, the positive IgE responses to shrimp could be absorbed by Der p10 from vegetarians’ sera. It indicated that the IgE positive response to shrimp of the vegetarians was originated from the cross-reactivity of tropomyosin from the dust mite-Der p10.

Biography:

Maria Maldonado-Vega his graduate of Ph.D. in Science, specialization Toxicology has received his Ph.D. and Master of Science in Research and Advanced Studies Center-Politecnical National Institute (CINVESTAV-IPN) México, D.F. Research lines: Toxicology labor groups exposed to heavy metals. Environmental pollution by solid waste; currently works microbiological aspects of air quality and phytoremediation processes of industrial effluents. His research has several awards such as Prize 2006-2007 ADIAT. Technology transfer mode to companies PyME and Technical merit recognition. First award in the research occupational risk from 1999, 2000, 2001 y 2007 Health Sector Veracruz, The Mexican Association of Biochemistry, FESORMEX y FENASTAC. She has Development different projects research and technology, which have resulted in forum disclosure of more papers, technical report and technology transfer. Currently has 18 papers refereed journals and 20 internationally papers, the publication of two books by threshing’s on the subject of specialized footwear for diabetics, as wells as lead toxicology, books chapters heavy metals. Management studies thesis of undergraduate, master´s and Ph.D. She has participated with other research groups in short Ales School of Mines in France, The University of the Environment UFZ-Leipzig in Germany, in Mexico involved with biomedical researchers at the Institute of UNAM, CINVESTAV-IPN Mexico unit and Irapuato, also University of Guanajuato. She is serving as an editorial member of several reputed journal like Journal of Nuclear medicine & Radiation Therapy, Journal International Pollution, Medical Journals and Magazine of Biochemistry Education. She is a member of Mexican Society of Biochemistry and Member Research Ethics Committee.

Abstract:

The recycling of automotive batteries is an industrial process that consists of the recovery of lead grids, acidic liquids and materials that contain them. Lead recovery occurs as a smelting process at more than 1100°C. During this process there are emissions of vapors and generation of fine powders. Additionally, they obtain lead oxides in complementary processes. This paper presents the health conditions of a workers (n=32) from a company that recovers lead from automotive batteries through melt processes. This company is medium, it includes work areas from the breaking of battery boxes, and handling of worn sulfuric acids. Once the lead is melted, it is recovered in solid plates and in the form of oxides. The company has a processing capacity of 30 tons per month. The average age of the study group is 39.6 (18-70) years; it is made up of 24 men and 8 women, with a working time of 3 months and up to 18 years. The blood lead concentration has been found to range from 7.4 ug/dl to 89.6 ug/dl, averaging 40.7±21 ug/dl and d-ALAD activity 371± 231 nmoles/h/ml, and 83 % of these workers have ALAD activity inhibited, which is an indicator of toxicity and lead effects. In addition, the same percentage of workers with oxidative damage determined as MDA in blood coincides. The activities of greater exposure correspond to the personnel of the maneuvers in the furnace, as well as the oxidizer area and crucibles. Independently the industrial plant has a fine powder dispersion within a radius of 60 m with respect to the center of the melting furnace.

Biography:

Chih-Yu Wang has completed his PhD from National Yang-Ming University and Post-doctoral studies from National Taiwan University. He is a Professor of Department of Biomedical Engineering, I-Shou University, Taiwan. He was majored in biophotonics, especially on laser diagnostics and treatment, such as fluorescence spectroscopy, polarized imaging, luminescence nanoparticles synthesis, and photodynamic therapy. His recent researches were mainly focused on the design and manufacture of modern instrument to implement the diagnostic and treatment methods in traditional Chinese medicine. He has published more than 40 papers in related field on reputed journals

Abstract:

The autonomic nerve is composed of sympathetic and parasympathetic nerves, which usually function oppositely in the physiological body, and are mutually adjusted according to our physical conditions. In traditional Chinese medicine, the acupoint "Neiguan (PC6)" is usually considered as effective for the activation of sympathetic and parasympathetic nerves. The main purpose of this study is to explore the effect on autonomic nerve activity by simulating Neiguan using laser acupuncture with lifting and thrusting functions. We used “ANSWatch” (Taiwan Scientific Co. Ltd.) to measure the heart rate variability (HRV) of the subject before and after acupuncture stimulation, and converting to indices of sympathetic and parasympathetic activity. We adopted the home-made “emulated laser acupuncture system” which can implement the lifting and thrusting functions in traditional acupuncture. The mentioned laser acupuncture adopted NI myRIO as the main controller, which was driven with LabVIEW software; in which the depth (focus position), force (light intensity) and procedure were program-adjustable. By using the emulated laser acupuncture one can implement the acupuncture method in Chinese medicine by adjusting focus of incident light to achieve a required depth when considering the individual variation, such as the patient's body shape and the various depths of different acupoints and meridians, etc., to enhance the acupuncture efficiency. In this study, we enrolled 23 subjects from Department of Chinese Medicine, E- Da Hospital. The autonomic nerve activity was analyzed by paired t- test. The result shows that the sympathetic nerve activity was significantly increased after acupuncture with lifting and thrusting. Although parasympathetic nerve activity did not change significantly, autonomic nervous activity shows significant differences toward balance. We conclude that stimulating Neiguan point with emulated laser acupuncture casts significant impact on the autonomic nervous system, indicating that the laser acupuncture would be useful for the adjustment of human psychosomatic state.

Biography:

Ya-Lie Ku is an Associate Professor in the College of Nursing, Fooyin University, who has completed her Master’s in Nursing Science from Penn State University. She has taught the long-term care nursing for more than 20 years as well as conducted the practicum teaching more than ten years both in the elderly and psychiatric settings. Currently, she and her teaching team members have developed the simulation scenarios and skills of the long-term care course for the RN-BSN students. She has published approximately 10 articles related to long-term care and simulation teaching as well as 10 conference papers in the domestic and foreign areas

Abstract:

This article introduces the five simulation skills of the long-term care course. The process of developing these skills includes a literature review, continuous education, and evaluation by different long-term care experts. The five simulation skills are difficult feeding and swallowing care, position management and skin care, promoting toileting ability care, and acute and chronic confusion care. In the long-term care course, the content of the five simulation skills comprises diverse scenarios for five long-term care cases, preparation before the practicing of skills, competency in the assessment and practicing of skills, evaluation of the cases’ problems, and professional essences while practicing the skills. There are different indicators for the preparation, assessment, practice, and evaluation of the five simulation skills in the long-term care course. After lectures and the practicing of skills, every nursing student participating in the long-term care course is evaluated through a simulation test conducted by five teachers at the OSCE center, involving five standardized patients who have been trained by the examining teachers. Additionally, every nursing student writes reflection reports for the practice and testing of the five simulation skills in terms of the learning process, obstacles, and suggestions for improvement of the long-term care course in the future. Through a sincere and careful developing process, the five simulation skills of the long-term care course could be standardized for the use of long-term care nursing teachers and students.

Biography:

Hanan Elkafafi Hassan is working as an Assistant Professor of Medical Surgical Nursing at Nursing College, Cairo University. And she moved to Saudi Arabia and worked as Assistant Professor in Nursing College at Dammam University till 2015 then she moved to King Saud bin Abdul-Aziz University for Health Sciences. She teaches many courses for undergraduates and postgraduates, participated in supervising of Master’s projects and students researches as an Academic Supervisor. She has published many national and international research articles. She has experience in quality assurance and accreditation in higher education. His interested area of research is education and clinical research.

Abstract:

Background: Catheter Associated Urinary Tract Infections (CAUTI) is the most common nosocomial infection at ICUs. Urinary infections can increase patient’s length of stay and mortality. One of the strategies to reduce CAUTI is the use of silver coated urinary catheters.

Purpose: Aim of this study is to explore the efficacy of Silver -coated urinary catheter on reducing CAUTI.

Methods: An experimental design was used and the study was conducted in ICU at King Fahd University Hospital, Al-khobar, Eastern Province. The study subjects include 60 adult patients (18 years or more) who were on urinary catheter attending during the period of data collection and were randomly divided to two groups. Two instruments were used for data collection: 1) Demographic and Medical Data Sheet, 2) CAUTI Sheet.

Results: There was a statistical significance difference between the two groups among symptoms of UTI, temperature, and WBC (P<0.05). The patients having silver –coated catheter has less organisms in the blood. Fewer leukocytes, bacteriura and yeast cell in urine culture when compared to uncoated catheter patients after 3 days. CAUTI rate was a statistically significant difference between the two groups (p=0.003).

Conclusion & Recommendation: It can be concluded that the use of silver alloy coated urinary catheter reduces the incidence of CAUTI rate to 2.2% per three days compared to uncoated catheter rate of 13.3% per three days. It can be recommended that changing practice to use the silver coated Foley catheter to decrease risk of CAUTI.

Biography:

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.

Abstract:

Diabetes was defined by traditional black healers as a disease of abundant urine, dry mouth, itching and visual impairment.The diagnosis was always made by a gathering of red ants (formica rufa) and bees (apis mellifera) on the urine emitted on an impermeable place in the morning when, in the evening, it was these two insects that alerted the patient and his entourage.It was not until the arrival of the Christian missionaries to define.Diabetes or poly-polydipsic syndrome in modern medicine which refers to a syndrome characterized by an increase in urine production, necessarily accompanied by excessive thirst.In research, it was noted that plants can help in the treatment of type 2 Recommendation diabeties.
AT.
1) Respect of the diet (without sugar), 2) Balanced food, 3) In sauce the leaves solanum nodiflora family solanaceous leaf 150 to 200g / day to prepare with the decoction of yilitigi 20 to 30g In maceration.

Biography:

Dr Jacques Choucair got his MD degree in 1994 from the Saint-Joseph University, Faculty of Medicine in Beyrouth then his ID subspeciality from Paris VII University, School of Medicine

Since May 2001, he is a practitioner and ID consultant in the Infectious diseases department at Hôtel Dieu de France de Beyrouth teaching hospital.

He published more than 20 articles and is a reviewer in national and international journals. His main topics of interest are bacterial resistance and the proper use of antibiotics.

He is a member in the arab association for the proper use of antibiotics and member of ESCMID.

Abstract:

Objectives: To evaluate the knowledge of Lebanese women about cervical cancer (CC) and human papillomavirus (HPV) infection. To measure the uptake of the cervical cancer screening test (Pap smear) and the uptake of HPV vaccination, and determine the influencing factors.

Methods: 444 women with no medical background filled out a 32 item questionnaire. Collected data was analyzed in SPSS® v. 21.0.

Results:45.7% aged 18 to 25with high education qualifications (73.9%) and employed in a field not related to health (84.9%). They did not visit a general physician (64%) or a gynecologist (64.6%) regularly. 85.6% were aware of CC with a  median CC symptom knowledge score of 3.00 ± 2.13. HPV infection involvement in the pathogenesis of CC was identified in 53.9% of cases. 35.6% of women were aware of HPV infection. The median HPV general knowledge score was 5.39 ± 2.38 and the median HPV vaccination score was 6.00 ± 2.41. 37.6% of participants had been screened by Pap smear for CC at least once in their lives whereas 9% did not know what a Pap smear was. Screening was significantly associated with CC awareness and regular visits to physicians. Only 11.7% of participants aged 18 to 35 were vaccinated against HPV. Vaccination uptake was significantly associated with CC awareness, religion, field of work and studies, and regular visits to gynecologists.

Conclusion: Lebanese women residing in the urban communities are not well informed about CC and HPV. Screening by Pap smear and HPV vaccination uptakes are non-satisfactory.

Biography:

Dr.Teluguakula received PhD from Osmania University, India and had postdoctoral training from Center for Veterinary Health Sciences, Oklahoma State University and at School of Medicine, National University of Singapore. He has published more than 30 papers in reputed journals mainly related to respiratory biology and pathology. Currently he is working as a project leader at Oklahoma Center for Respiratory and Infectious Diseases and Assistant Professor, Research at Oklahoma State University, USA. 

Abstract:

Complications of acute respiratory distress syndrome (ARDS), a severe form of acute lung injury, remain major causes of death in influenza pneumonia. Several recent studies have demonstrated that considerable lung damage is contributed by the host immune response in addition to the cytopathic effects of the influenza virus. Previously we have demonstrated that excessive neutrophils recruitment and their generated neutrophil extracellular traps (NETs) contribute to pathologic complications of ARDS in severe influenza pneumonia in mice. Neutrophils express predominantly CXC chemokine receptors including CXCR1 and CXCR2, which play key role in the recruitment and activation of neutrophils. This study was aimed to test the therapeutic potential of CXCR1/2 antagonism in severe influenza pneumonia. Our results have shown high increase in CXCR2 expression in both circulating and lung-recruited neutrophils. We used a selective CXCR1/2 antagonist, SCH527123 alone or in combination of an anti-vial agent, oseltamivir. BALB/c Female mice were challenged with lethal influenza A/PR/8/34 (H1N1), 2500pfu. Oseltamivir or SCH527123 were administered orally. Treatment with oseltamivir alone showed 15% survival, while all animals were died in SCH527123 alone treatment group. However the combined administration of these drugs resulted in 60% to 100% survival in mice after lethal influenza infection. The addition of SCH527123 to the combination therapy regime was also found to significantly alleviate lung pathology, compared to oseltamivir treatment alone. Lungs of infected animals following combination therapy showed decreased neutrophil influx, decreased release of extracellular histones, reduced vascular leakage, and reduced alveolar capillary damage. These results demonstrate that the use of CXCR1/2 antagonists in combination with a classical antiviral therapy can be a novel and effective treatment approach for severe influenza pneumonia. 

Biography:

Dr. Faisal Mohammed Hanif Girach has completed his masters from India. He is practicing homeopathy over a period of 10 years and has shown good results in various diseases with homeopathic medicines. At present, he is lecturing at Cyberjaya University College of Medical Science, Malaysia. It is one of the only government recognized university college to offer Homeopathy course in entire south East Asia.

Abstract:

Homeopathic research has developed over the past 20 years with the increasingly greater use of modern medical methods (clinical trials, observational studies, statistical evaluations, computerized storage programs and instrumental or laboratory testing). Over 200 clinical trials designed to verify the efficacy of homeopathic treatments have been published, many (but not all) of which have led to positive results. The main principle of Homeopathy is- “a remedy can cure a disease if it produces in healthy person symptoms similar to those of the disease”. It is said that “like cures like”. Homeopathic remedies are diluted to such an extent that there can be no possible side effects from even the most toxic substances. The dilution process is known as 'Potentization'. Taken in this ultra-diluted form, these remedies have no side effects and are perfectly safe, non-toxic and non-addictive. This concept has been proved through nanotechnology which says that particles which are tinier than the viruses are capable to act on human body.

Homeopathy has good role in managing immunological diseases. From homoeopathic point of view immunological diseases are chronic constitutional disorders, therefore we require individualistic approach as patient responds to medicine according to its constitution and susceptibility. The constitutional medicines are drawn out after thorough understanding of concerned individual. These medicines can help decreasing the intensity of symptoms and can thus improve standard of living. During the session, we would discuss how a case of Ankylosing spondylosis and psoriasis was managed with homeopathic medications.

Homeopathic medicines can help in treating immunological diseases, but proper research must be done to understand the efficacy of homeopathic medicines in immunological cases.

Biography:

Dr Jacques Choucair got his MD degree in 1994 from the Saint-Joseph University, Faculty of Medicine in Beyrouth then his ID subspeciality from Paris VII University, School of Medicine

Since May 2001, he is a practitioner and ID consultant in the Infectious diseases department at Hôtel Dieu de France de Beyrouth teaching hospital.

He published more than 20 articles and is a reviewer in national and international journals. His main topics of interest are bacterial resistance and the proper use of antibiotics.

He is a member in the arab association for the proper use of antibiotics and member of ESCMID.

Abstract:

OBJECTIVE:

To assess, in non vaccinated healthy adults, the response to the standard protocol SP of vaccination for hepatitis B (0, 1, 6 months), and the response to two boosters protocols in non-responders (NR).

METHODS:192 adults, mean age of 44.3 receive (Engerix® B 20 µg/1 ml) by the SP. The non-responders (anti-Hbs antibodies <10UI/l) are divided into two groups. The first group (P1) receives a single booster (R1) 4 months after the SP, and those who remained non-responders receive a double booster (R1b) 2 years after the SP. The second group (P2) receives a unique double booster (R2), 2 years after the SP.

RESULTS:The rate of response after the SP is 75.5 %( 145/192).

28 NR in (P1) have a response rate of 32.14 %( 9/28). The 19 NR in (R1b) have a response of 36.84 %( 7/19).

19 NR (P2) have a response of 63.16 %( 12/19).

9.9 %( 19/192) of individuals don't respond to any booster. The rate of response decreases with the age( 5% every year and 41% every 10 years)

For the same age, men are 2 fold more responders then women.

CONCLUSION:A unique double booster done 2 years after the SP gives a better response then a single booster done after 4 months, and a similar response to a single booster done after 4 months followed by a double booster done after 2 years. The female gender and the age are 2 factors that decrease the response to the vaccination.

Biography:

Professor at University of Liverpool,Makkah,Saudi Arabia.

Abstract:

BACKGROUND:

CD56+ T cells previously have been identified as potentially cytotoxic lymphocytes, and relative numbers are increased in some infectious diseases.

PATIENTS AND METHODS:

Relative proportions of CD56+ T cells were measured by flow cytometry in groups of renal transplant patients differing in cytomegalovirus (CMV) status of donor (D) and recipient (R). These measurements were related to episodes of CMV viremia.

RESULTS:

Patient groups in which recipients (R+) or donors (D+/R-) were CMV+ had significantly higher proportions of CD56+ T cells (5.11 ± 0.69% and 5.42 ± 1.01%, respectively) than the D-/R- group (1.9 ± 0.35%; P = 0.0018 and 0.017, respectively). In the high-risk D+/R- group, it was found that patients who had post-transplant CMV viremia had higher levels than those who remained CMV negative (9.09 ± 2.34% vs. 3.16 ± 1.22%; P = 0.01). CD56+ T cells from R+ and D+/R- groups had higher proportions of both CD4+ and CD8+ cells than the D-/R- group. When activation markers were examined, some CD56+ T cells from both CMV+ groups had a TEM phenotype, with significantly more expressing CD45RO and NKG2C, and less expressing CD28, CD62L, CD127, and CD161 compared to the D-/R- group. Some CD56+ T cells showed specificity for CMV antigens and similar proportions of CD8+ cells were positive for class I HLA-CMV tetramers containing immunodominant CMV peptides compared to the majority CD56- T cells.

CONCLUSION:

The results show significant increases in proportions of CD56+ T cells in relation to CMV infection in renal transplant patients and suggest that these cells have a cytotoxic function against CMV-infected cells.

Biography:

Sabira Mohammed is currently pursuing her Doctoral degree and is working on finding the role played by Sphingosine Kinase 1 in endosomal TLR mediated innate immune response. She has done her Bachelors and Masters degree in Microbiology.  Her research interests are immunology and autoimmune diseases.

Abstract:

Statement of the Problem: The body protects itself against the invading pathogens by mounting different strategies, collectively called as the immune responses. Toll like receptors (TLRs) recognise pathogens and are vital for innate immune response. The regulation of TLRs is not fully understood, the dysregulation of which can lead to autoimmune conditions. Sphingosine kinase 1 is an enigmatic enzyme that is involved in a myriad of cellular processes. The role of Sphingosine kinase 1 is speculated in TLR regulation. Methodology: The effect of Sphingosine kinase 1 in innate immune response is studied in vitro using CAL1 cell, a plasmacytoid dendritic cell line, primary cells and in vivo in C57Bl/6 mice . SphK1 is pharmacologically inhibited using SK1I. The response in the form of interferon and proinflammatory cytokine production is measured in the mRNA and protein level by Real time qPCR and ELISA. The effect of the inhibition on signalling components was studied by immunofluorescence and western blotting. The interaction between TLR and SphK1 was checked by immunofluorescence and western blotting. Findings: The inhibition of SphK1 was found to affect the innate immune response as measured by  interferon and proinflammatory cytokine production. The effect of the inhibition on innate immune response was not mediated through cell death, but through the modulation of key cellular signaling pathways. SphK1 was found to colocalise with the endosomal TLRs.  Conclusion & Significance: The study brings out the role of SphK1 in innate immune response from a plasmacytoid dendritic cell perspective. This points towards the potential of developing therapeutics based on SphK1 for treatment of autoimmune diseases, where there is aberrant TLR regulation.

Biography:

Altigani aljafari was graduated from koedofan university,Faculty of medicine 2003.

He has completed MD Clinical Immunology,sudan medical specialization Board,January 2017.

Currently working as head department of clinical Immunology unit,in Omdurman Military Hospital and also the memeber of the organs transplant team,in omdurman Military Hospital.

Abstract:

Biography:

Dr Jacques Choucair got his MD degree in 1994 from the Saint-Joseph University, Faculty of Medicine in Beyrouth then his ID subspeciality from Paris VII University, School of Medicine

Since May 2001, he is a practitioner and ID consultant in the Infectious diseases department at Hôtel Dieu de France de Beyrouth teaching hospital.

He published more than 20 articles and is a reviewer in national and international journals. His main topics of interest are bacterial resistance and the proper use of antibiotics.

He is a member in the arab association for the proper use of antibiotics and member of ESCMID.

Abstract:

OBJECTIVE:To assess, in non vaccinated healthy adults, the response to the standard protocol SP of vaccination for hepatitis B (0, 1, 6 months), and the response to two boosters protocols in non-responders (NR).

METHODS:192 adults, mean age of 44.3 receive (Engerix® B 20 µg/1 ml) by the SP. The non-responders (anti-Hbs antibodies <10UI/l) are divided into two groups. The first group (P1) receives a single booster (R1) 4 months after the SP, and those who remained non-responders receive a double booster (R1b) 2 years after the SP. The second group (P2) receives a unique double booster (R2), 2 years after the SP.

RESULTS:

The rate of response after the SP is 75.5 %( 145/192).

28 NR in (P1) have a response rate of 32.14 %( 9/28). The 19 NR in (R1b) have a response of 36.84 %( 7/19).

19 NR (P2) have a response of 63.16 %( 12/19).

9.9 %( 19/192) of individuals don't respond to any booster. The rate of response decreases with the age( 5% every year and 41% every 10 years)

For the same age, men are 2 fold more responders then women.

CONCLUSION　:A unique double booster done 2 years after the SP gives a better response then a single booster done after 4 months, and a similar response to a single booster done after 4 months followed by a double booster done after 2 years. The female gender and the age are 2 factors that decrease the response to the vaccination.

Biography:

Moatasem  still  PhD student at Faculty of Biology, Sultan Idris university, has complete master degree in immunology in faculty biology at Thi-Qar university whith Honors score. He has published more than 11 papers in reputed journals and has been serving as an editorial board member of repute. He has numerous Participations in Scientific  & educational conferences and have  some of awards from journals and conferences.

Abstract:

Objective: This study aimed to determine the level of serum indicators of cellular oxidative stress and the antioxidant the relevance with inflammations parameters, establishing the inflammatory profile in patients with rheumatoid arthritis.

Method:  The sample of the study take in 50 patients with RA. They were confirming the dealings of the 2007 American College of Rheumatology, also the sample of the study include fifty person seemingly healthy volunteers were included in this study. We determined the plasmatic levels of malondialdehyde, compare with the inflammatory parameters such as CRP, ESR, RF, calculation of total WBC and diffraction numerous of WBC. In addition, the phagocytosis processes.

Results: in comparison to controls, patients with rheumatoid arthritis presented high concentrations of lipid peroxidation products (determined by plasmatic levels of malondialdehyde, as well as the study shown high signification between the studied groups according the immunological markers

Conclusion: our results indicate the presence of molecular damage determined by oxygen free radicals in patients with rheumatoid arthritis and this is play main role in immune response of patients.

Key word: C-reactive protein, free radicals ROS, MDA, neutrophil, rheumatoid arthritis.

Biography:

Ryan Aliñab is a current resident of Internal medicine at Chinese General Hospital Medical Center. He graduated from University of Santo Tomas, Philippines last 2013 with the degree of doctor of medicine. 

Abstract:

Abstract

Introduction

Idiopathic systemic capillary leak syndrome (ISCLS) or Clarkson’s disease is an extremely rare and fatal condition characterized by episodic attacks of capillary leakage of plasma from the intravascular to the interstitial space resulting in hypotension, hemoconcentration, and hypoalbuminemia. If not diagnosed early, it has a high morbidity and mortality rate. Treatment is supportive, focusing on aggressive but cautious fluid resuscitation together with pharmacologic treatment to control capillary leakage. Each attack vary in severity and can be life features threatening due possible organ failure secondary to poor perfusion.

This study aims to raise awareness of the main presentation of ISCLS, to explain the possible pathophysiology, clinical course of the disease, to differentiate with other causes of distributive shock and to present the latest recommendations on treatment and prevention based on limited evidences available.

Case presentation

Our case is a 38 year old male who initially experienced flu-like symptoms such as body malaise, headache and generalized weakness. He was previously treated as a case of community-acquired pneumonia, high risk, admitted at the intensive care unit. He claimed to have a history of allergy to seafood and medications such as paracetamol and antibiotics. At the emergency room, patient was hypotensive and was managed as a case of anaphylactic shock. He was hydrated, started on inotropic agents and corticosteroid. Work-up tests revealed severe hemoconcentration, hypoalbuminemia, metabolic acidosis, and hyperkalemia. No focus of infection was documented. He remained stable with negative fluid balance until the fourth hospital day, when he suddenly developed pulmonary edema. Patient was managed with diuretics, airway support and inotropics. Patient condition improved and was discharged on 10th hospital day.

Conclusion

ISCLS is a rare and fatal disease that has a high mortality if not detected early. Therefore, prompt recognition is important in the effective management of the disease and its complications.

Biography:

Dr. BenMohamed is a Professor of Immunology, the founder and the head of the Laboratory of Cellular and Molecular Immunology at the University of California. He also holds a joint appointment with UC Irvine Institute of Immunology and with UC Irvine Chao Family Comprehensive Cancer Center.Dr. BenMohamed received his Ph.D. in Immunology from the Pasteur Institute, Paris, France in 1997 where he worked as the key developer and co-inventor of a new promising vaccine strategy that uses mucosal delivery of clinically approved lipopeptide molecules

Abstract:

ABSTRACT

Herpes simplex virus type 1 (HSV-1) is a prevalent human pathogen that infects over 3.72 billion individuals worldwide and can cause potentially blinding recurrent corneal herpetic disease. HSV-1 establishes latency within sensory neurons of trigeminal ganglia (TG) and TG-resident CD8⁺ T cells play a critical role in preventing its reactivation. The repertoire, phenotype and function of protective CD8⁺ T cells are unknown. Bolstering the apparent feeble numbers of CD8⁺ T cells in TG remains a challenge for immunotherapeutic strategies. In this study, a comprehensive panel of 467 HLA-A*0201-restricted CD8⁺ T cell epitopes were predicted from the entire HSV-1 genome. CD8⁺ T cell responses to these genome-wide epitopes were compared in HSV-1 seropositive symptomatic (SYMP) individuals (with a history of numerous episodes of recurrent herpetic disease) vs. asymptomatic (ASYMP) individuals (who are infected but never experienced any recurrent herpetic disease). Frequent polyfunctional HSV-specific effector memory IFN-g⁺CD107^a/b+CD44^highCD62L^lowCD8⁺ T_EM cells were detected in ASYMP individuals and were mainly directed against three “ASYMP” epitopes. In contrast, SYMP individuals have more mono-functional central memory CD44^highCD62L^highCD8⁺ T_CM cells. Furthermore, therapeutic immunization with an innovative prime/pull vaccine, based on priming with multiple “ASYMP” epitopes (prime) and neurotropic TG delivery of the T-cell attracting chemokine CXCL-10 (pull), boosted the number and function of CD44^highCD62L^lowCD8⁺ T_EM and tissue-resident CD103^highCD8⁺ T_RM cells in TG of latently infected HLA-A*0201 Tg mice and reduced recurrent ocular herpes following UV-B induced reactivation. These findings have profound implications in the development of T-cell-based immunotherapeutic strategies to treat blinding recurrent herpes infection and disease. 

Biography:

Dr. Neeraj Mishra is working as Associate Professor in Department of Pharmaceutics at ISF College of Pharmacy, Moga (Punjab) since July 2012. He has completed his B. Pharm (2000), M. Pharm (2003) and Ph.D. (2011) in Pharmaceutical Sciences from Department of Pharmaceutical Sciences, Dr. H.S. Gour Central University, Sagar (M.P.). He is having 38 International and 14 National Publication typically in recent concept of novel drug delivery system, particularly in vaccine delivery and drug targeting. He is also written 4 book chapter in national and International publisher (Nova Science Publishers).

Abstract:

Abstract

Mucosal immunization frequently results in the stimulation of both mucosal and systemic immune responses, whereas systemic immunization typically induces systemic responses without activating the mucosal immune system. The present study was aimed at exploring the targeting potential of LTA-anchored chitosan nanoparticles (CH-NP) specifi cally to M cell following oral immunization. The lectinized CH-NP exhibited 7 – 29% coupling capacity depending upon the amount of glutaraldehyde added. Induction of the mucosal immunity was assessed by estimating secretory IgA level in the salivary, intestinal and vaginal secretions, and cytokine (IL-2 and IFN- g) levels in the spleen homogenates. The results demonstrated that LTAanchored CHNP elicited strong humoral and cellular responses and hence could be a competent carrier-adjuvant deliverysystem for oral mucosal immunization against Hepatitis B.

Key Words: chitosan nanoparticles , hepatitis B , LTA lectin , M cells , oral immunization

Biography:

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. 

Abstract:

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.

Biography:

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.

Abstract:

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

Biography:

Chandrika Murugaiah completed her graduation at Universiti Malaysia Sabah, Malaysia

Abstract:

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.

Biography:

Ju-Li Ku currently is a PhD student in the Department of Chinese Literature, National Kaohsiung Normal University, and she has worked as the senior lecturer of Chinese Literature in the R.O.C. Military Academic for more than 25 years. She has involved into the studies of Su Shi’s whole life regarding his philosophy and Chinese medicines. She hopes to transform the Su Shi’s body-mind-spirit self-healing menu into the health care system for improving the patients’ health based on his own autobiography.

Abstract:

The purpose and value of this paper is to learn the way of body-mind and spirit self-healing while people face the hardships of life. special attention to the problems of disease prevention and treatment of the underprivileged, and often sent medicine to them. This article explores a demoted official to feel self-healing during planting medicinal herb, gaining medicine and decocting medicinal herb. In addition to medical treatment of the disease, the mind and self-healing power ahs more impact on the people . While using medicine to heal people,if we use motivated talk with then they can recover very easy. Through the  study of health care professionals could consider how to merge the body-mind-soul of self-healing of medicine thought and regimen into improving the quality of patient’s care.

Biography:

Dinithi samarakoon is from Srilanka and she completed her Graduation at General Sir John Kotelawala Defence University, Sri Lanka and now she is working as Faculty of Allied Health Sciences on Department of Nursing & Midwifery

Abstract:

Foreign Body Aspiration (FBA) is a common cause of respiratory emergency in early childhood and is associated with a high rate of airway distress. FBA peaks at the age of 1-2 years. Many cases of FBA can be preventable yet one of the main risk factors for FBA is a lack of knowledge regarding FBA of caregivers of children. It has been emphasized that public awareness should be increased. Less awareness of parents regarding risk items, risk factors, prevention methods, delay in identifying signs and symptoms of sudden FBA, and less awareness of First Aid Management are the major factors placing children at higher risk for FBA. The primary aim is to evaluate knowledge among parents in Dehiwala- Ratmalana Medical Officer of Health (MOH) areas on FBA (i.e. the high risk items, risks factors), secondly to assess parental ability to recognize FBA, evaluate parental knowledge on implementing the first aid management and prevention of Foreign Body Aspiration. To find out whether there is any correlation with parental knowledge on FBA and parental level of education. Simple random sampling method was used regardless of parity, attending routine Child Welfare Clinics (CWCs) during working day mornings and afternoons across the 12 CWCs in Dehiwala and Ratmalana MOH areas. An interviewer administered questionnaire was used to collect the data from 384 fathers, mothers and primary care givers (guardians) who had a child of age 1-5 years. Among 384 parents who participated in the study, 99 cases had a history of FBA with the highest incidence amongst the 1-2 year age group. The overall knowledge of the parents on FBA was average 226 (58.9%); similarly parental knowledge on prevention was also average 291 (75.8%), while the majority had a good knowledge on first aid management 230 (59.9%). The majority of parents had shown a good awareness on risk factors related to FBA as well. As per the results the most parents in this sample had either a good or average knowledge on the risk factors, recognition, prevention and treatment of FBA. In this study population parental overall knowledge on FBA was average. Their knowledge was mainly acquired from community midwives. There was no association between education levels with awareness of risk of FBA, awareness of recognition, awareness of prevention, and awareness of first aid management. Similarly a significant relationship was not found in between education and over all awareness on FBA.

Biography:

Jiayi Gu has completed his Master of Epidemiology and Biostatistics and currently is a PhD candidate. He is mainly engaged in the related research of health management for the elderly. He and his group have recently carried out a study of health management program for the elderly for a period of two years. The program encouraged a healthy lifestyle and the uptake of preventative care among the elderly. In this study, the effect of health management for the elderly was evaluated through statistical methods.

Abstract:

Statement of the Problem: Aging is a challenge for China. Health management is regarded as an effective way to improve the health of the elderly. However, relevant studies and evidences are still lacking in China. The purpose of this study is to conduct a randomized controlled trial and used Bayesian approach to evaluate the effectiveness of health management on the health of the elderly.

Methodology: A randomized, controlled trial was undertaken and the sample was from the community-dwelling elderly (≥ 60 years). Intervention group received a health management program, which included a series of health promotion activities. Concurrent control group received usual care. The duration of this trial lasted 24 months. The main outcomes were assessed through a multi-dimensional instrument designed for the elderly at baseline and 6, 18, 24 months. Bayesian linear mixed models were used for analyzing the effect of health management.

Findings: The results showed that there was a significant improvement per month in intervention group on the following dimensions: body function, emotional personality, memory function, social adaptability and general health. The control group showed a significant decrease per month on the following dimensions: body function, emotional personality, memory function and general health. According to sensitivity analyses, the results from Bayesian linear mixed model were robust.

Conclusion & Significance: This study demonstrated that health management was expected to improve physical, mental health and social adaptability of the community-dwelling elderly when it was specific and tailored according to the personal need.

Biography:

Abstract:

Background: As rapidly ageing population in the world, age-dependent chronic diseases epidemics.  Nearly 30% of the total disease burden is attributable to health conditions among those aged 60 years and above. 60% of chronic diseases are caused by unhealthy lifestyles. WHO urgently needs to find an affordable, accessible, high-quality and age-friendly health promoting interventions for the old .

Objective: To investigate the effect of integrated health management on modified lifestyle behaviors among older people.

Participants: 736 adults aged 60 years and above, without any cognitive disorder, were selected from community health service center in Nanjing from March 2013 to March 2016.

Interventions: Participants were randomly assigned into management and control group. The management group received care integrated individual health management with community health management model.

Main outcome measures: The primary outcomes include assessment of healthy lifestyle scores of 18 to 36 months. Value of 1 was given to different categories including non-smoking, physically active, moderate alcohol use, healthy weight and high diet quality.

Results: Longitudinal quantitative and qualitative data on 702 (management= 388; control = 314) participants were analyzed using repeated measurements and using Generalized Estimation Equation model. The number of new ones in management group for non-smoking, physically not inactive, moderate alcohol consumption, diet habits score≥13 and health weight were 18, 77, 26,178 and -6. Five healthy lifestyle scores rose 0.73 points in the management group and -0.38 in the control group. The most important finding is integrated health management has a cluster effect.

Conclusions: Our findings support the view that integrated health management model can promote the elderly modifiable lifestyle.

Keywords: older adults, integrated health management model, Lifestyle behaviors, smoking, diet, alcohol, physical activity

Biography:

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.

Abstract:

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.

Biography:

S M D R Samarakoon completed her graduation at General Sir John Kotelawala Defence University, Sri Lanka and now she is working as Faculty of Allied Health Sciences in Department of Nursing & Midwifery.

Abstract:

Foreign Body Aspiration (FBA) is a common cause of respiratory emergency in early childhood and is associated with a high rate of airway distress. FBA peaks at the age of 1-2 years. Many cases of FBA can be preventable yet one of the main risk factors for FBA is a lack of knowledge regarding FBA of caregivers of children. It has been emphasized that public awareness should be increased. Less awareness of parents regarding risk items, risk factors, prevention methods, delay in identifying signs and symptoms of sudden FBA, and less awareness of First Aid Management are the major factors placing children at higher risk for FBA. The primary aim is to evaluate knowledge among parents in Dehiwala- Ratmalana Medical Officer of Health (MOH) areas on FBA (i.e. the high risk items, risks factors), secondly to assess parental ability to recognize FBA, evaluate parental knowledge on implementing the first aid management and prevention of Foreign Body Aspiration. To find out whether there is any correlation with parental knowledge on FBA and parental level of education. Simple random sampling method was used regardless of parity, attending routine Child Welfare Clinics (CWCs) during working day mornings and afternoons across the 12 CWCs in Dehiwala and Ratmalana MOH areas. An interviewer administered questionnaire was used to collect the data from 384 fathers, mothers and primary care givers (guardians) who had a child of age 1-5 years. Among 384 parents who participated in the study, 99 cases had a history of FBA with the highest incidence amongst the 1-2 year age group. The overall knowledge of the parents on FBA was average 226 (58.9%); similarly parental knowledge on prevention was also average 291 (75.8%), while the majority had a good knowledge on first aid management 230 (59.9%). The majority of parents had shown a good awareness on risk factors related to FBA as well. As per the results the most parents in this sample had either a good or average knowledge on the risk factors, recognition, prevention and treatment of FBA. In this study population parental overall knowledge on FBA was average. Their knowledge was mainly acquired from community midwives. There was no association between education levels with awareness of risk of FBA, awareness of recognition, awareness of prevention, and awareness of first aid management. Similarly a significant relationship was not found in between education and over all awareness on FBA.

Biography:

Jiayi Gu has completed his Master of Epidemiology and Biostatistics and currently is a PhD candidate. He is mainly engaged in the related research of health management for the elderly. He and his group have recently carried out a study of health management program for the elderly for a period of two years. The program encouraged a healthy lifestyle and the uptake of preventative care among the elderly. In this study, the effect of health management for the elderly was evaluated through statistical methods.

Abstract:

Statement of the Problem: Aging is a challenge for China. Health management is regarded as an effective way to improve the health of the elderly. However, relevant studies and evidences are still lacking in China. The purpose of this study is to conduct a randomized controlled trial and used Bayesian approach to evaluate the effectiveness of health management on the health of the elderly.

Methodology: A randomized, controlled trial was undertaken and the sample was from the community-dwelling elderly (≥ 60 years). Intervention group received a health management program, which included a series of health promotion activities. Concurrent control group received usual care. The duration of this trial lasted 24 months. The main outcomes were assessed through a multi-dimensional instrument designed for the elderly at baseline and 6, 18, 24 months. Bayesian linear mixed models were used for analyzing the effect of health management.

Findings: The results showed that there was a significant improvement per month in intervention group on the following dimensions: body function, emotional personality, memory function, social adaptability and general health. The control group showed a significant decrease per month on the following dimensions: body function, emotional personality, memory function and general health. According to sensitivity analyses, the results from Bayesian linear mixed model were robust.

Conclusion & Significance: This study demonstrated that health management was expected to improve physical, mental health and social adaptability of the community-dwelling elderly when it was specific and tailored according to the personal need.

Biography:

Man Zhang has completed his Master of Epidemiology and Biostatistics and currently is a PhD candidate. He is mainly engaged in the related research of health management for the elderly. He and his group have recently carried out a study of health management program for the elderly for a period of two years. The program encouraged a healthy lifestyle and the uptake of preventative care among the elderly. In this study, the effect of health management for the elderly was evaluated through statistical methods.

Abstract:

Biography:

Pınar Gunes is pursuing her graduation at Ankara University, Turkey

Abstract: