Day 2 :
Keynote Forum
Martin Scherer
University Medical Center Hamburg | Germany
Keynote: German guideline on multimorbidity
Biography:
Martin Scherer, MD (certified primary care physician) is a professor at the University Medical Center Hamburg-Eppendorf (Hamburg, Germany), since 2011 director of the department of primary care. His main research interests are: development and implementation of guidelines and quality indicators as well as health services and clinical research in an ambulatory setting with a focus on patients’ chronic diseases and multi morbidity. He is vice president and guideline coordinator of the German College of General Practitioners and Family Physicians (DEGAM) and board member of the European Primary Care Cardiovascular Society. He is currently principal investigator of large cohort studies in the primary care setting.
Abstract:
Adherence to current monomorbidity-focused, mono-disciplinary guidelines may result in undesirable effects, for persons with several commodities, in adverse interactions between drugs and diseases, conflicting management strategies, and polypharmacy. As yet no satisfactory approaches has been existing to address multimorbidity (MM) in clinical guidelines, until the NICE-guideline on MM has shortly been published. The MM guideline of the German College of General Practitioners and Family Physicians (DEGAM) will follow soon and will be presented in Dubai. We followed a new 6-step, mixed methods approach comprising: (1) interdisciplinary focus groups developed case vignettes according to both internal evidence and the results of a literature review of epidemiological data; (2) guideline synopsis based on case-vignettes; (3) collection of general practice-experts’ perspective regarding case vignettes; (4) development of case-based recommendations according to case vignettes (N-of-one-guidelines); (5) development of a clinical Meta-Algorithm based on the N-of-one-guidelines; (6) identification of patients’ views and perspective based on literature review and qualitative interviews. Step one revealed three different approaches for the selection criteria of case vignettes: first, cases addressing MM disease patterns from epidemiological studies (MM clusters); second, cases addressing triads of the 6 most prevalent chronic conditions; third, cases according to a problem-oriented prioritization of focus group participants. All in all 10 N-of-one-guidelines according to 10 cases could be developed according to the new 5-step-process. We present a new approach in order to capture the complex and heterogeneous problems of MM through evidence-based and case-based recommendations. The set of N-of-one-guidelines served as a framework of evidence-based recommendations for MM patients as the base for the development of a clinical meta-algorithm as one of the core elements of the German Guideline on MM.
Keynote Forum
Davor Mucic
Little Prince Psychiatric Centre | Denmark
Keynote: E-mental health: The future is now
Biography:
Davor Mucic (DM) is psychiatrist postgraduated in Denmark in 2002. DM established Little Prince Psychiatric Centre. The Centre has been frontier in developing of telepsychiatry in Denmark since 2000. In 2011 DM launched Telemental Health Section within EPA (European Psychiatric Association). As chairman of the section DM organized symposia, workshops and CME courses within 35 international conferences. In addition, DM was affiliated as a clinical lector on Danish Copenhagen University in period Nov 1999-Nov 2009. Currently affiliated as reviewer for Journal of Telemedicine and Telecare. DM is Editor-in-Chief on Edorium Journal of Psychiatry.
Abstract:
e-Mental Health (eMH) is a term for mental health care practice supported by electronic processes and communication. The mass availability of powerful computers, easy to write programs, and smart phones have transformed the effects of technology on health and health care. Clinicians have long recognized its use for hard to reach areas, but have been slow to harness its power to change the care of urban populations. Young people with mental challenges have very limited access to mental health services. Although the burden of disease of addiction and mental illness in that age group is dramatic, access to targeted prevention or care is nearly impossible across the globe. Web and social media are changing not only communication patterns, especially for young people, but also the way they are looking for help, sharing experiences, learning new behaviors. Web based screening and assessment, information and online treatment are an opportunity to provide quality care with more capacity. From apps to platforms, the spectrum of options and opportunities will be explored. The discussion on national strategies in support of eMH leads to more awareness and research in this field. The audience will gain an understanding of professional boundaries and the general standard of care; security issues; how to recognize ethical and legal considerations, as well as the risks and how to mitigate them. Finally, potential of eMH relevant to the UAE will be presented and discussed.
Keynote Forum
Christo Heunis
University of the Free State | South Africa
Keynote: Hospital supply and management in South Africa: Policy directions and challenges
Time : 11:20-12:05
Biography:
Christo Heunis is a senior researcher at the Centre for Health Systems Research & Development (CHSR&D), Faculty of the Humanities, University of the Free State (UFS). His career-long focus is on the health systems and social aspects of TB, HIV and TB-HIV, on the one hand, and hospitals and hospitalisation, on the other hand. His Ph.D. research assessed hospitalisation for TB in the Free State. He has since participated in 38 R&D projects, 14 as principal investigator/project leader/coordinator.
Abstract:
Apartheid’s consequences for the South African health system and health care included the creation of a highly inequitable and discriminatory system – based on race, class, geographic area – with differential access, quantity and quality of health services for the wealthy and deprived. The policy directions and reforms of the post-apartheid dispensation have centred on increasing access to health care for all citizens based on the principle that “[p]ublic services are not a privilege in a civilised and democratic society; they are a legitimate expectation”. Nontheless, stark provincial, rural-urban and private/public inequalities continue to characterise the distribution and numbers of hospitals and beds. All three inequality dimensions are exacerbated by exodus of HRH: from public to private and NGO hospitals, to richer/better resourced provinces and to other countries. In the case of medical practitioners, specialists and pharmacists the increase in numbers since 1994 have been substantially lower than the population increase, and in the case of nurses just matched it. However, the absolute numbers of health professionals and available funding are not the central problems of the South African health system, but rather the vast inefficiencies in management and a divided health care system, with ever-more obvious distinctions between the public and private sectors in terms of access and quality. If the current policy direction towards national health insurance is to be successful, more equitable sharing of resources between the public and private sectors, major initiatives in management skills development – especially in public hospitals – and public-private partnerships in the provision of hospital services are required.
- Mental Health | Primary Care | Minor Surgery | Child Health | Respiratory Medicine | Nursing | Patient Data Management | Hospital Management and Administration | Health and Hospital Management
Chair
Mohamad Miqdady
Sheikh Khalifa Medical City | Duba
Co-Chair
Martin Scherer
University Medical Center Hamburg | Germany
Session Introduction
Ponmalar N Alagappar
University of Malaya | Kuala Lumpur | Malaysia
Title: Sexual harassment in healthcare
Time : 12:05-12:30
Biography:
Ponmalar N Alagappar is a lecturer at University of Malaya, Malaysia and has been an educator for more than 15 years. Her doctoral dissertation is on the area of organizational behaviour focusing on sexual harassment and its impact on women. Her other areas of interest are minority studies i.e. Indigenous Community, Elderly, Malaysia Indians. She has published widely and has presented in a number of international conferences.
Abstract:
Sexual harassment affects a wide spectrum of people, probably the greatest proportion of the population than any other form of discrimination. It affects a significant proportion of women and their personal lives and professional functioning, thus preventing them from advancing in the workplace and affecting their fundamental rights to work with dignity. However, since violence is a sensitive subject for many and this may be the reason why it is almost universally under reported. The negative effects of sexual harassment on physical and mental health of working women have been well documented, it affects the psychological integrity of women and has serious health consequences for women. It has been found that victimized women exhibited common cognitive and emotional aftereffects similar to the victims of post-traumatic stress syndrome (PTSD). Although the known problems and consequences of sexual harassment to its victims are now well documented, there still is very little research or materials that have focused on the treatment for the victim. Being able to identify the potential characteristics and treatment needs of the victim is vital for developing treatments designed to decrease the psychological effect and the emotional damage of sexual harassment. Lack of effective treatment programs means that many victims would receive normal counseling by a professional and then be allowed to continue on as usual. This study looks at the prevalence of sexual harassment in the healthcare sector and the crucial need for an effective treatment programs.
Abdulmalek Alqahtani
King Saud University | Saudi Arabia
Title: Factors that affect Saudis’ trust in information obtained through social media regarding MERS-COV
Time : 13:10-13:35
Biography:
Abdulmalek Alqahtani is a medical student at King Saud University in Riyadh.
Abstract:
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a major concern to the Saudi population .The objectives of this study were to determine the factors that affect Saudis’ trust in information obtained through social media regarding MERS-CoV, and to determine the different social media's sources of information that Saudis obtain information from, also to determine the relationship between the daily hours of social media use and the degree of trust in different sources of information regarding MERS-CoV.This study is a Cross-sectional study, Questionnaires were distributed in King Khaled University Hospital outpatient's clinics. The Participants were chosen by Simple Random Sampling Technique. Number of responses were 734 individuals with a response rate of 84.2%.The study showed that there are different levels of trust in the sources that we studied. We also noted that gender, age, education, occupation status and specialty were significantly associated with various degrees of trust in health information obtained through social media . The study revealed that governmental sources and non-profit organizations are the most trusted sources, however celebrities and unknown sources are least trusted social media sources of health information regarding MERS-CoV. Moreover daily hours of use affect the trust in these various sources .We should invest more in social media to make it a trustworthy source for health information and must keep in mind the factors that affect the trust when trying to increase the general awareness level in matters like MERS-CoV.
Sara Ahmed AlSiddiqi
King Saud University | Saudi Arabia
Title: Child maltreatment between knowledge, attitude and beliefs among Saudi pediatricians and medical students in a teaching hospital setting
Time : 13:35-14:00
Biography:
Sara Ahmed AlSiddiqi is a fourth year medical student at King Saud University. She is the co-founder of Red Nose Child Buddies, an initiative to increase awareness towards child neglect and abuse among medical students. In 2015, the initiative won a first position award in the Seventh Scientific Symposium at King Saud University.
Abstract:
Background:Child maltreatment is not included in many medical schools and paediatric residency curriculums, which might limit knowledge and spread misconceptions. Additionally, physicians might have a different attitude regarding reporting child abuse and neglect. In this study, we hypothesize that medical students and paediatric trainees have limited knowledge, oblivious attitude and misbeliefs regarding child maltreatment in comparison to experienced paediatricians. But, medical students and trainees might hold higher motives and willingness to learn about child maltreatment and their consequences.
Methods:A self-reported questionnaire was distributed after a pilot study to include
paediatricians, paediatrics trainees and medical students in all main areas of paediatric services: paediatrics wards, paediatrics outpatient clinics, critical care and paediatrics
emergency.
Results:In disregard to their level of training, Saudi medical students and physicians believed child maltreatment happens within the kingdom and quite common. They were familiar with child maltreatment definition, although only one third thought it was subject to cultural sensitivity. However, experienced physicians were more knowledgeable, especially about neglect. Moreover, female participants were more likely to report despite being more sceptical of readiness of the Saudi law system to deal with cases of maltreatment. In general, all participants requested and were enthusiastic to receive further training.
Conclusion:Although Saudi medical students, paediatrics trainees and paediatricians have good basic knowledge, positive attitude and willingness to learn, they need further training, especially in reporting CAN to provide a safe environment for children in the young nation.
Nada AlHarbi
King Faisal Specialist Hospital & Research Center | Saudi Arabia
Title: Measuring safety culture: The improvement journey of a leading Saudi teritary hospital
Time : 14:00-14:25
Biography:
Nada Alharbi has completed her Masters in public helath: healthsystems and Quality Managment from King Saud Bin Abdulaziz university in Affiliation with Liverpool School of Tropical Medicine. She is a patient Safety Speculaist at KFSH&RC, Certified Patient Safety officer, Certified Professional in Healthcare Quality and a lean-six sigma certified. She also, has 2 certifications in formal training and eecuation. Very Passionat about Patient Safety and advocacy.
Abstract:
Providing a safe healthcare starts with improving the culture of patient safety. KFSH&RC understands this very well, thereofre, has invested in a major project in assessing the hospital staff perception on the culture of patient safety. The 2015-2016 Patient Safety Culture survey utalizing the AHRQ assessment tool was condcuted over a year long period in collaburation with an American consultencay company. The project included bulidng a survey adminstration & analytical portal, this collaburation helped in assuring that the survey was annonamous. For the first time, the hospital had measured its safety culture, climate at the unit level, including clinical and non-clinical areas with a 56% repoonse rate. The Survey results were correlated with Patient Satisfaction surveys and staff satisfaction scores, moreover, the resutls were correlated with units vountary reported events. Additionally, for the first time the results were drilled down to the units level. The results were, then revealed in a 4 hours debriefs session by the consultency agency, the hospital postive reponse to culture of patient safety 12 composites were compare to international results. As a result, Major improvments actions underwent by the hospital excutives and quality divisons. Just culture program, Event Reporting Campaing, a good catch program, redesign of the event reporting software to name few. Almost three months later a pulse check was conducted with additional customised questions by end users, which revealed a slight improvement, however, still the jurney is far from over.
Oketayo Oyebamiji Oyedele
Federal University | Nigeria
Title: Assessment of the levels of heavy metals in vegetables from metal recycling companies in Osun state, Nigeria
Time : 14:25-14:50
Biography:
Oketayo Oyebamiji Oyedele had his first Degree (B.Sc) in Physics from University of Agriculture, Abeokuta (UNAAB), M.Sc and Ph.D. in Engineering Physics (Health & Environmental Physics Option) from Obafemi Awolowo University Ile-Ife. He is presently a Lecturer I in the Department of Physics, Federal University, Oye-Ekiti. He equally has Certificate Course in Electronic Data Processing, National Diploma in Science Laboratory Technology and Post Graduate Diploma in Education. He has scholarly articles in both local and International reputable journals.
Abstract:
Heavy metal pollution of the environment is an increasingly significant problem. This study was designed to investigate the potential health risks posed by the two metal recycling companies on vegetable crops. Using Flame Atomic Absorption Spectrometer (FAAS) (200A MODEL) the concentrations of eight metals (Ca, Cd, Cr, Cu, Fe, Mg, Mn, Zn) in vegetables (Talinum triangle, Amaranthus hybridus, and Solanecio biafrae) were in the range (100.5-490.5) mg/kg, (0-2.8) mg/kg, (0-15.5) mg/kg, (5.3-135.5) mg/kg, (138.6-1081.2) mg/kg, (35.5-545.4) mg/kg, (5.3-545.2) mg/kg, (39.5-1380.0) respectively. The mean concentrations were in the order of Fe > Zn > Ca > Mn > Mg > Cu > Cr > Cd. Generally and relative to the control, vegetables from the sites were slightly enriched in Cu, Mn and Zn (EF = 1.61-8.02) while Talinum triangle were highly enriched in Mn (EF=28.21-28.81). Using SPSS 17, the result indicated that significant differences (p < 0.05) exists between the levels of these metals and control. The levels of Cd, Cr, Cu, Fe, Mn and Zn from sites were also found greater than FAO/WHO (2011) safe limits but within for samples from control. The accumulation factors (AF) were >1 for some heavy metals in vegetables from the sites, indicating that vegetables from these areas are not good for consumption.