3^rd International Conference on General Practice & Primary Care August 16-17, 2018 Madrid, Spain

Biography:

Magdalena Orczykowska is a specialist in prosthodontics education in University of Jagiellonian, Medical College. She is a Faculty of Medicine and Dentistry in 1997-2002. She worked as an Private dental practician in 2002. Her research interests and achievements are Participation of numerous dental courses, national
and international conferences and of their own. Since 2004 she is an author of several original papers printed in Polish magazines and also a member of the Polish Society of Dentistry.

Abstract:

Aim: In edentulous patients using complete dentures with incorrect  construction, the symptoms of the temporomandibular system may occur. This is due to the unsymmetrical effects of chewing muscles and overloading of the temporomandibular joints. The aim of the study is to assess whether the  proposed method of clinical-laboratory management affects the recovery
of symptoms of masticatory system dysfunction in edentulous patients with functional disorders of the masticatory system.
Materials & Methods: The study involved a group of 60 edentulous patients (58 to 68 years) using complete dentures up to 1.5 years with symptoms of functional disorders of the masticatory system. The patients underwent a physical examination, physical examination, a functional examination of the masticatory system and a clinical evaluation of the used dentures. In the first stage of treatment, patients underwent a modification of the occlusal surface of the used dentures with the use of a composite material in the position of the centric relation. Then the patients were divided into two groups. Group I (examined) - 30 patients with complete dentures made according to the bio functional system. Group II (control) - 30 patients who were eventually treated with dentures made according to the conventional method. After three months of using new dentures, clinical examinations were repeated in both groups. The obtained test results were subjected to statistical analysis.
Results: After the implementation of the therapeutic procedure, the pain was eliminated already in the first stage of treatment. The use of new complete dentures has improved the range of jaw movements and regression of pain.
Conclusions: The applied method of rehabilitation influences the restoration of the proper relation in the musculoskeletal system and the disappearance of symptoms of the masticatory system.

Biography:

Ewa Ferendiuk graduated in Faculty of Medicine at the Jagiellonian University in Krakow/Poland. She is a member of team of the Consulting Room of Temporomandibular Joints Dysfunction, Jagiellonian University Medical College. She conducts training for students in the field of prosthetics, and author of several publications in national and international journals. She is a participant of conferences, courses and trainings in the field of TMJ-disorders, dental prosthetics, esthetic dentistry and implant prosthetics. She is a member of Polish Society of Temporomandibular Joint Disorders, International Team of Implantology, Society of Physiotherapists and Polish Dental Society.

Abstract:

Temporomandibular joint disorders are characterized by pain located in temporomandibular joints or masseter muscles, acoustic symptoms and restricted mandibular movements- the classic triad of TMJ-dysfunctions. Our experience and data from the literature indicate decreasing the age of patients reporting for prosthetic treatment because of functional disorders of masticatory system. Therapy of TMJ-dysfunction in children and young adults requires separate treatment due to the masticatory system developing. The aim of study is to present methods of treating temporomandibular joint disorders in child and young adult using an interdisciplinary approach by cooperation with an orthodontist, osteopath and physiotherapist. Application of individual prosthetic and orthodontic appliances would provide a proper functioning of masticatory system according to the stage of it growth and development.

Biography:

George Jones graduated from the University of Manchester in 2015. He  completed General Professional Training in 2017, working in emergency care, oral surgery, paediatric dentistry and restorative dentistry. During this time, he was awarded the TC White Medal Award by the Royal College of Physicians and Surgeons of Glasgow for outstanding achievements as a postgraduate. He now works as an Oral and Maxillofacial Trainee in Middlesbrough, UK. He has published papers in the British Dental Journal and for the Royal College of Surgeons.

Abstract:

An assessment of the frequency of dentally unregistered paediatric patients requiring hospital admittance for dental infections: In 2014-2015, more than 26,000 hospital admissions were for dental infections in children age 5-9. The
Royal College of Surgeons of England state that 42.1% of children did not visit an NHS dentist between 2015-2016. Based on “Delivering Better Oral Health” and NICE Guidelines, all children should be registered and have a recall frequency of no more than 1 year. We aimed to assess how often paediatric patients in our region were registered with a dentist, and how often hospital admittance and emergency surgery for dental abscesses was required, which is a serious dental public health issue in the UK.
Results/Statistics:
• 211 A+E maxillofacial presentations between March 2017-September 2017
• 49 dental swellings
• 27/49 patients (55.1%) require admission into hospital for emergency surgery
• 63.3% (31/49) GDP registered vs 36.7% (18/49) not GDP registered
• 0% (0/18) of GDP unregistered children were given advice of how to register with a GDP
Conclusions/Clinical Relevance: The results show that not all paediatric patients have regular exposure to dental care by not being registered with a GDP. Without regular recall and examination, dental swelling will continue to be a frequent presentation in A+E in the UK.
Recommendations:
1. Staff to discuss with all paediatric patients and parents how to register with a dentist
2. Education advice on oral health to be sent to all nurseries/schools
3. Reaudit 6 months

Biography:

Luckson Wandani Dullie is a current Executive Director of Partners in Health (APZU) in Malawi, in the remote and rural district of Neno. His specialties include experiential understanding of the challenges of rural medicine, development of training programs for effective delivery of comprehensive community oriented primary health care, negotiating public sector partnerships and an array of clinical skills spanning tropical medicine, obstetrics, and general surgery. At present he is a PhD Fellow at the Centre for International Health, Department of Global Public Health and Primary care of the University of Bergen in Norway. His research interest is in understanding patients’ perspectives of primary care interventions.

Abstract:

Background: Assessing patients’ experience with primary care compliments measures of clinical health outcomes in evaluating its performance. Measuring patients’ experience and satisfaction are among Malawi’s health sector  strategic goals. The purpose of this study was to investigate patients’  experience with primary care and to assess associated patients’ sociodemographic, healthcare and health characteristics.
Methods: This was a cross sectional survey using questionnaires administered in primary care facilities in Neno district, Malawi. Face to face interviews using a validated Malawian version of the primary care assessment tool (PCAT-Mw) were carried out to collect data on patients’ primary care experience and their sociodemographic, healthcare and health characteristics. Total primary care and domain mean scores were derived for access, continuity, comprehensiveness and community orientation. Linear regression models were used to assess association between primary care attribute scores and patients’ characteristics.
Results: From 631 completed questionnaires, first contact-access, relational continuity and comprehensiveness of services available scored below the accepted minimum. Sex, geographical location, self-rated health status, duration of contact with facility and facility affiliation were associated with patients’ experience with primary care. These factors explained 10.9% of the
noted variance in total primary care scores; 25.2% in comprehensiveness of services available and 29.4% in first contact access.
Conclusion: This paper presents results from the first use of the validated PCAT-Mw. The study provides a baseline for defining quality improvement gaps and can be used alongside clinical health outcome studies to provide comprehensive evaluation of primary care performance in Malawi

Biography:

Grant S Nolan is a junior surgeon from United Kingdom. His research Interest is Plastics and ENT Surgery

Abstract:

Background: In 2014, Oosthuizen audited ENT referrals to a Dublin hospital against the Irish College of General Practitioners (ICGP) referral template and found that they only included on average 16/37 recommended details. They suggested that standardized referral forms may provide superior information.
Aim & Methods: Five years later, in Benfield Park Medical Group, Newcastle upon Tyne, and all referrals to secondary care are electronic and most are standardized. We audited 183 referrals to ENT against the same ICGP guidelines to investigate if the addition of e-referrals has improved compliance. We also investigated if e-referrals were in line with current UK guidelines and how this affected definitive surgical management from ENT.
Results & Conclusions: Our data shows that e-referrals have dramatically improved the quality of referrals from 16/37 to 26/37 details. We also found referrals in line with UK guidelines were more likely result in an ENT  procedure and may be more likely to require an operation. Interestingly there are still patients being operated on whom does not fit into a nice criterion and
GPs must continue to be allowed the flexibility to refer these patients if they see fit.

Biography:

John Malaty is an academic family Physician, who is board certified by the American Board of Family Medicine and who also has prior Residency training in Otolaryngology, where he learned specialized clinical care skills about evaluating and managing ear, nose and throat problems that are frequently encountered in primary care. He has expertise in ear, nose and throat conditions in primary care. His expertise has led him to publish and present nationally and internationally in this field, with a number of solicited articles and presentations and to teach these skills to Family Medicine Residents in an academic Family Medicine Residency training program at the University of Florida.

Abstract:

Chronic Rhinosinusitis can be refractory and significantly impact loss of work productivity, work absence, disease-specific quality of life measures and annual health care costs. It is not felt to simply be an infectious problem and various inflammatory pathways and host factors play an important role in addition to biofilms. Medical management should be tailored to the specific comorbidities and concerns of an individual patient, while treating acute exacerbations with amoxicillin-clavulanate; second or third generation cephalosporins or fluoroquinolones. Treatment of nasal polyposis is important when present; and treatment of additionally targeting pertinent  pathophysiology in asthma and cystic fibrosis improve treatment efficacy. In
this presentation, I will discuss how to evaluate and effectively treat causes of chronic sinusitis in the primary care setting, in addition, discussing when to refer these patients for specialty care.

Biography:

Jorgen Lous is a Doctor of Medicine and since from 1984. He has been working at the University of Aarhus and University of Southern Denmark. He worked parttime in General Practice and retired in 2016.

Abstract:

Objective: Obesity and inequality in health is an increasing problem in Denmark. The objective was to evaluate the effect of structured well-prepared preventive consultations on weight loss in younger adults with over-weight and psycho-social problems.
Method: A total of 495 younger adults (20-44 years old) with several psycho-social and lifestyle problems were randomized to preventive health  consultations or control at their own GP after completing a 23 pages questionnaire on different life style and psycho-social issues. All were randomized to intervention or control. A total of 218 had overweight or obesity.
Results: The 56 (26%) of the 218 were lost to follow-up after one year. The 77 with overweight in the control group were not asked about goals. The rest, 85 with overweight or obesity, were asked to prioritize one or two goals for a better life the next year. 22 had weight loss as the highest prioritized goal. One year after the first health consultation the 22 had a mean weight loss of 4.73 kg (95% Cl: 1.8 to 7.7) and the rest had lost 1.56 kg (-0.05 to 3.2). The over-weighty in the control group had a mean weight loss of 1.57 kg (0.12 to 3.0). In a logistic regression model the degree of overweight, consideration of a quick weight loss (within 30 days) at inclusion in the study, weight loss a high prioritized goal at the preventive consultation, having many problems, being a female, and being in the oldest half of the participants were predictors for weight loss.
Conclusion: A significant change in weight loss could be obtained with well-prepared patient-focused consultations. Predictors for weight loss (yes/no) after 1 year in logistic regression model (n=159).

Biography:

Selcuk Mistik was born in Tarsus, Turkey in 1967. He has graduated from Tarsus American College. He became a medical doctor after finishing Hacettepe University Medical School in 1994. He completed his residency in family medicine with the thesis ‘Assessment of nutritional status and its effects on morbidity and mortality in hemodialysis patients’ at Ankara Numune Training and Research Hospital in 1999. He started working at Erciyes University Medical Faculty in 2001, and was appointed as a full professor of family medicine in 2011. He has many studies published in international journals on various subjects concerning family medicine. He still works on university funded research projects. He has been the member of many scientific societies. He is the head of Department of Family
Medicine in Erciyes University Medical Faculty.

Abstract:

Statement of the Problem: Hypertension is very common in primary care patients. The diagnosis of hypertension is made by office measurements and home blood pressure measurements. The aim of this study was to define the normal variation levels of blood pressure in individuals in primary care by using ambulatory blood pressure measurement.
Methodology & Theoretical Orientation: This study was performed in primary care. Individuals who had no hypertension history were included in the study. Subjects were evaluated by using three office measurements, seven days home blood pressure measurements and 24 hours ambulatory blood pressure measurement. The ambulatory blood pressure gave us the variations
in blood pressure values. This study was funded by the Scientific Research Council of Erciyes University (ERUBAP, Project No. TTU-2017-7092)
Findings: The study started in January 2018 and ended in May 2018. Of the 38 subjects, 71.1% were women and 28.9% were men. The mean age was 40.51. The most common educational level was elementary school graduates (35.1%). The most common occupation was housewives with 52.6%. Of the participants, 84.2% were married. At ambulatory blood pressure measurements, 37.0% of the subjects had mean systolic blood pressures (24 hours) between 120-129 mmHg. Of the diastolic blood pressure 24 hours mean values, 15.3% had values between 80-89, where 50.0% were between the 71-79 mmHg groups. The mean value of twenty four hours variation in systolic blood pressure was 15.75±18.59 (median 11.40, min. 8.80, max.
106.00). The 24 hours variation in the mean values of diastolic blood pressures was 12.12±10.90 (median 9.70, min. 6.80, max. 64.00).
Conclusion & Significance: The results of this study demonstrated us that many individuals are in high risk group for hypertension according to some recent guidelines on the management of hypertension.

Biography:

Jorgen Lous is a Doctor of Medicine and since from 1984. He has been working at the University of Aarhus and University of Southern Denmark. He worked part-time in General Practice and retired in 2016.

Abstract:

Several elements have to be fulfilled to achieve a success in prevention in general practice. Motivated GPs got education: 50 (15%) of invited GPs from the County of North Jutland, Denmark participated in the 40 hour training program and 8.6% (28) recruited patient into the study. Exercise in patient-focused preventive consultation was an important part of the training. Fee for extra time: The GPs got a fee for courses and preventive health consultations. Find patients who need some intervention: A screening Questionnaire (Q33) on own resources, network, lifestyle and social conditions was completed by
2.056 patients 20-45 years old when coming to the clinic for any other reason. The 30% with most psychosocial problems (>7) were invited to participate and were randomized to control or intervention (two consultations with their GP). All had one year postal follow-up. Motivate patients who feel they need some changes in their daily life: A baseline-questionnaire (QB) with 84 questions on life conditions, health, life style and social problems was priming the participants to the patient-focused consultation. Patients might choose one or two goals for a better life. Discuss resources, barriers and time schedule for chosen changes: important to explore the patient's own agenda and resources and support self-efficacy. A 20 minutes follow-up within three months: How is it going? What is difficult and why?, support self-efficacy again and A one-year questionnaire (Q1) like QB. What has changed during the year? After one year the intervention group had significant better SF-12 mental score 4.3
(95% confidence interval), fewer problems (from 10.0 to 8.2=1.8 problems) and the overweight who had prioritized weightloss had mean weight loss of 4.73 kg (95% Cl: 1.8 to 7.7).

Biography:

Magdalena Orczykowska is a specialist in prosthodontics education in University of Jagiellonian, Medical College. She is a Faculty of Medicine and Dentistry in 1997-2002. She worked as an Private dental practician in 2002. Her research interests and achievements are Participation of numerous dental courses, national
and international conferences and of their own. Since 2004 she is an author of several original papers printed in Polish magazines and also a member of the Polish Society of Dentistry.

Abstract:

Aim: The quality of life conditioned by the state of health defines the patient's self-assessment regarding the impact of the disease and the treatment used on its functioning in the physical, mental and social spheres. Edentulousness is a disease that significantly affects the proper functioning of the body and adversely affects the mental sphere of the patient. The aim of the study was to evaluate the impact of the construction of dentures made according to two different methods of clinical laboratory proceedings on improving the quality of life of edentulous patients.
Material and Methods: The study involved a group of 60 edentulous patients (58 to 68 years) of both sexes, using complete dentures. Patients were divided into two groups: Group I (30 patients) using complete dentures made  according to the bio functional system. Group II (30 patients) using dentures made according to the conventional method. All patients underwent a physical, physical and clinical examination of the used dentures. For a subjective  assessment of the quality of life associated with oral health, the General Oral Health Assessment Index (GOHAI) was used. The questionnaire study was conducted in patients of both groups before and after the treatment. The obtained results were subjected to statistical analysis.
Conclusions: Improvement of the quality of life of patients using complete dentures is associated with the construction of dentures, which improves the chewing capacity, aesthetic appearance. The quality of life of patients using full dentures is statistically significantly better after the use of dentures made according to the biofunctional system.

Biography:

Ewa Ferendiuk graduated in Faculty of Medicine at the Jagiellonian University in Krakow/Poland. She is a member of team of the Consulting Room of Temporomandibular Joints Dysfunction, Jagiellonian University Medical College. She conducts training for students in the field of prosthetics, and author of several publications in national and international journals. She is a participant of conferences, courses and trainings in the field of TMJ-disorders, dental prosthetics, esthetic dentistry and implant prosthetics. She is a member of Polish Society of Temporomandibular Joint Disorders, International Team of Implantology, Society of Physiotherapists and Polish Dental Society.

Abstract:

Temporomandibular joint disorders are a common problem in clinical practice. Therapy of TMJ-dysfunctions using occlusal splints and other supporting methods are only pre-treatment stage of subsequent occlusion reconstruction. The key to success in rehabilitation patients with functional disorders is to create the correct jaw placement with condyles centralization that will guarantees proper functioning of masticatory system. The aim of study is to present methods of comprehensive treatment patients with TMJ-disorders based on own clinical cases. The work described the combined orthodontic, prosthetic and implant-prosthetic treatment patients with functional disorders
of masticatory system.

Biography:

Muna Kilani has completed her Graduation at University of Jordan in 1996. Then she finished a Pediatric Residency at Case Western Reserve (Metro Health Medical Centre) in Cleveland, USA in 2001, from there she went on to finish a Pediatric Pulmonology Fellowship at Indiana University (Riley Hospital for Children), in 2004. She worked as a Clinical Assistant Professor at Riley Hospital for Children for five years before moving on to work at CGH Medical Centre in Sterling Illinois. In 2016, she moved to Jordan and joined the faculty of medicine at Hashemite University. She is interested in integrating evidence-based medicine into the medical field in Jordan as well as incorporating primary preventive pediatric medical care into the Jordanian health system, both the public and the private sectors.

Abstract:

Statement of the Problem: Primary prevention is a key component not only for the health of the individual but for the health of the community at large. While primary prevention and wellness check-ups are a major component of health services in the US and Western Europe they have not been readily adopted in Jordan. It may in part be due to a cultural knowledge gap in the
community as well as due to the limited clinical training physicians receive towards primary prevention services.
Methodology & Theoretical Orientation: The research focused on assessing family readiness to adopt the use of primary prevention and well child check-ups in Jordan, and which primary prevention programs families were more likely to participate in. Using a prospective study design, parents attending a regional government hospital for pediatric visits participated in a short personal interview, then parents were told about 3 evidence based programs they could choose to participate in that day during their wait with medical students.
Findings: Of 505 families surveyed 66.7% expressed a desire for child primary prevention visits, with 63.8% wanting to have access 1-2 times annually. However, only 35.6% chose to participate in a primary prevention class during their waiting time. Of those who participated the majority chose a child development program, followed by nutrition and lastly injury prevention.
Conclusion & Significance: There appears to be an expressed interest in pediatric prevention visits for families in Jordan and a recognized need for them. However there is still a gap between this desire and access/utilization to such services.
Recommendations: Programs need to be developed that increase awareness and access to pediatric primary prevention services and regional medical schools should adopt new ways of integrating primary prevention into their clinical training, and increasing the opportunities for families to have access.

Biography:

Omid Tavakol Graduated from high school with ‘A’ grade. He entered Shiraz dental school in 2000 and graduated in 2006, he started post-graduation program in prosthodontics in 2008 and graduated as a board certified Prosthodontist in 2012. He got approval from bu ICOI as implant fellowship in 2016. He is also a Head of prosthodontics department of Shiraz Azad dental school since 2015 and Head of Dr Tavakkol dental clinic since 2013.

Abstract:

Today, despite of modern oral and dental care and preventive dentistry, the prevalence of partial and total edentulism is increasing every year. According to Micsh’s dental implant text book, there are more than 20,000,000 patients in the United States who suffer from complete edentulism. The consequences of edentulism can vary from lack of ability to chew, to psychological effects which affects all aspects of patient’s life and patient’s appearance in society. The effect of edentulism on general health and psychological health of patients is of great importance. Inability to take hard foods, vegetables, not only induces the feeling of disability but also induces nutrition deficiency which causes serious problems like avitaminosis which could lead to depression or other disease like GI problems. The role of prosthodontics in replacement the missing tissues and structures of dentomaxillofacial area is so important in reconstruction of both the appearance and the function of oral and maxillofacial area. There are several methods to replace missing teeth and surrounding structures such as old removable dentures or new implant supported prosthesis. The field of maxillofacial prosthesis is gone under big revolution by introducing dental implants. All these prosthesis are to be maintained by oral hygiene procedures that are different by the type of prosthesis. In this lecture, author is going to explain the consequence of edentulism on general health and psychological health of patients and the relationship of edentulism and the relevant diseases introduced by. Then he is going to introduce new methods in prosthodontics which improves oral care. After that he is going to introduce the new methods in maintaining prosthesis, which includes new appliances, new materials and drugs and the way the patients should use.

Biography:

Michele Aubin is a family physician working in a family medicine teaching unit affiliated to the Department of Family Medicine and Emergency Medicine, Laval University, Quebec, (QC), Canada. She is also professor in that department, and she holds the Research Chair of Palliative Care at the Faculty of Medicine, Laval University. Finally, she is a clinical researcher working in projects related to improvement of primary care and of palliative care services, as well as health services organization (implementation and evaluation of innovative interventions).

Abstract:

Statement of the Problem: Family caregivers (FC) of patients with cancer often report high distress. The purpose of this study is to assess the effectiveness of an intervention to improve supportive care for FCs. Methodology: FCs of patients with lung cancer were randomized to the intervention or the control group. The intervention included: 1) systematic FC distress screening and problem assessment near their relative´s cancer diagnosis, and every 2 months; 2) privileged contact with an oncology nurse (ON) to further identify and address FC problems; 3) liaison by the ON with the family physician of FCs reporting high distress (thermometer score ≥ 4/10). FCs completed validated questionnaires every 3 months, up to 9 months. The primary outcome was distress. Secondary outcomes included quality of life, preparedness to the caregiving role and perceived burden. Individual interviews were conducted with a purposive sample of FCs from the experimental group (EG) to assess the perceived usefulness and relevance of the intervention. Findings: A total of 109 FCs were enrolled from of a single
center specialized in lung cancer, in Quebec, Canada. Compared to baseline level, FC distress decreased over time, but no difference was found between groups. Similarly, there were no differences on any of the secondary outcomes. However, FCs from the GE felt better prepared to play their caregiving role than the controls (p=0.05). Ten FCs from the EG were interviewed and they all considered the intervention useful and relevant, even though they under used it. Knowing they could contact the ON served as a security net. Conclusion & Significance: Although the intervention was not found effective, some of its aspects were positively perceived by FCs. Building on these results, an improved intervention may be developed to support FCs in their role and address their distress, as it remains an important problem.

Biography:

Elham khalid holding a bachelor degree in dentistry. Since she was a student and so much interest in public health, she always investigated the methodologies for conducting important and updated medical topics to the mass, and so she found her way through social media. With knowledge, time, effort and discipline she became as consequence an important medical figure in social media mainly in the field of dentistry. Major health sectors (governmental & private) noticed her social activities, the interest & respond of the public to her statues regarding health and her personal signature in providing the medical information. And so she started to cover major conferences, updated mass directed dental health topics.

Abstract:

Social networks or social media are all terms that have made the world as a small village in terms of its impact on the world of communication, exchanging ideas among people and facilitating the transmission of information and news with others. There is no doubt how important the social media or the social networks have become in the last years; whether in terms of their impact on our daily life or our practical life through the exchange of information or the easy way of accessing to it. The social network websites are one of the most prominent aspects of the modern media that did make a quantum leap in the field of communication and the transfer of information in a synchronization with the revolution of the Internet that crystallized in forums, blogs and many of the programs have become one of the most important ways in introducing and knowing the news and the science such as: Facebook, Twitter, Instagram and many more. The social media has been able to impose a itself in the modern media world as it became a reliable source for many media people and media institutions. And it became a beacon of interest in public opinion to identify the issues of society where most of the people resort to it to participate, to know about events and to exchange ideas.
From this point of view I started my career in raising awareness and advising the society by:
1. Making simple lessons and explanations for people in how to maintain teeth at home.
2. Educating people about the ways to maintain children's teeth.
3. Explaining some of the wrong habits that people doesn’t aware of.
4. And so many other important topics with simple explanations

Results: Information is easier to be spread and increasing interaction, participation of members of the community and public demand for attendance and continuous communication. Ease of expression and freedom of opinions, also breaking barriers and red lines. It’s eliminating cultural differences between communities, dissemination of ideas that aim to raise the awareness
and the consciousness of people. So our role as dentists is not limited to treatment only. But it begins to intensify efforts to educate the community about the correct methods of treating teeth and to clarify preventive methods that reduce the diseases and the problems of the mouth and the teeth. Prevention is the basis of any treatment and the axis from which it starts the spirit of the profession of a doctor through all the ways that it’s available if it’s digital or else.

Biography:

Rehana B Ahmed is a General Practitioner from Edmonton, and is currently working in Ireland. She recently qualified with registration of MICGP in Ireland. She has a strong interest in primary prevention and her main interest in general practice is modifying risk factors rather than treating disease.

Abstract:

Erectile dysfunction (ED) and ischaemic heart disease (IHD) tend to share similar risk factors, such as obesity, diabetes, smoking, hypertension, dyslipidemia and metabolic syndrome. Additionally, the extent of cardiovascular disease has been shown to have a connection with the prevalence of ED. Early intervention to modify these risk factors may reduce the risk of future vascular events. The aim of this study was to evaluate the prevalence of ED and its relationship with coronary artery disease in a patient population between the ages of 35-75 who received a prescription for erectile dysfunction. We tested the hypothesis that ED prevalence is related to coronary artery disease, resulting in a cardiac event, such as stroke, myocardial infarction, or documented ischemic heart disease. The end goal was to determine the connection between erectile dysfunction and cardiovascular disease and implement those changes into our primary prevention cardiovascular risk program. This study is a retrospective descriptive study analysing the electronic medical record (EMR) from year 2007 to 2017. A search was done to identify any patients prescribed Sildenafil, Tadalfil or Vardenafil in the last 10 years. Further analysis of EMR consisted of the following information at diagnosis and prescription of ED: smoking history, alcohol abuse, BMI to determine if patients were overweight or obese, Framingham risk score at the beginning of the study and at the end of the ten years was included, Blood Pressure (BP), total cholesterol and HDL, evidence of established CVD and a diagnosis of diabetes. The average Framingham at the beginning of the 10 year study was 17% and at the end of the 10 years was 25% which showed a progression of disease and risk of an 8% increase in 10 years. We determined that ED is a cardiovascular disease rather than a sexual dysfunction. Hypertension, diabetes and a HDL<1 are all directly correlated with erectile dysfunction, which leaves us with a change in perspective. It’s time we start to look at ED as a cardiovascular risk factor. There was a statistical significance (p value<0.05) in patients with a diagnosis of a hypertension, an HDL<1 and in type II diabetics and having established CVD/CAD/IHD. We have recommended that all patients that have documented ED be screened for CVD.

Biography:

Omar Amer Elhag Abdalla is a faculty member of Dentistry department of oral and maxillofacial surgery in University of Gezira. He completed his M.D oral and
maxillofacial surgery in Sudan medical specialization Board 2009. FSAOCMF oral and maxillofacial surgery in Medical University centre, Hamburg, Germany and BDS in Khartoum University 1997. His research interest includes oral and maxillofacial surgery.

Abstract:

Background: Lymphatic malformation (LM) is rare vascular malformations.
Objective: To define the clinical characteristics of children with (LM) and their management.
Methods: We performed a retrospective hospital based cross – sectional study with descriptive & analytic component using data collection sheets stating the name , age ,gender and residence of the patients . Demographic and clinical features diagnostic imagining treatment and complications were recorded. Result: Nine males and eleven females patients with LM were identified .the anatomical location of LM involved the right site of the neck and the lip more frequently 30% followed by the tongue and check with equal 20% . According to the consistency soft swelling presented in 11 patients 55% seven patients presented with firm 35%. According to the surface 80% smooth and 4% non smooth .blue and normal skin texture were the most common color 30%,pink 20% red 10% yellowish 10% . Half of the LM found compressible .according to the shape 75% diffuse in shape 25% rounded the main age was 14.8 (6 months to 49 years ) . Infants and and children were more affected than anther age groups. Adult patients who were exposed to trauma or radiation may be at risk. Patients treated either by surgery or sclerotherapy. LM causes morbidity and death in one child.
Conclusion: LM is heterogeneous vascular malformations that may result in significant morbidity diagnosis is often delayed. And cystic hygroma is risk factor for air way obstruction Multidisciplinary approach to management including dermatology, diagnostic and interventional radiology, paediatric surgery is important.

Biography:

Sara Deroy is a Public Health Honours student at the University of Wollongong, NSW, and Australia. Sara also works at an Aboriginal Health Service on the south
coast of NSW. Her research interests include health services research in regards to Aboriginal and Torres Strait Islander peoples. She is passionate about closing the health gap between Aboriginal and Torres Strait Islander Australians and other Australians.

Abstract:

Introduction: Aboriginal Health Workers are key to prevention efforts for Aboriginal peoples by providing appropriate health care. Aboriginal Health Workers are often affected by high rates of employment turnover, stress and burnout. Waminda South Coast Women's Health and Welfare Aboriginal Corporation is leading the way with very high staff retention rates (94%). Exploring Waminda’s strengths can help provide leadership for other health services.
Methods: Qualitative case study: Ten semi-structured interviews were conducted face-to-face with current and past staff (last 5 years) employed as health and wellbeing workers at Waminda. Participants were asked six broad questions exploring what factors influenced their length of employment at Waminda. Interviews were transcribed verbatim. Themes were identified using Braun and Clarke’s thematic analysis framework.
Results: Five main themes were identified. Staff valued: The satisfaction they received by giving back to Community; the culturally safe working environment; strong relationships with co-workers and management, and trusting relationships with other service providers allowing for successful collaborations; strong leadership and management from supervisors and the
CEO, and support from counsellors and psychologists; flexible working arrangements, opportunities for further study and role progression as well as recognition for work performed.
Conclusion: Implementing strategies to reduce staff burnout and turnover is paramount to a healthy workforce and continuity of patient care. Showcasing exemplar organisations can assist other health services to implement similar effective strategies.

Biography:

Rabia Mahmood Khan is a Staff Family Physician and also a Lecturer of Department of Medical Education in Liaquat National Hospital, Pakistan.

Abstract:

Background: Our elders are at a high risk of falling within their homes rather than outside homes. To be able to help prevent falls people need to know what actually causes them and then ways to help reduce the risks. This public survey will help identify areas we as physicians can highlight in our consultations to educate our public regarding prevention of falls among the elderly.
Method: A questionnaire was administered through the social media (Facebook, email, WhatsApp, Facebook Messenger). The questionnaire investigated knowledge related to falls among the elderly and its prevention at home.
Results: 400 people, 75% of whom belonged to Pakistan and the rest from different parts of the world, participated in the survey with age ranging from 19 years to >65 years. 43% and 27% respondents were not sure if poor hearing and multiple medications, respectively, were possible reasons for falls among the elderly. Residents belonging to countries with high income status were twice as likely to take the elderly for assessment of their mobility problem to a general practitioner, than residents of Pakistan, who were just as likely to take the elderly to a specialist like orthopedic surgeon, neurologist or a rheumatologist, than to a general practitioner.
Conclusion: Through the questionnaire, certain knowledge gaps were identified regarding the reasons for falls among the elderly. It was clear that the public was well aware of prevention of falls within homes, but in case of mobility assessment of the elderly, the role of general practitioner needs to be highlighted more.

Biography:

Abubaker Elsiddig Talha Mohamed is faculty member of Dar Al Uloom University. He worked as lecturer in University of medical Science and Technology and also a medical officer at Ministry of Health.

Abstract:

EBM is of increasing importance and worldwide usage now-a-days for better medical practice with updated doctors, data and practice guidelines supported by evidence. This is a non-interventional descriptive study conducted at tertiary hospitals medical doctors. The aim was to assess knowledge and attitude about evidence based medicine among doctors. To determine commonest barriers facing their practices to be Evidence Based Medicine (EBM) practice. Data was collected with self-administered questionnaires which include general practice information, knowledge of EBM, attitude and barriers, also how to implement EBM in their practice. The study reported that the majority of doctors 55% know EBM, many barriers facing them from learning and implementing EBM in their practice especially lack of time and lack of knowledge about a reliable source for evidence. Promoting Evidence based medicine in Sudan by teaching EBM in the medical curriculum and improving access to summarized reliable evidence.

Biography:

Khawla Abu-Hammour currently an assistant professor in the Department of Biopharmaceutics and Clinical Pharmacy at the School of Pharmacy, University of Jordan. She obtained her PhD degree from Queen's University Belfast (QUB)/the United Kingdom in 2012 under the supervision of professor Carmel Hughes. She finished her undergraduate degree in Pharmacy from the University of Jordan with excellent grade and master degree in clinical pharmacy from the same university. Her research interest is employing research in improving the clinical practice at the hospital settingand in the community pharmacies in Jordan and areas of drug safety such as pharmacovigilance, drug therapy problems, and medications reconciliations. Other research interests involve clinical pharmacy, pharmacy practice, adherence to medications/ compliance with guidelines, medication errors.

Abstract:

Objectives: The present study aimed to evaluate the parents' knowledge, attitudes and practices (KAP) towards the use of antibiotics for childhood upper respiratory tract infections (URTIs), at the Jordanian University Hospital.
Methods: This was a cross-sectional study. During the study period, 1301 parents of young children completed a validated-structured questionnaire.
Results: Gaps in common knowledge related to antibiotics and their use were noted among participants. Nearly half of respondents believed that antibiotics are void from adverse effects, while 72.4% of them believed that a child should be given an antibiotic if it develops fever, even though 60% of them were aware that most URTIs were viral in nature. Parents reported that they administered antibiotics to children without medical advice most of the time for various causes, including using a previously prescribed antibiotic for a similar illness (27.1%), or based on pharmacist's recommendation (23.8%).
Conclusion: The results demonstrated the need for educational interventions to increase the awareness of parents about antibiotics to reduce inappropriate use and its consequences.

Biography:

Narjes Hoshyari has completed her Graduation as a General Dentist in 2009 and as an Endodontist in 2013 in the School of Dentistry at Tehran University of Medical Science. She is working as an Assistant Professor in Endodontic Department of Sari Dental School, Mazandaran University of Medical Science from 2013. She has published several papers in reputed journals. She is a Reviewer of two peer-reviewed scientific journals.

Abstract:

Aim: In order to achieve a successful root canal treatment, it is essential to be familiar with root canal morphology and anatomy. For this purpose, we investigated the prevalence and morphology of the C-shaped canal in the mandibular second molar in northern population of Iran using CBCT.
Materials & Methods: In this cross sectional study, we used CBCT images of 260 patients which were taken in a radiology center in city of Sari because of diagnostic and therapeutic purposes. Root canal images of mandibular second molar were examined in cross sections of each 1 mm of root canal. We examined the gender of patients and the morphology and prevalence of C-shaped canal. Teeth with C-shaped canal were classified according to Fan et al. classification and the statistical analysis was performed using the chi-square Test and T-test.
Results: From the 260 mandibular second molars studied, 30 teeth (11.5%) had C-shaped canals and C1 type was the most common form among those teeth. In this study, gender had a significant impact on the prevalence of C-shaped canals, so that women showed a much higher prevalence.
Conclusion: Considering the fact that the prevalence of C-shaped canals among molar teeth in northern population of Iran is relatively high, it is important for dentists to be familiar with this root canal anatomy and to consider the referral of these cases to an endodontist.

Biography:

Rohit Agrawal completed his Bachelor of Dental surgery (BDS) from MS Ramaiah Dental College, Bangalore, and Karnataka. His Post Graduation (MDS) in Oral Medicine and Radiology from People’s College of Dental Sciences and Research Center, Bhopal and he is a Reader in the Dept. of Oral Medicine and Radiology at the Maharana Pratap College of Dentistry and Research Centre, Gwalior. He is a Permanent member in Indian Academy of Oral Medicine & Radiology, Indian Dental Association, international congress of Dento-maxillofacial radiology and also an Affiliate member in “American Dental Association.

Abstract:

Dental caries and periodontal disease have historically been considered the most important global oral health burdens. More recent epidemiological data seem to show an increasing trend of tooth loss due to periodontal reasons rather than caries; the presence of initial attachment loss, bone height and the habit of smoking significantly increase the risk of tooth mortality. A dental implant is a titanium screw which is placed into bone to replace missing teeth. The implant mimics the root of a tooth in function. A key advance in dentistry has been the flourishing replacement of lost natural teeth by osseointegrated
implants and the current and future application of implants to support intra- and extra-oral prostheses is a great implication
in restoring dental health.

Biography:

Rosa Tarrago Gil is a Dental hygienist publishes Aragon’s health service, and also a member of Holy Sunday School of Silos. She is a Social delegate and Secretary of solidarity dentistry and the President of Hides Aragon (Professional Association of Dental Hygienists of Aragon). Also she is Oral hygienist teacher of Miguel Catalan secondary school.

Elena Martínez Sanz is Associate Professor in Anatomy and Embryology at Complutense University of Madrid (Madrid, Spain) since 2017. Currently she serves as councillor at “Association of Basis Science Teachers in Dentistry” (ABSTD) and also serves as a vocal member of the committee board at “Spanish Society of Epidemiology and Oral Public Health” (SESPO). She has extensive experience in teaching and research in basic sciences in dentistry. Her research interests are in the palate development and cleft palate. Current focus is on different epidemiological factors in cleft palate and the impaired craniofacial growth in cleft patients. She has published 16 scientific and is a frequent speaker in national and international scientific meetings. She is also a member of the International Association for Dental Research.

Abstract:

Introduction: Molar Incisor Hypomineralization (MIH) is a pathology whose prevalence has been growing in recent years. These are qualitative defects of the enamel, with different degrees of involvement, which involve at least one of the first permanent first molars. Often, permanent incisors are also affected, although to a lesser extent. The MIH is a great challenge for the dental hygienist.
Objective: The main objective of this workshop is to make practice on the treatment and prevention of MIH all based on the scientific evidence MIH is, emphasizing the remineralization of the affected tissue, following the protocol of the health unit of the care center health seminar (Aragonese health service).
Material & Methods: These protocols have been based on a narrative review, based on a systematic search for information. The PubMed (MEDLINE) and SciELO databases, as well as the Cochrane Library, were consulted. The key words used, in Spanish and English: molar incisor hypomineralization, remineral, fluorine, calcium, arginine, xylitol, hydroxyapatite, cement, resin and sealers. The inclusion criteria were: a) All the methodological designs; b) Publications in English and Spanish; c) Publications between 2007 and 2017. After reviewing the abstract, a total of 80 articles were selected for full-text analysis.
Results & Discussion: Currently the etiology of MIH is unknown. In any case, the differential diagnosis is fundamental to not confuse the lesions with other entities to the MIH and its treatment. Currently, clinical management is oriented towards prevention and minimally invasive methods, consisting of remineralizing agents, to reinforce and protect the existing dental structure. In the mildest and most moderate cases, pit and fissure sealants may be indicated by previous remineralization treatments.