Day 1 :
Keynote Forum
Selcuk Mistik
Erciyes University, Turkey
Keynote: A clinical score to diagnose viral sore throat: Mistik score
Time : 09:20-10:05
Biography:
Selcuk Mistik 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 as a 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:
Analysis of data from Sore Throat in Primary Care Project provided a scoring system, called the Mistik Score, to diagnose viral sore throat. The predictive model for positive viral analysis included the following variables: absence of headache, stuffy nose, sneezing, temperature of ≥37.5°C on physical examination, and the absence of tonsillar exudate and/or swelling. The probability of a positive viral analysis for a score of 5 was 82.1%. Modified Centor Score-Suggestion of use
1. 0 and less score-no need for further test or antibiotics
2. 1-3 score-throat culture or rapid antigen test, antibiotics for positive test
3. 4 and over-empirical antibiotic use
Keynote Forum
Katharina Schmalstieg-Bahr
University Medical Center Gottingen, Germany
Keynote: What makes out-of-pocket prescriptions for benzodiazepines and Z-drugs so attractive
Time : 10:05-10:50
Biography:
Katharina Schmalstieg-Bahr is a general practitioner. She completed her post-graduate training at the Cleveland Clinic affiliated Akron General Hospital in Ohio, USA before returning to Germany. Since 2015 she holds a research position at the Department of General Practice at the University Medical Center Göttingen. One of her research interests focuses on prescribing hypnotics in general practice. She is also the German research coordinator of the SCREEN-AF trial, an international collaboration with Canada that explores an ambulatory screening method for arterial fibrillation. Furthermore she is involved in teaching medical students.
Abstract:
Purpose: In Germany, almost every second prescription for benzodiazepines and Z-drugs is issued as an out-of-pocket prescription (“private prescription”). These prescriptions have to be funded by the patient, although almost 90% of the population has statutory health insurance (SHI) that covers medication costs. The purpose of this study is to understand why primary care physicians (PCPs) choose out-of-pocket prescriptions since a needed medication would be covered by the SHI and an unnecessary medication should not be given at all.
Methods: In this qualitative study, 17 semi-structured interviews with a regional sample of PCPs were conducted, audiorecorded,
and transcribed verbatim. Grounded theory was used to analyze the interviews and to develop a theoretical model to explain the PCPs’ behavior (“coding paradigm”: see image).
Keynote Forum
Malgorzata Pihut
Jagiellonian University, Poland
Keynote: Rehabilitation of patients with pain form of temporomandibular joint dysfunction
Time : 11:05-11:50
Biography:
Malgorzata Pihut has completed her Graduation in Faculty of Medicine at the Jagiellonian University in Krakow, Poland. She is the Head of the Consulting Room of Temporomandibular Joints Dysfunction, Jagiellonian University Medical College. She is a Specialist in the field of General Dentistry and Dental Prosthetics, conducts training of students and has completed her Post-graduation in the field of Prosthetics. She is the author of over 150 publications, congress reports, and research in national and international journals. She is a Specialist in diagnosis and treatment of modern form of functional disorder in the stomatognathic system. She is a member of the ten national and international scientific societies, winner of the several prizes from Polish Ministry of Education.
Abstract:
Temporomandibular joints dysfunctions are functional disorders consisting in abnormal functioning and pain of the mastication’s muscles, temporomandibular joints involved in dynamic movements of the mandible and surrounding structures, often associated with abnormal tooth occlusion in opposite arches. Main etiologic factors are; chronic excessive stress, parafunctional activity (teeth clenching, grinding-muscle hyperactivity) and occlusive abnormalities. Dysfunctions do not include all diseases related to the musculoskeletal system in the chewing organ, such as inflammation, degenerative states and joint tumors, as well as muscle lesions (multiple sclerosis, dermatomyositis, and fibromyalgia). The aim of the presentation is to discuss general principles of staged prosthetic treatment and supportive physiotherapeutic treatment, used in therapy of pain form of temporomandibular joint dysfunction. The use of relaxation and repositioning splints together with the principles of their use and devices used in the treatment of dysfunctions during orthodontic treatment will be presented. Intramuscula injection with botulinum toxin type A are often used to relax the chewing muscles as well. The aim of physiotherapeutic procedures is to reduce muscle and joint pain and restore the proper mobility of the mandible. Among physiotherapeutic methods often are used; manual therapy, kinesiotherapy, laser biostimulation, ultrasound therapy and soft tissue mobilization.