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:

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.