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: 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.