7^th Epidemiology and Public Health Conference June 17-18, 2019 MENA Plaza Hotel Albarsha Dubai, UAE

Biography:

Félix Cantarovich is a Chief in Nephrology Service at HMC, Argerich, Buenos Aires, Argentine. He is the Founder and National Director of
CUCAI and also Assistant Professor National University Buenos Aires, Argentine.

Abstract:

Organ shortage depends on people's decision. However, persistent unfair dead awaiting organ transplantation, are expression that globally public remains unresponsive to this dramatic health problem. Paradoxically, although patient mortality waiting for organs increases each year, social education programs on organ donation have remained unchanged throughout the time. To donate is a gift of life persisted as the main slogan supporting people’s social education. It has been suggested that fear of death, mutilation, distrust of medical teams, hostility towards new ideas and religious uncertainties, are more relevant barriers to donation than lack of public education and information. Society must accept that organ donation is a moral responsibility. The concept that using organs of a deceased individual implies to sharing a source of health could be, with people’s understanding of the health crisis, a future social agreement. Education might reshape public opinion about organ donation. However, public programs proposing new suggestions should be attempted to improve social response towards organ donation. Suggestions to change people’s attitudes towards donation may include the following catchphrases: 1. During life, everybody may be a potential organ receptor. 2. The organs of the deceased are an irreplaceable source of health. 3. The body after death is a chance to share health with everyone. A survey has shown that the lack of knowledge of organ donation and transplants persists unchanged through the years in university medical education. Finally, in an attempt to improve the present reality, education in schools, colleges and universities, with programs that consider new encouraging options of organ donation social communication, should be seriously evaluated and put into practice by those responsible for international health education plans.

Biography:

Naveeda Akhtar Qureshi is working as an Associate Professor in the Quaid-i-Azam University. She is also running number of projects awarded by HEC. She has published more than 35 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Leishmaniasis is a vector borne infection caused by various species of genus Leishmania and transmitted by Phlebotomine female sand flies. The metrological data was collected from Khyber Pakhtoonkhwah (district Dir) and correlated with CL cases of previous five years (2012-2016) obtained from basic health units. Blood samples of (n=1270) cases of leishmaniasis were collected and conformed for the presences of Leishmania tropica kDNA-PCR detection. The leaves extracs of Grevillea robusta, Bombax ceiba and two herbs Voila canescens and Euphorbia heliscopia were evaluated for antileishmanial activity. The spatial patterns of CL infection were analyzed by ArcGIS 10.3 software. The Highest Annual Parasitic Incidence (API) was found in 2014 (0.049/1000), whereas lowest API was recorded in 2016 (0.024/1000). This appearance of CL cases revealed the highest peak of infection in spring followed by winter season. However no gender wise difference was observed and mostly children up to 20 year of ages were greatly affected. Current study provides a detailed insight into the CL epidemiology and its various risk factors in Dir. The highest spatial distribution of CL cases in tehsils was noticed as following, Balambat>Khal>Temergara>Warrai respectively. We also predicted that due to raise in global temperature and population of Dir, the tehsils adjacent to Balambat and Khal will be at risk in future. According to kDNA-PCR detection method, 95% specimens were positive and 5% were negative. The V. canescens showed the most significant antileishmanial activity with LCâ‚…â‚€ of 0.506 μg/ml.

Biography:

Dr. Tanveer Yadgir PhD scholar in Public Health, Post Graduate in Management & Medical Graduate. Presently working with Fatima College of Health Sciences as an Academic Faculty. He was working as Head of Research & Studies Unit with Dubai Corporation for Ambulance Services for almost 12 years, he was leading numerous development projects for Dubai Ambulance, few of the projects won the International Awards. He has assigned as project officer for PAROS (Pan Asian Resuscitation Outcome Study), Singapore to collect data on Out of Hospital Cardiac Arrest. He has presented numerous research papers on Prehospital emergency care topics in International Conferences and published numerous research paper in peer reviewed and scientific journals.

Abstract:

Objective: Ambulance over-triage is wasteful and can cause delayed treatment for serious emergencies. Existing prehospital triage systems have limited accuracy in the absence of physi- ological measurements prior to arriving at the scene. This study proposes two new computerized models in a prehospital self-triage setting, based on information available to patients themselves, investigates safety and accuracy in terms of under- and over-triage rates, and compares them with established scores such as the Modified (MEWS) or National Early Warning System (NEWS) and the Emergency Severity Index (ESI).

Study Design: This was a retrospective cohort study.  

Results: Among the 433,498 missions considered, 17.6% were classified as serious and 3.9% life-threatening.  Both self-triage models, based on a decision tree (DT) and Neural Network (NN), showed better discriminative power between serious and non-serious calls compared to established scoring systems, with a sensitivity of 98.3% (DT) / 88.2% (NN) and negative predic- tive value of 96.7% (DT) / 95.0% (NN), compared to physiological scoring systems with sensi- tivities of 98.0% (MEWS), 74.7% (NEWS), 51.8% (ESI), negative predictive values of 82.6% (MEWS), 90.2% (NEWS), and 84.7% (ESI). The safer model (DT) has the potential to reduce current call load by 13.5% at only 1.7% risk of misclassifying serious calls and less than half the rate of under-triage of existing scores.

Biography:

Cicilia Windi Yaningsih has completed PhD from University of Indonesia in epidemiological study. She has previously worked as Head of Treatment, Surveillance and Partnership in Zoonosis, Directorate of UBDC, Ministry of Health Republic Indonesia (MOH RI). Currently she is the Head of Research and Community in URINDO. She has already published books and journal about epidemiology in reputed international journal.

Abstract:

Background: The incidence and the death rate of diphtheria in Indonesia continues to increase from 2014 to 2017 as well as at RSPI SS an increase in cases of diphtheria has continued to occur. DAT (Diphtheria AntiToxin) is very important to reduce the severity of diphtheria. The aim of the study was to prove the effect of DAT and other factors to decrease the severity of diphtheria patients at RSPI Prof. Dr. Sulianti Saroso 2014-2017.

Method: Observational analytics, case control design was used. Samples of cases were 86 people, controls 86 people, the dependent variable was a decrease in severity, independent variables were DAT treatment, DAT dose, DAT time, antibiotics, corticosteroids, age, sex, residence, immunization status, pseudomembranous, bullneck, myocarditis and culture.

Results: Variables that were significantly associated with a decrease in the severity of diphtheria patients were DAT treatment (OR=4.063; 95% CI: 1.354-12.195; p=0.012); corticosteroids (OR=3.653, 95% CI: 1.568-8.513; p=0.003) and culture (OR=0.170; 95% CI: 0.054-0.547; p=0.170), myocarditis was a confounding variable (OR=1,690,95%; CI: 0,565-5,052; p=0.348).

Conclusion: DAT treatment has been shown to affect the severity of diphtheria contributed 7.6%. Four factors that were significantly associated with a decrease in the severity of diphtheria were contributed 26.3%. Suggestion DAT and confirmation laboratory diagnosed must be available in primary health care and hospital.

Biography:

Bharat Mishra has completed his PhD from Jodhpur National University and Masters in Pharmacology from Rajiv Gandhi University of Health Sciences, India. He is currently working the Professor and Head of Department of Pharmacology in Nirmala College of Pharmacy, India. He has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

The happiness is not something which can be designed, conditioned or associated with some things, people or situations, it is there, it is always there. We are always talking about happiness and get worried and panic while feeling unhappiness. The process will be right if we understand the reasons for unhappiness before trying to be happy. The cataloguing is required to create the understating for those reasons. The categorization of the conditions, situations, people and things which are behind the cause for unhappiness is the right process. When the analysis for such things and situations establishes, it is quite evident that there are some common reasons irrespective of places and people. Here the effort is to take the audience to their acceptance of those common things which actually trouble them and then the pathway will be very simple to deal with these things and come out of them and to be happy.

Biography:

Naveen Ramzan is currently Proceeding Master’s in Public Health with concentration in Epidemiology from East Tennessee State University.
Intend to graduate in 2019.

Abstract:

Background: Chronic Kidney Disease (CKD) can be described as the loss of the kidney function over time. Symptoms usually develop slowly and it may not appear in early stages. Lab tests can confirm a CKD diagnosis. The approximate number of incidents per year is more than 200,000 cases and approximately 30 million people are living with CKD today in the United States. This long-standing disease ultimately leads to renal failure at the end. At this present time, there are no known cures for CKD and the only treatment available is dialysis.

Objectives: The purpose of this study is to determine the association between CKD and further with Hemodialysis (HD) and medical condition such as cardiac complications, cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications, and death.

Methods: The study employed secondary data in a cross-sectional design. A sample of 106,969 was drawn from the population. The outcome variables were a diagnosis of CKD and/or CKD with HD. The predictor variables were cardiac complications, cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications and death. Logistic regression was conducted to analyze the relationship between outcome variable and each independent variable. Variables with a p-value <0.05 were considered significant. Odds Ratio (OR) and 95% Confidence Intervals (CI) were reported and discussed. The statistical analysis was performed using SAS version 9.4.

Results: Analysis shows that subjects with cardiac complications were 17% less likely to have CKD as compared to those who did not have cardiac complications (OR: 0.83, 95% CI: 0.78-0.88). CKD patients who had cardiac complications were 18% more likely to have HD than the subjects who did not have cardiac complications (OR: 1.18, 95% CI: 1.01-1.39). Patients with cardiogenic shock were 86% more likely to have CKD than the subjects who did not have cardiogenic shock (OR: 1.86, 95% CI: 1.82-1.91). CKD patients who had cardiogenic shock were also 18% more likely to have HD than the subjects who did not have cardiogenic shock (OR: 1.18, 95% CI: 1.11-1.25). Similar results have been reported if a patient had other conditions.

Conclusion: Chronic kidney disease with hemodialysis is significantly associated by the other medical conditions such as cardiac complications cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications and death in the United States. Further studies are needed to confirm the results and to understand the prognosis.

Biography:

Sadoof Habib Ahmad from Saudi Arabia has pursued Bachelor’s degree in Basic Medical Sciences. Also, he has completed his Postgraduate degree in Field Epidemiology FETP. He has worked in Ministry of Health first as a Medical Physician. He is a Field Epidemiologist and Head of Infection Control Unit in general hospital, Jubail Saudi Arabia.

Abstract:

Introduction: The Field Epidemiology Training Program (FETP) assigned to investigate a cluster of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in Riyadh, March 2015, focusing on identifying the source infection, the transmission sequence and the role of public health response in cluster identification and containment and follow up.

Method: FETP team visited the Riyadh Health Directorate to get information about the cluster, actions taken by different sectors of the health department and current status of the cluster regarding MERS-CoV infection. The team visited different hospitals which notified and managed cases in order to collect information and also the team called the family members for data collection.

Results: A cluster of five MERS-CoV positive cases belonging to a single family have been identified (two symptomatic and three asymptomatic). Case Fatality Rate 40%, the mean age of these cases 64.8 years±21.77 SD. No community-based case investigation of the first patient was conducted and this led to case missing. Transmission of infection was due to close contact of first case and delay in diagnosis.

Conclusion: Five (5) MERS-CoV cases have identified in one family. Follow-up of the cases and contacts was not efficient resulting in loss of follow-up of detected cases, transmission and missed early diagnosis among contacts.

Biography:

Lama Alshawi has pursued his BSc degree at King Saud University in Health Education Program. She is the Director of Health Education Club and Cultural Social Club at KSU. She is always interested in research that focuses on public health, especially in developing behavior
change interventions and campaigns.

Abstract:

This study provides an overview of workplaces need for health education specialist in Saudi Arabia and provide the explanation of the importance and implications for the presence of health education specialist in all workplaces not merely in the hospitals to achieve overall health for the employees. The study was designed as a questionnaire-based cross-sectional study. The major findings indicate the percent of the responses who dealt with health education specialists (23.5%) which are considered few compared to the whole sample. Also, the responses who dealt with health education specialists proved the presence of the health education specialists contribute to understand and prevent diseases by (26.5%), improve the health of individuals by (25.9%), increase the quality of productivity by (24.1%) and reduce the health care costs by (23.5%). This review seeks to describe the shortage in number and distribution of health education specialist and what extent the workplaces and workers need they presence.