7th International Conference on
Public Healthcare and Epidemiology

Biography:

Dr Claudia Pavani has her expertise in innovation and startups, especially health technologies. Her passion is in improving the health and wellbeing. She believes all people have the right to live with access to the best health technologies. Health is for everybody not only for the rich. She works in the private sector and also collaborates with academy. She works in a Brazilian Venture Capital company and is part of Center For Technology Policy And Management PGT – University of São Paulo. PGT aims to produce knowledge through advanced research in cooperation with the best centers; to develop skills for the exercise of executive, public management, and academic leadership functions, and generate solutions which help society to make innovation a structuring axis of progress.

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Biography:

Currently working as a Chief Administrative Officer & Professor and Head, Department of Hospital Administration in Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India. Also, President of WEPPIA (Whitefield Export Promotion Park. Industrial Association), Bangalore which consists of 120 companies of varied industries such as IT, Health-care, Hospitality and Manufacturing.

Multi-tasking Senior Medical Administrator, trained successfully  in NABH and JCI accreditation process and  responsible for efficient functioning of clinical services, administering the entire medical hospital operations and quality of care, offering more than 15 years of rich expertise in entire Medical College and Corporate Hospital Management, Facility Management, Business Development, New Set ups of Super-specialty Hospitals, etc. Possess more than 5 years of experience as COO with profound proficiency in working in top level designation in Corporate Hospitals such as Head/ Group of Hospitals Head.

Associated with US and UK based consultancy firms (hospitals and health-care sector) and given consultations to different firms located at Singapore, UK, USA, Denmark, Hong Kong, India etc. Holds the merit of receiving “Vaidya Ratna" award in 2014 and recently awarded as “101 Fabulous Global Healthcare Leaders”

Abstract:

Biography:

Dr Claudia Pavani has her expertise in innovation and startups, especially health technologies. Her passion is in improving the health and wellbeing. She believes all people have the right to live with access to the best health technologies. Health is for everybody not only for the rich. She works in the private sector and also collaborates with academy. She works in a Brazilian Venture Capital company and is part of Center For Technology Policy And Management PGT – University of São Paulo. PGT aims to produce knowledge through advanced research in cooperation with the best centers; to develop skills for the exercise of executive, public management, and academic leadership functions, and generate solutions which help society to make innovation a structuring axis of progress.

Abstract:

Statement of the problem: personalized medicine - PM comprises a set of procedures, technologies and drugs that have gained strength since the 2000s with the mapping of the human genome. In developed countries, these new technologies have been introduced into public health. In Brazil, a developing country, the discussions and practice are in the beginnings. What are the obstacles for personalized medicine to be practiced in public health in Brazil?

The method of research was a case study in the public complex Hospital das Clínicas, the hospital of the University of São Paulo Medicine Faculty, and its ecosystem. The ecosystem subset studied was the Secretary of Health of the State of São Paulo - SES, Brazilian Commission for the Incorporation of Health Technology, investors, healthcare Brazilian consolidated companies and startups. 22 in-depth interviews were conducted with actors seeking to identify current practices in personalized medicine, the forward thinking of actors and obstacles to innovations in personalized medicine in public health during 2016 and 2018. São Paulo is the major State in Brazil and Hospital das Clínicas is its most important tertiary care center.

The obstacles to the adoption of personalized medicine technologies were analyzed and grouped according to the characteristic dimensions of the health system, technologies and objectives of the organizations of the case study, seeking to relate them to the stages of the health technology life cycle - research, innovation, initial diffusion, incorporation and wide use. The obstacles are from both the immaturity of the ecosystem and the characteristics of new technologies.

This is a case study, so the findings cannot be extrapolated to other contexts. A limited number of professionals was interviewed; their opinions may not reflect those of their organizations.

There are several studies that discuss how health systems in developed countries may incorporate new technologies, but few in developing countries. 

Biography:

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Introduction: UN Resolution of 2006 acknowledged diabetes as a global pandemic and infectious disease which made it an important medical and public health issue.At present, glycated hemoglobin(HbA1c) is widely accepted as a measure of glycemic control in established diabetes.Diabetic patients with elevated HbA1c values and dyslipidemia can be considered as a very high-risk group for cardiovascular disease (CVD).Therefore, the aim of this study was to analyze the lipid profile in serum of patients with diabetes mellitus type 2, and its relationship with HbA1c levels. Methods: The observational cross-sectional study included 60 diabetic patients, 30 men, and 30 women, age 32–94 years. Patients were assigned into two groups based on HbA1c values;Group 1:HbA1c ≤ 7% (good glycemic control) and Group 2:HbA1c > 7% (poor glycemic control). We analyzed the concentra­tion of glucose, HbA1c, and lipid profile including total cholesterol levels, triglycerides(TAG), low-density lipoproteins(LDL), and high-density lipoproteins(HDL). Castelli risk index 1(TC/HDL-cholesterol),Castelli risk index 2(LDL/HDL-cholesterol), atherogenic index of plasma(AIP)(log [TAG/ HDL-cholesterol]),as well as the ratio of triglycerides (TAG) to HDL-cholesterol were calculated. Results:Results showed that patients with good glyce­mic control were significantly older compared to patients with poor glycemic control. (p = 0.023) Significantly lower values of glucose concentration, TAG and the ratio TAG/HDLc were obtained in the group of patients with good glycemic control. (p < 0.0005) Patients with good glycemic control had lower values of Castelli 1 and Castelli 2 index, and atherogenic index of plasma, compared to patients with poor glycemic control, but this difference was not significant. (p > 0.005).Our study revealed a sig­nificant positive correlation between HbA1c and triglyceride level (r = 0.375; p = 0.003) and HbA1c and ratio triglyceride/HDLc (r = 0.335; p = 0.009).

Conclusion:Our study showed a statistically significant positive correlation between HbA1c and TAG,as well as HbA1c and TAG/HDL-cholesterol ratio,indicat­ing that HbA1c is associated with dyslipidemia in patients with type 2 diabetes mellitus in addition to as glycemic control parameter

Biography:

Abstract:

Introduction: UN Resolution of 2006 acknowledged diabetes as a global pandemic and infectious disease which made it an important medical and public health issue.At present, glycated hemoglobin(HbA1c) is widely accepted as a measure of glycemic control in established diabetes.Diabetic patients with elevated HbA1c values and dyslipidemia can be considered as a very high-risk group for cardiovascular disease (CVD).Therefore, the aim of this study was to analyze the lipid profile in serum of patients with diabetes mellitus type 2, and its relationship with HbA1c levels. Methods: The observational cross-sectional study included 60 diabetic patients, 30 men, and 30 women, age 32–94 years. Patients were assigned into two groups based on HbA1c values;Group 1:HbA1c ≤ 7% (good glycemic control) and Group 2:HbA1c > 7% (poor glycemic control). We analyzed the concentra­tion of glucose, HbA1c, and lipid profile including total cholesterol levels, triglycerides(TAG), low-density lipoproteins(LDL), and high-density lipoproteins(HDL). Castelli risk index 1(TC/HDL-cholesterol),Castelli risk index 2(LDL/HDL-cholesterol), atherogenic index of plasma(AIP)(log [TAG/ HDL-cholesterol]),as well as the ratio of triglycerides (TAG) to HDL-cholesterol were calculated. Results:Results showed that patients with good glyce­mic control were significantly older compared to patients with poor glycemic control. (p = 0.023) Significantly lower values of glucose concentration, TAG and the ratio TAG/HDLc were obtained in the group of patients with good glycemic control. (p < 0.0005) Patients with good glycemic control had lower values of Castelli 1 and Castelli 2 index, and atherogenic index of plasma, compared to patients with poor glycemic control, but this difference was not significant. (p > 0.005).Our study revealed a sig­nificant positive correlation between HbA1c and triglyceride level (r = 0.375; p = 0.003) and HbA1c and ratio triglyceride/HDLc (r = 0.335; p = 0.009).

Conclusion:Our study showed a statistically significant positive correlation between HbA1c and TAG,as well as HbA1c and TAG/HDL-cholesterol ratio,indicat­ing that HbA1c is associated with dyslipidemia in patients with type 2 diabetes mellitus in addition to as glycemic control parameter

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Biography:

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The low back is usually associated with the lumbar spine which supports the entire weight of the upper body and significantly, is vital to the body mobility.  Injury to the surrounding soft tissues can cause mild to debilitating symptoms due to muscle strain and ligament sprain. The causes of injury to the lower back are probably due to sudden twisting movement, poor posture position at work and manual handling of heavy objects or with twisting or bending movements while lifting. An Ergonomic Risk Assessment was carried out on a dental laboratory worker who complained of unresolved low back ache after a year on treatment and follow up at the outpatient department of a health clinic. From the various investigative methods used, it was found that the worker in question was placed in a situation that will over time encourage her to develop musculoskeletal disease. Our recommendations for change include immediate awareness and training in ergonomic principles of work and to report all cases so that appropriate action can be taken, reassess the workstation and environment of work, job enrichment, and creating a conducive environment for work. Once the changes have been implemented, a review will be necessary in three months time.

Biography:

Dr Bashir Bello has expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on responsive constructivists creates new pathways for improving healthcare. He has built this model after years of experience in research, evaluation, teaching and administration  both in hospital and education institutions. Dr Bashir Bello’s research area is focused on the development, classification and management of spinal pain disorders, and motor control issues relating to Spinal problems. My research expertise investigates back pain and altered motor control from a multidimensional bio-psycho-social perspective. More specifically my research investigates the complex combination of factors (physical, lifestyle, cognitive, psychological, social, neuro-physiological, and genetics) associated with back pain in specific populations (eg. rural dwellers), sporting populations, and in adolescents.

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Background: Therapeutic compliance has been a topic of clinical concern with therapy and rehabilitation programs especially in rural areas where patients can hardly afford frequent hospital visits nor bear the cost of frequent hospital bills.It can be proposed that delivery of treatment and rehabilitation via mobile phones can help improve therapeutic outcomes. Objective: This study therefore aimed to evaluate the clinical outcome of a telerehabilitation program for individuals with non-specific low back pain living in Gezawa local government of Kano state, Nigeria. Methodology: A pretest-posttest design was used for the study. Sixty five individuals diagnosed with non-specific low back pain where recruited from Gezawa local government following a health enlightenment campaign carried out by the Nigeria Society of Physiotherapy (NSP - Kano State Chapter). Back care education including ergonomic, postural advise and back stergthening exercises were given to the participants. Follow -ups via phone calls and sms were made twice in a week for 8 weeks for each participants.Visual analogue scale VAS (Hausa version)and Oswestry disability index (ODI - Hausa version) were used to measure their pain intensity and functional disability levels respectively. Results: Fifty-five participants with mean age of 63.6 years completed the study.There was a significant difference between the pre-test and post-test scores of variables measured p<0.05. Conclusion:Telerehabilitation is a feasible and effective means of managing individuals with non-specific low back pain living in a rural area of Nigeria.

Biography:

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An epitome of all the scriptures, the life breath, heart and image of lord itself, the Bhagwat Gita is considered an unfaith omable ocean of wisdom. It is a dialogue between two individuals, Lord Krishna and his disciple Arjun in the battle field where there was a war between Kauravas and Panavas for control of Hastinapur Kingdom. Gita contains more the subject matter for personality development and behaviour modification rather then a religious book. In contains 18 chapters with about 701 Shlokas narrating different levels of human mind and its  processes.

Different chapters critically deal with the various forms of anxiety, stress and depression of human beings and also management of stress and rectification of behaviour through CBT person centred approach, psychoanalyses etc. Anxiety is a mental health disorder characterised by feeling of worry, from threat  etc, strong enough to interfere  with one’s daily actuaries. Stress may be defined as one’s body’s reaction to challenge or demand, It may be both positive and negative i.e. any feeling of emotion or physical tension. A mood disorder characterised by low mood feeling of sadness and a general loss of interest in things may be termed as depression. A child is considered an orphan if he/she is deprived of parent’s love and care (Whether due to their demise separation or abandoning the child soon after birth).

The child living with such unfortunate fate is vulnerable to situations of anxiety, stress and depression in any and almost every phase of life.The present study is an effort to compute the above mentioned 3 behavioural disorders in orphan children and also to measure if there is any change in the behaviour after administering the intervention effect of recitation and reading sessions of Bhagwat Gita for at least 3 months.

Methodology : - A sample of 100 students was chosen from the  orphanage of Kanpur City. A consolidated test on Anxiety, Stress and depression (ADSS) constructed by Dr. Pallavi Bhatnagar was used as the tool, within group (pre and post design) was applied for the study.

Findings : -  A pilol study of 100 students was conducted, after screening 60 students who ranked high in anxiety, stress and depression were chosen for the study. After applying the intervention effect the sample was again tested , the effect of intervention effect was that the level of anxiety lowered stress and depression also showed some positive symptoms.

Conclusion : - Bhagwat Gita blends the two paths together – God realization and self realization and focuses on action, worship and knowledge altogether, Its ability to interact with the environment by one’s intellect (buddhi) explains state of enlightenment and thus helps maintain the positivity of mind, speech and body.