Scientific Program

Day 1 :

Keynote Forum

Ismail Al Rashdi

The Royal Hospital, Oman

Keynote: Leadership and culture of continuous Improvement

Time : 10:00 AM-10:40 AM

Biography:

Abstract:

Background: Leading employees through change and reinforcing improvement are difficult and cumbersome challenging tasks. Therefore, leadership support and buy-in, involving employees and stakeholders early in implementation process, and continuously adjusting for improvement are critical to success. Approach: The leadership approach in managing change and human resources in the process of implementation of quality initiatives, accreditation standards and culture change is demonstrated. Findings: Although there is a plethora of literature on transformational leadership today, the experience of the Royal Hospital is an outstanding enriching experience with various learning lessons to be shared. The lessons include real examples of challenges, success and failure on handling issues such as employee de-motivation, resistance, and failure to sustain improvements in the face of scarce resources. Drawing on a wide range of insightful real case studies from challenging, complex, interconnected and unpredictable hospital work environment and a range of seemingly insoluble problems of the largest tertiary care hospital in Oman, the application of theories of leadership and change management are well challenged. Conclusion: The experience of the Royal hospital in improvement efforts, highlights the crucial role of effective visioning, strong leadership, communication, motivational practices and participative leadership style. It provides a real-world understanding of several dimensions of leadership to bring about deep and lasting changes.

Keynote Forum

El-houcine Sebbar

The Mohammed VI University Hospital, Morocco

Keynote: Dietary intake of vitamin D in the Moroccan adolescents

Time : 10:40 AM - 11.20 AM

Biography:

Abstract:

Aims: Most epidemiological studies show that vitamin D deficiency is frequent in the general population including adolescents. The aim of our work is to evaluate the dietary intake of vitamin D in the Moroccan adolescents. Methods: This study included 257 Moroccan adolescents who performed a vitamin D questionnaire (VDQ), covering the consumption of four foods with high vitamin D content (fish, milk, margarine and yoghurt). Results: The average dietary vitamin D intake was 4.6μg/day. This observational study on Moroccan adolescents indicates a high prevalence of insufficient vitamin D intake, and below the recommended consumption values, particularly in girls. Conclusion: Inadequate vitamin D intake is common among the adolescents. To fight against this situation, initiatives must be implemented, including improved population education, lifestyle and vitamin D supplementation, in order to avoid serious adverse health consequences of bone.

 

  • Healthcare in Diabetics
Location: Conference Hall
Speaker
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

  • Healthcare and Public Health
Location: Conference Hall
Speaker
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) 

AbdulAziz Al-Azri

ENT Department, Al Nahdha Hospital, Muscat, Oman

Title: Nasopharyngeal Carcinoma in Oman: A Descriptive Analysis
Speaker
Biography:

Abstract:

Objectives: We sought to analyze all cases of nasopharyngeal carcinomas (NPC) in Oman to determine the most common clinical presentation, whether it is associated with certain tribes in Oman, and its distribution in different regions of the country. We also looked at the histopathological diagnosis, treatment modality, recurrence, and metastasis. Methods: This retrospective chart analysis was performed using the data of all patients with NPC who presented to the Al Nahdha Hospital (the main tertiary hospital of head and neck surgery in Oman) from January 2003 until August 2011. Results: Twenty-six cases of NPC were included in the final study population. Muscat (the capital city of Oman) had the highest number of cases followed by the Ash Sharqiyah, Al-Batinah, and Dhofar regions. The largest number of cases were found in the Al-Balushi tribe. Cases had a bimodal distribution within two age groups (20–30 years and 50–60 years). Follow-up ranged between six months and seven years. Conclusion: Neck mass and nasal symptoms were the most common presentations of NPC in Oman. Further studies, with a larger sample size are required in order to support our results

Speaker
Biography:

Abstract:

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.

 

Bashir Bello

Faculty of Allied Health Sciences, College of Health Science, Bayero University Kano.

Title: Effectiveness of telerehabilitation via phone calls and SMS in a rural community in kano Nigeria: a feasibility study
Speaker
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.

 

Abstract:

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.

 

  • Mental Health and Psychology Healthcare
Location: Conference Hall
Speaker
Biography:

Abstract:

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.

 

Day 2 :

  • Nursing in Public Healthcare

Session Introduction

Sharifa AlJabri

Former Director of Nursing and Midwifery, Oman

Title: Community Nursing past, present, and future in the Sultanate of Oman
Speaker
Biography:

Abstract:

With increasing public expectation and changing roles of professionals community health nurses especially those who do outreach activities at home and schools are faced with unique challenges in meeting patients' needs. Community nurses' scope of practice is broad compared to their colleagues who work in acute care facilities. The country of Oman is facing the same issue.
This presentation will focus on: Community Nursing past, present, and future in the Sultanate of Oman. Factors promoting, hindering quality community nursing in Oman, and Public protection through professional self-regulation. Authors' experiences in working with such issues.

 

Speaker
Biography:

Abstract:

Introduction: There is a strong and increased worldwide interest on the aspects of prevention of oral disease and oral health promotion in dental education. However, some studies imply that dental students are not knowledgeable enough in this issue. This study aimed to evaluate the knowledge of, attitude towards and practice on preventive dentistry among senior dental students in Yemen. Methods: Self-administered questionnaires were distributed among senior dental students in six dental schools in Yemen. The questionnaire obtained personal information, and questions about knowledge on preventive dental care, attitudes towards and practice on preventive dentistry. Results: Among 346 students who filled the questionnaire, a total of 91.6% has good knowledge about fissure sealant effectiveness, only 34.7% knows about the importance of fluoride toothpaste compared to brushing technique in preventing caries, with significant gender difference (p=0.005). Odds of good knowledge among non-Qat chewers was 1.9 (95%CI: 1.26-4.42). Multivariable regression analysis indicated that female gender was associated with higher positive attitudes (OR: 2.03, 95%CI:1.21-3.36,p=0.007). Attitudes were significantly associated with Qat chewing (OR = 1.95, 95%CI: 1.04-3.66, p=0.03), type of university (OR = 0.59, 95%CI: 0.36-0.94, p=0.02), and mothers' level of education (OR = 1.91, 95%CI: 1.05-3.47, p=0.03). There was a high percentage of competency in practicing preventive measures among students (80.9%). Conclusions: Dental education should emphasize the overall aspects of preventive dentistry with early exposure of preventive dental training in order to improve students' knowledge and attitudes and consequently practice on preventive care