Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd International Conference on Women`s Health, Obstetrics and Female Reproductive System Vancouver, British Columbia, Canada.

Day 1 :

Keynote Forum

Sam S Oh

UCSF, USA

Keynote: Make precision medicine socially precise
Conference Series Womens Health Care 2018 International Conference Keynote Speaker Sam S Oh photo
Biography:

Sam Oh serves as the Director of Epidemiology at the UCSF Asthma Collaboratory, where he examines the effect of genetics and environment on asthma risk, severity, and response to medications. He is passionate about resolving difficult public health problems that affect underdog communities that are too often ignored in biomedical research. Racial and ethnic minorities currently make up 40% of the US population yet have been represented in only 4.4% of NIH-funded pulmonary research since 1993. Dr. Oh studies asthma, the most racially disparate common disease.

Abstract:


Most drugs and genetic tests are developed in populations primarily of European descent, but nearly 90% of the world's population is non-European. As the applications of genomic studies become more widespread, it is critical that the study populations used for genomic discoveries more closely resemble the populations on whom the results are applied. While the vast majority (>80%) of genomic studies have been conducted on populations of European descent, Europeans represent less than 15% of the world’s population. Significant problems with drug efficacy and genetic test accuracy can occur if their development is based on genetic patterns that occur more frequently among people of European ancestry. The generalizability of many drugs and genetic tests can be called into question. Since the results of these studies are used to inform policy and drug development, this mismatch in representation has the potential to lead to very poor outcomes. For example, genetic tests for serious diseases may not work in some populations (Manrai et al.), and medicines may fail to deliver their therapeutic effects (Wu et al.). Adopting a one-size-fits-all approach can be myopic. Diversity in biomedical and clinical research is an asset. Ignoring racial/ethnic diversity is a missed scientific opportunity and can translate to poor clinical outcomes.

Conference Series Womens Health Care 2018 International Conference Keynote Speaker Muhammad Ajmal Zahid  photo
Biography:

Dr Zahid got his pre-medical education from Paharang, Faisalabad and obtained a Medical degree from King Edward Medical College, Lahore, Pakistan. He became a member, Royal College of Psychiatrists, UK, in 1985. He served as Assistant Professor, Department of Psychiatry, King Edward Medical College during 1986-1992; joined the Department of Psychiatry, Kuwait University in 1994, which he has Chaired since 2006. His areas of interest include Psychosomatic disorders, Violence against Medical Staff, and Psychotic Disorders. He has authored more than 35 publications in peer-reviewed, indexed, International journals and organized 11 International conferences. He is the recipient of a number of Research and Academic awards and author of two scales measuring Violence against medical staff and Somatic symptoms in the Psychologically distressed medical outpatients. He has made over 40 presentations in various International Conferences.

 

Abstract:

Statement of the problem: An extensive number of patients going to the essential wellbeing facilities experience the ill effects of the co-dismal mental issue.

Objectives: To estimate the prevalence of the comorbidity between common mental disorders (anxiety/depression/somatization) and common chronic physical illnesses among primary health care attendees and explore the relationship of comorbidity with the type of illness and socio-demographic characteristics.

Method: The Physical Health Questionnaires (PHQ-SADs) were directed to a randomized example of 1046 essential center participants in all the five governorates of the nation over a 5-month time frame. Physical diagnoses were ascertained by the attending physicians based on ICD-10 criteria.

Results: Of 1046 respondents, 442 (42.25%) had no less than one mental issue, while 670 (64.1%) had a physical ailment determination, viz: diabetes mellitus (37.01%), hypertension (34.18%), heart infections (7.2%) and non-chronic physical illnesses (9.4%). Physical comorbidity was significantly associated with older age, divorce, illiteracy, and poorer living conditions.34.4% (360/1046) had physical-mental comorbidity while 53.7% (670) % had physical-mental comorbidity; and of 376 without physical disease, 82 (21.8%) had no less than one mental issue (OR = 4.1, P < 0.001). The commonest comorbid mental disorders were somatization and the simultaneous presence of all 3 mental disorders. There was an increase in the prevalence of mental disorders with an increase in the number of physical illnesses, and increase in psychopathology scores with a number of physical comorbidities. Subjects with heart diseases and asthma consistently had higher psychopathology scores.

Conclusion: The findings call for the primary care physicians to be sensitive to the psychosocial context of patients who present primarily with physical conditions; more so for patients with multiple medical illnesses and social disadvantage.

Conference Series Womens Health Care 2018 International Conference Keynote Speaker Sarah Gafforini  photo
Biography:

Sarah Gafforini is the Head of Strategy, Population and Global Health at Marie Stopes Australia. She is also the Acting Head of MS Health, the Australian pharmaceutical company that pioneered the introduction of medication abortion in Australia. Sarah’s research, lobbying and management experiences over her career has strengthened her passion for ensuring women have choice and autonomy over their sexual and reproductive health. Her past research publications focus on various aspects of public health within the Australian health care system. She is currently completing a PhD on the introduction of a reproductive coercion screening tool in Australia through La Trobe University.

Abstract:


Statement of the Problem: Women are disproportionately affected by violence from male partners. Reproductive coercion is an often overlooked element of male partner controlling behavior and violence against women in Australia. It is essential that healthcare providers are aware of the challenges women can face in trying to control their own fertility. Clinician perspectives on reproductive coercion, its prevalence and talking to women about their experiences of reproductive coercion have not been assessed in Australia.
Methodology & Theoretical Orientation: This mixed methods study utilized semi-structured key informant interviews together with an electronically administered survey. Interviews were analyzed using thematic analysis. Frequency distributions and descriptive analysis were derived from the survey.
Findings: Participants were medical practitioners and nurses employed in one of 16 Marie Stopes Australia abortion clinics throughout Australia. Not all clinicians reported experiencing women having disclosed reproductive coercion however nurses were more likely to. Pregnancy coercion was more frequently disclosed than contraception coercion. Concealment of pregnancy was the most prevalent form of coercion followed by male partners threatening to leave a relationship if an abortion was not sought.
Conclusion & Significance: Reproductive coercion by male partners is a causal factor in the link between family violence, unplanned pregnancy, and abortion, with an unplanned pregnancy and abortion more likely to be associated with violence than planned pregnancies. This is the first study in Australia to explore clinician experiences of women disclosing reproductive coercion. Further research is required to explore women’s self-reported experiences of reproductive coercion and implications for future practice.

Conference Series Womens Health Care 2018 International Conference Keynote Speaker Natasha Iyer photo
Biography:

Dr Iyer has spent the last 21 years working with and caring for her patients.  Her focus has always been on the individual.  She developed strong relationships with her patients, taking a keen interest in their lives, not just their medical problems. Dr Iyer has successfully completed her written and oral exams, and academic requirements towards the Advanced Fellowship in Anti-aging and Regenerative Medicine (ABAARM).

Abstract:

Statement of the Problem: From menarche to menopause, women experience hormone fluctuations and a variety of mental-emotional and physical symptoms that affect their quality of life, relationships and the ability to be productive. Other than hot flashes and night sweats, a common presenting complaint of women in the menopause is anxiety, and sleep disturbance. Other complaints like increasing fatigue, genitourinary symptoms, weight gain and low libido during menopause are often unexplained or ineffectively treated. The WHI, 10 years later; has confirmed concrete benefits to HRT for women. Should we be expanding our thinking and approach to HRT in younger and older women by looking at augmenting levels of progesterone and other hormones to treat women more comprehensively? Progesterone is a neurosteroid. Its metabolites have a significant positive effect on the brain and neurochemistry. Are we missing an important part of treating women adequately, when we think ‘no uterus-no progesterone’? Other hormones like DHEA and pregnenolone have data supporting the positive effects on menopausal women. From bone to mood, to anxiety and sleep: hormone replacement therapy needs a rethink beyond ‘hot flashes and bone’ and our traditional approach to estrogen only, and estrogen and progesterone with an intact uterus. More important too, is the distinction between progestin and progesterone, a critical difference to pay attention to in clinical practice.

Keynote Forum

Robert J Gatchel

University of Texas, Arlington, USA

Keynote: Prevention of oral diseases
Conference Series Womens Health Care 2018 International Conference Keynote Speaker Robert J Gatchel photo
Biography:

Robert J Gatchel received his BA in Psychology, Summa Cum Laude, from SUNY at Stony Brook, and his PhD in Clinical Psychology in 1973 from the University of Wisconsin. He is also a Diplomate of the American Board of Professional Psychology. At the University of Texas at Arlington, Dr Gatchel is currently: A Distinguished Professor of the Department of Psychology, College of Science; the Nancy P & John G Penson Endowed Professor of Clinical Health Psychology; and the Director of the Center of Excellence for the Study of Health & Chronic Illnesses. He has conducted extensive clinical research in the area of pain, much of it continuously funded for the past 35 years by grants from the National Institutes of Health (NIH), National Science Foundation, and the Department of Defense. He was also the recipient of a prestigious Senior Scientist Award from NIH. Dr Gatchel has received numerous national and international awards associated with his research, most recently, the 2017 American Psychological Foundation’s Gold Medal Award for Life Achievement in the Application of Psychology.

Abstract:

In 2011, the influential Institute of Medicine (IOM) Report, Relieving Pain in America, highlighted the urgent need for the development of better methods for pain management because the ever-increasing costs with current treatment approaches cannot be sustained. Chronic pain is more common than the total number of individuals with diabetes, heart disease, and cancer combined! Musculoskeletal pain is the most common type of chronic pain; chronic low back pain is the most prevalent in this category. A lesser-known fact is that temporomandibular joint and muscle disorder (TMJMD) is also very prevalent, and ranks second only to low back pain. Treatment costs of TMJMD average $4 billion annually. The current presentation will review a number of NIH-supported clinical research studies on the early identification and intervention of “high risk” (HR) TMJMD patients that prevent the development of more chronic and costly disease states. During this presentation, four separate projects will be presented. The first will be a statistical algorithm that was developed to differentiate between acute TMJMD patients who were either at HR versus low-risk (LR) for developing chronic TMJMD problems. Drawing from these results, the second project evaluated whether an early biopsychosocial intervention program with HR patients would produce lower levels of pain at a one-year follow-up, relative to HR patients not receiving such care. The outcome data from that study revealed significantly more positive changes in the HR early-intervention group that in the HR non-intervention group. Finally, a just-completed study evaluated whether this early assessment and early intervention could be successfully utilized in the “real world” of dental clinics in the community. Again, the results were very clear in demonstrating that acute TMJMD patients who were administered early intervention showed significantly less chronic TMJMD disease indicators. This results clearly demonstrate that such an assessment/intervention program can be successfully employed with the general population in individual clinics.

Keynote Forum

Shabnam Das Kar

Better: A medical centre of complete living, Canada

Keynote: Women and cardiovascular disease
Conference Series Womens Health Care 2018 International Conference Keynote Speaker Shabnam Das Kar photo
Biography:

Dr Shabnam Das Kar,  MD (OBGY), FMNM Websites Better Medical Centre Canada, MBBS & MD (OBGY) from India. Practicing as a Specialist in Functional & Metabolic Medicine at Better Medical Centre, Mumbai, India.  Director Medical Education at Better Medical Centre, Canada & India. Had worked as Consultant Obstetrician Gynecologist in 3 major hospitals in Mumbai, India.

Abstract:

Cardiovascular disease (CVD)–heart disease and stroke, is the biggest killer of women worldwide. More women die of CVD than breast cancer, yet the awareness about the unique risks of CVD in women is lacking. Many women affected by CVD die prematurely. Earlier it was thought that heart disease in women is the same as it is in men. However, in recent years gender-specific studies have highlighted the differences in heart disease in men and women. For example, Type 2 Diabetes Mellitus is a stronger predictor of risk for stroke and heart disease in women than men. Traditionally CHD has been associated with obstructive atherosclerosis in epicardial coronary arteries causing ischemia. However, in women, it has been found that some of them may have Cardiac Syndrome X, which is angina-like chest pain with evidence of myocardial ischemia in the absence of flow-limiting stenosis on coronary angiography. A greater proportion of women than men with myocardial infarction die of sudden cardiac death before reaching the hospital. Women with IHD have a poorer prognosis than men. Though many women with acute coronary syndrome present with chest pain, some may present with atypical symptoms like profound fatigue, pain in both arms, jaws, abdomen or breathlessness. Because of this, women sometimes delay in seeking treatment. Women have some unique risk factors associated with them because of their sex and gender. Some of these factors are: (a) Psychosocial stress is a bigger risk factor for heart disease in women than men. (b) Pregnancy-related complications like pregnancy loss, Pre-Eclampsia, Gestational Diabetes Mellitus Migraines (c) Women with PCOS have a higher lifetime risk of CVD compared to those without (d) Autoimmune conditions. More women than men are affected by autoimmune conditions. (e) Women, Sex Hormones, and CVD: Premenopausal women are protected against CVD because of higher levels of sex hormones than in post-menopausal women. The “timing hypothesis” of hormone replacement and the use of transdermal estrogen and oral micronized progesterone versus synthetic estrogens and progestin like Medroxyprogesterone Acetate (MPA) have dramatically changed our attitude towards hormone therapy. However, misinformation still abounds amongst patients and health care providers, resulting in many women being deprived of the benefits of hormone therapy. (f) Some cancer chemotherapy drugs are associated with increased risk of heart disease—the newly developing field of Oncocardiology. (g) Obstructive Sleep Apnea (OSA): OSA is associated with a high risk of CVD in men as well as women. Sometimes women are not screened for this because the presentation may be different in them. OSA in women has been misdiagnosed as fatigue, work-related stress, anemia, hypothyroidism or hypochondria. (h) Build awareness amongst women as well as their health care providers about the unique risks for heart disease and stroke in women. (i) Studies have shown that between 40 to 80% of stroke and heart disease can be prevented through lifestyle change. Through my presentation, I would like to build awareness about the unique features of women and CVD and draw attention to how we can help patients make small incremental changes to several risk factors, many of which fall below the radar. This can have a profound impact on managing the risk of CVD in women.

  • Primary healthcare | Nursing | Violence against women | Maternal and child health | Primary healthcare: Individualized Care | Reproductive and sexual health | Abortion and women health | Primary healthcare epidemiology | Polycystic Ovary Syndrome (PCOS) | Dental health
Location: Red Cedar Ballroom B
Speaker

Chair

Natasha Iyer

Better: A medical centre of complete living, Canada , Canada

Speaker

Co-Chair

Muhammad Ajmal Zahid

Chair, Kuwait University, Kuwait

Speaker
Biography:

Nigussie Tadesse sharew is an expert nurse practitioner (MSc Adult health Nursing holder) who is currently working as a lecturer at Debre Berhan University.
Nigussie is currently serving as a dean of college of Health science, Debre Berhan University. He is providing a free community service on live broadcasts about
numerous nursing issues. Moreover, he has been pursuing various research projects which could possibly improve the quality of nursing care in Ethiopia. Some of
the articles which are being considered for publication include a systematic review and meta-analysis of Infant and young child feeding practice in Ethiopia, A systematic
review, and meta-analysis of predictors of cervical cancer screening in sub-Saharan Africa and adherence to dietary and physical activity recommendation
among diabetic patients in Ethiopia. Nigussie is highly motivated to take apart at any international stage which could improve his research experience and expertise.

Abstract:

Background: According to World Health Organization pooled estimate, the annual incidence of sharps injury in Africa was
ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The point of the examination was to
research sharps damage pervasiveness and related hazard factors.
Methods: Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia.
Proportionate stratified sampling was used to select HCP. Sharps injury during the last 12 months was an outcome variable.
Data was collected adapting the World Health Organization best practices for injections and related procedures toolkit.
Bivariate and multivariate logistic regression analysis was carried out to identify sharps injury associated risk factors.
Results: In total, 195 HCP participated with a response rate of 97.5%. The prevalence of sharps injury was 32.8%. Following
adjustment for covariates health care workers who had no in-service job training (p < 0.001, OR = 4.7, 95% CI = 2. 05–10.56)
and HCP who had previous exposure to sharps injury (p-value = 0.002, OR = 3.7, 95% CI = 1.62–8.27) were more likely to
experience sharp injuries.
Conclusions: This study revealed 32.8% or at least three out of ten HCP exposed to sharps injury. This was found statistically
significant among HCP who had no in-service job training and who had previous exposure to sharps injury. Thus, training
HCP perhaps increases their skill and curiosity to reduce exposure to sharps injury.

Speaker
Biography:

Bhaskar Chakravorti has Pharmaceutical Marketing background which spans over 30 years in India and Sudan. His expertise is in formulating business strategies, developing new products & markets, launching new products and strengthening territorial markets. He has built people and brands in his career. Having worked with both multinational and regional companies, he has experienced the evolution of production-oriented marketing, sales-oriented marketing, doctor-centric marketing and finally to Patient-centric Marketing in Healthcare industry. He is a blogger, active in social media, photographer, TEDx speaker, Trainer, Speaker and a Social Entrepreneur.

 

Abstract:

Pharmaceutical companies must keep the patients at the top of their minds. On one hand Pharma companies don’t want to upset Doctors by bypassing them and on the other hand, they have to function under stringent guidelines that regulate direct to consumer (DTC) marketing. The best way to do this is to focus on creating trust rather than building brands. With the increasing number of patients suffering from chronic illnesses such as diabetes and hypertension, noncompliance and nonadherence is a big problem which further increases the suffering of the patients. Patient Information Leaflets (PIL) are now being printed in local language e.g. Arabic in Sudan or Hindi in India. Patients can read about the several questions they have in mind about their medication, especially the side effects. Codes in the PIL can link to the company’s website. The patient can communicate directly with the company for various queries. The patients when they register themselves can receive online medication reminder service. Pharma companies also provide health information so that patients can manage their illness better. Pharma companies can create Advocacy groups from the patients who are opinion leaders. These patients have a lot of clouts both online and offline and these patients can be engaged periodically under the supervision of Physicians who are Key Opinion Leaders. Some of the patients in the Advocacy group are frequent bloggers and active in social media and thus can engage in chats with others interested in the specific disorder either Hypertension or Diabetes. This can benefit the patients to modify lifestyles and reduce risk factors to prolong life with less suffering.

 

Speaker
Biography:

Margaret Kababu is a research scientist with ten years’ experience in multi-disciplinary research. She has been involved in operational research in HIV and Gender-Based Violence for the last four years. Margaret was previously a research scientist in an Integrated Pest Management and Malaria vector control program. She has experience in the design and development of research protocols; development of research IEC materials and data collection tools; training and coordination of field teams; qualitative and quantitative data management; analysis and documentation of research findings

Abstract:

Background: Globally, about a third of women have experienced Intimate Partner Violence (IPV). IPV is linked to increased HIV risk and is a key barrier to uptake of HIV prevention and treatment services among women. LVCT Health integrated IPV counseling and support group interventions in HIV Testing Service (HTS) sites in Kenya. We conducted a study to measure the uptake of IPV interventions in HTS settings.

Methods: In this study, we recruited 146 women who screened positive for experiencing IPV in four HTS sites in rural and urban settings. Women accessing HTS were screened by HTS providers using the validated IPV screening tool. These women were enrolled in the IPV interventions. The IPV intervention comprised monthly one-on-one IPV counseling and support group sessions that ran for a period of six months. Baseline and end line surveys were conducted at the beginning and after 6 months using semi-structured questionnaires. We collected quantitative data on socio-demographics, willingness to take up IPV services, uptake of IPV interventions and reasons for non-uptake of IPV services. Descriptive analysis was done using SPSS version 22.

Results:  Enrolled women had a median age of 28 years and 89% were married. At baseline, 55% and 42% of the participants expressed a willingness to take up one-on-one counseling and support group interventions, respectively. However, 7% and 5% of the participants took up one-on-one IPV counseling and support group interventions, respectively over the 6 month period. Reasons for low uptake of the integrated IPV intervention included: lack of follow up after the sessions by HTS providers, busy with home chores, lack of childcare support and fear that spouse would find out which would, in turn, escalate the experience of violence.

Conclusion and recommendations: Low uptake of IPV interventions in HTS settings demonstrates the need for enhanced follow up of women taking up IPV services in HTS settings. Integration of IPV in HTS settings requires additional investment in human resources to manage the workload that comes with integration and communications to facilitate follow up.

 

ANOUA Judicaël

Alassane Ouattara University, Côte d'Ivoire

Title: Obstetric culture in the development of reproductive health
Speaker
Biography:

ANOUA Adou Serge Judicaël is a Doctor in socio-anthropology and Assistant in the Department of Anthropology and Sociology at the Alassane Ouattara University since July 2015. His domain of speciality is the socio-anthropology of health. The general problem that occupies its scientific reflection is the issue of Reproductive Health in rural Africa. He is particularly interested in the aspects of maternal and child health in Côte d'Ivoire. He is a member of the Laboratory of Studies and Research in Reproductive Health care Transition. He has published several articles in journals.

 

Abstract:

Maternal and child health remains a current challenge in Côte d'Ivoire because of high maternal and child mortality rates in that country. This failure raises the limits of the biomedical sciences in reproductive health. In this field of health, there is undeniably a life quality problem. This concern is shared by socio-anthropology. As a matter of fact, how can we explain and understand the evolution of reproductive health problems in mothers and children? All the work carried out revolves around the issue of "obstetric culture and reproductive health". In other words, how can we explain and understand obstetric culture as a major determinant in the development of reproductive health in Côte d'Ivoire? In this context, reflections oriented through socio-anthropological research are constantly supported by the same precise thesis: "Taking into account socio-cultural determinants specific to the communities in question, impeding the health of the mother-child couple, could contribute to opening the communities studied to a safer motherhood." Starting from this fundamental aim, strategies for reducing dramas by taking into account the cultural markers of communities can be identified as well as actions for behavioral change can be planned. This orientation seems to us a hypothesis of possible solution to circumvent the epidemiological monopoly underlying the approach in public health.

 

 

Speaker
Biography:

Professor van Servellen is a noted author, consultant, and educator. Her book: Communication Skills for the Health Professional: Context, Concepts, Practice, and Evidence is in its 3rd edition and will be available September 2018. She completed her BS and MS in Nursing at the University of California, San Francisco and her PhD from Stanford University, Palo Alto, California. She has published extensively on issues of quality care, treatment adherence, and patient satisfaction and obtained research funding on these topics. She is a reviewer for several journals including those in Nursing, Psychology, Public Health, and Social Science in Medicine. She is an editorial board member for Nursing and Health Sciences. After retiring from UCLA (2007) she held positions in research and administration at three additional major universities. Her passion about communications and quality care are quite obvious from her widely read publications and invitations to consult in the US and aboard.

Abstract:

There is ample evidence that health professionals do not always communicate as well as they should. Nursing is not alone; this can be said about most health professionals having direct encounters with patients and their families Noted scholars and professional organizations emphasized that communication skills are critical to providing patient- and family-centered care and warn that health professionals lack adequate training and education in using communication skills to provide high-quality patient-centered care. The deficit in communication skill training is important across the board, but particularly in health promotion and chronic illness, two concerns driving the direction of healthcare worldwide. Quality communications promote high-quality patient-centered care, accurate identification of patients’ problems, health care utilization, adherence to treatment, shared decision-making, and satisfaction with care. Core competencies; include active listening, empathy and compassion, and appropriate use of questions. There is some evidence that lower work stress is associated with strong communication skills. In any case, the greater part of specialists doesn’t feel sure about their relational abilities or maybe have had no formal preparing by any means. If their skills were improved, it follows that quality of care could improve, and costs of this care might be reduced. Educational preparation is foundational, but supportive work environments are also extremely important. This presentation will focus on the role of communication skills in primary care practice and evidence to support the link between communication skills, quality care outcomes, and patient satisfaction. Samples of dialogue will be offered to illustrate points made. The role of informational technology in shaping healthcare communications, good and bad, will be highlighted.

 

Speaker
Biography:

Ameneh Safarzadeh is working as faculty midwifery in pregnancy health research center, Zahedan university of medical sciences, Zahedan, Iran. She has 12 years experience in teaching and researching midwifery and have published more than 20 articles in English language journal.

 

Abstract:

Objective: Sexual tolerability is one of the false convictions among ladies about sexual capacity, and ladies who have this conviction pick a dormant and aloof sexual part. The present examination was led intended to research the impact of conclusiveness construct sexuality mentoring with respect to the sexual capacity of wedded female understudies of University of Sistan and Baluchistan.

Materials and Methods: This semi exploratory examination was a pretest-posttest configuration led on 80 female wedded female understudies who were chosen and haphazardly doled out into two interventions(n=40) and control (n=40) gatherings. The data collection tool was a questionnaire of Rosen's Sexual Function. The mediation aggregate after pretest participated in four sessions under emphatics based sexual directing week after week in 2 sessions of 90 to 120 minutes. Both two groups filled out the questionnaires after the end of the waiting period (2 months) (post-test). Chi-square, covariance and independent, pair t-test was used to examine the mean of quantitative variables in the two groups.

Findings: The outcomes demonstrated that the mean score of sexual capacity list expanded in the meditation gathering and after sexual guiding and diminished in the control gathering. Independent T-test also showed that the mean score of sexual function index after sexual counseling in two intervention and control groups was not significant. But the mean change in total index score was significant in both groups (P=0.0001).

Conclusion: Counseling method based on sexual assertiveness has been able to influence sexual function, expressing sexual rights, and reducing the shame and contempt of women under study and cause significant results. It is safe to admit that this method can be used as a way to promote sexuality and to establish a more intimate relationship in marital life.

 

Biography:

Rita Giri has completed her Master in Nursing from Tribhuwan University. She has worked as staff nurse in different hospitals in Nepal and worked as lecturer and clinical supervisor in different Nursing College of Nepal.

 

Abstract:

Cervical cancer is the second most common cancer in women living in less developed regions. In Nepal, Little is known about the knowledge regarding cervical cancer in a female young adult. A descriptive cross-sectional study was conducted to find out the knowledge regarding cervical cancer among undergraduate female students. Non-probability purposive sampling with the self-administered structured questionnaire was used to collect the information among 150 female students of Little Angels College of Management, Lalitpur, Nepal. The obtained data were analyzed using descriptive and inferential statistics. Among the respondents, the mean age was 19.3 ± 1.1 years. Almost all (95%) of the respondents had inadequate knowledge regarding cervical cancer. The respondents who knew the meaning of cervical cancer were 56%. Similarly, 35% of the respondents on an average had knowledge about the risk factor. Almost two-thirds of students knew that cervical cancer is preventable. Regarding the preventive measures, good hygiene was told by 68.5% of respondents followed by HPV vaccine 38.3%, using condom 19.5% and Pap smear test 8.7%. The knowledge about the HPV vaccine was only on 11.8% of respondents. There was no statistically significant association between knowledge with selected variables (age, religion, ethnicity, family income, smoking and sexual practice) in the study. Based on findings it is concluded that female students had inadequate knowledge regarding cervical cancer. This result reflects the need for health awareness campaigns to the students and community people regarding cervical cancer including the symptoms, causes, risk factors and preventive measures.

 

Speaker
Biography:

Jason Wheatley being educated in CPR and first aid in addition to lifesaving techniques from his days as a lifeguard to helping customers learn about their medications and insurance options as a pharmacy clerk. Dr Wheatley has his roots firmly in the science of healing. He is currently under training as a Maternal Fetal
Medicine Fellow.

Abstract:

Fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO syndrome) is a rare disorder (estimated incidence of 5.7 to 20 cases/1 million births). Genetic basis and inheritance are unknown. Each case should be reported due to the paucity of reports and lack of a standardized treatment approach. To date, 15 cases of FATCO syndrome have been reported. We report two cases which match the radiological description of a FATCO syndrome variant and are the third and fourth reports on this variant. A 32-year-old female, G5/P2022 presented for her fetal anatomic survey at 20 2/7 weeks which showed a short
left femur, short bowed left tibia, fibular hypoplasia and a left foot shorter than the right, leading to a diagnosis of FATCO (Fibular aplasia, tibial campomelia, oligosyndactyly) syndrome. She met with Pediatric Orthopedic surgery prior to delivery as a result of this finding. She will be followed throughout the rest of the pregnancy with serial growth ultrasounds. A 34-yearold female, G1/P0 was seen for the routine fetal anatomic survey at 21 3/7 weeks which showed a shortened/bowed right tibia and shortened right fibula. This led to the diagnosis of FATCO syndrome. She met with Pediatric Orthopedic surgery prior to
delivery as a result of this finding and the rest of her pregnancy was uneventful with the spontaneous vaginal delivery of a baby boy at 40 weeks 1/7 days. FATCO syndrome ultimately requires corrective surgery after delivery. Prenatal identification of this syndrome allows for informed family planning. A detailed discussion with the pediatric orthopedic surgery as to the surgical timeline allows the mother and family to make informed decisions and plan for the necessary adjustments to their home life.

  • Womens health | Reproductive and sexual health | Polycystic Ovary Syndrome (PCOS) | Maternal and child health | Primary healthcare | Nursing | Nursing education | Primary womens healthcare | Travel nurse | Tele medicine and e-health
Location: Red Cedar Ballroom B
Speaker

Chair

Natasha Iyer

Better: A medical centre for complete living, Canada

Speaker

Co-Chair

Muhammad Ajmal Zahid

Kuwait University

Session Introduction

Fatemeh Oskouie

Iran University of Medical Sciences (IUMS)

Title: Attrition among Iranian nursing students: A qualitative study
Speaker
Biography:

Fatemeh Oskouie, BScN, MScOH and DrPH, is a Professor of School of Nursing and Midwifery, Iran University of Medical Sciences (IUMS) Tehran, Iran. She is
currently the head of Nursing Care Research Center (since 2007). She established WHO Collaborating Center for Education and Research in Nursing and Midwifery
in 2014. She also established the National Nursing Research Network in 2016. She works as a member of Nursing Board and is research advisor to the Nursing
Deputy of Ministry of Health of Iran. Her research interests are Public Health, Nursing Education, Quality of life, Non-communicable Diseases.

Abstract:

Statement of the Problem: Attrition is a major challenge facing nursing students that results in substantial costs on the
education, health, and treatment systems across countries and can have an unwanted effect on the quality and quantity of health
services provided as well as on the health of citizens. The purpose of this study is to describe nursing students' perceptions
toward factors influencing attrition.
Methodology & Theoretical Orientation: A qualitative study conducted using a content analysis approach. Nineteen
undergraduate nursing students enrolled in the nursing bachelor program were recruited using purposive and snowball
sampling. In-depth face-to-face focus and group interviews and participant observation were used for data production.
Conventional content analysis approach utilized for analyzing.
Findings: In this study nursing students’ attrition factors were categorized into two themes: ‘before admission’ and ‘after
admission’. The obligation to choose to nurse in the National Entrance Exam, poor management in workforce provision and
improper supervision, the discrepancy between expectations and experiences, and being work abused in clinical training were
the main factors of attrition.
Conclusion & Significance: Authorities in education and practice sectors can use these findings to improve the quality of
clinical and theoretical education and to avoid nursing student attrition. This can be accomplished through an expansion in
network consciousness of the character of nursing, proficient administration of workforce arrangement and clear and succinct
supervision of exercises in both hypothetical and clinical fields.

Speaker
Biography:

Dr Rafiqul Islam is working as an Associate Professor at Medical Information Center of Kyushu University Hospital under Kyushu University, Fukuoka, Japan.
Before joining here, he has been working as a Director of Global Communication Center, the ICT based R&D center of Grameen Communications, Bangladesh
for about 8 years. Earlier Dr Islam worked in Japanese IT industries for 12 years after completing his PhD in Information Engineering in 1993 from Hokkaido University,
Japan. Dr Islam has been associated with various Internet standardization organizations, government bodies and business communities. He has attended
many International Conference, Seminars and events of ICT around the world and spoke on ICT for development with a special focus on the healthcare sector. His
interest also covers in the areas including ICT for agriculture, education, energy, and environment.

Abstract:

Statement of the Problem: Two main obstacles to ensuring basic healthcare service in remote areas of developing countries
are the poor doctor-patient ratio and insufficient medical facilities. The Portable Health Clinic (PHC) system made it possible
to provide primary healthcare services to the doorstep of the rural communities in affordable price by providing telemedicine
service in a preventive healthcare way. The PHC system introduces a triage process based on the concept of “Bangladesh
Logic” for the people of Bangladesh and it classifies the subjects under investigation into four categories, namely, (1) green
or healthy (2) yellow or alarming (3) orange or sick and (4) red or emergent, based on the gradual higher risk status of
their health. The subjects under orange and red are primarily diagnosed as in the risky zone who need doctor`s consultancy.
However, the major part of the subjects who are diagnosed in the safe and alarming zone (yellow) can be served by the trained
health workers without medication and they can be mostly prevented not to shift into the risky zone being under the guided
lifestyle. This reduces the pressure on the doctors enabling them to focus on the risky patients who deserve better attention.
The Tele-Pathology module of the PHC system enables the rural diagnostic centers operated by the laboratory technologist
for producing a quality pathological report with the support of the qualified remote pathologist. Thus, the PHC telehealth
care system offers a unique opportunity for ensuring better healthcare service to the unreached rural communities of the
developing countries. Although it was developed aiming to the low-income rural communities, it is found equality useful for
the urban rich aged community for home delivery service due to its portability and easy operation.

Speaker
Biography:

Dale M Hilty, Associate Professor, received his PhD in counseling psychology from Department of Psychology at the Ohio State University. He has published
studies in the areas of psychology, sociology, and religion. Between April 2017 and April 2018, his ten research teams published 55 posters at local, state, regional, national, and international nursing conferences. His colleague sharing the author line of this poster is Aimee Shea, MPH, RDN, CSO, LD.

Abstract:

Unique Innovation: The goal of this project was to improve student knowledge regarding how different diet choices hinder an
individual’s ability to meet the Dietary Guidelines for Americans. A 30-minute presentation included a nutrient analysis per
meal for four diets: Omni Heart, Fancy Fast Foods (Panera), Fast Foods (McDonald's), and Snack Diets (Vending Machine).
Undergraduate nursing students observed how choosing two Omni Heart meals per day plus one meal from any of the other
three diets resulted in positive energy balance and the potential for significant weight gain.
Method: Independent variable: 30-minute presentation. The dependent variables were student completion of (1) cognitive
nutrition pre/post-test questions (2pre/post-test Nutrition Assessment Questionnaire (NAQ). Fiber, added sugars, fats, protein,
and sodium subscale scores are available for the NAQ. Subjects: Undergraduate students (66, 3rd year; 64, 1st year students).
Hypothesis: The 30-minute presentation will cause a statistically significant improvement on the pre- and post-test cognitive
questions and the overall NAQ score as well as on the fiber, added sugars, fats, protein, and sodium subscales.
Favorable Outcomes: Statistically significant differences (p<003, dependent t-test) were found on each of the dependent
variable measures (cognitive knowledge questions, overall NAQ total score, NAQ subscales: fiber, added sugars, fats, protein,
and sodium).
Application Relevance: In this educational intervention, student nutrition knowledge increased significantly from the pre to
the post-test measures based on the independent variable (30-minute classroom presentation). These findings could facilitate
health promotion efforts by increasing nursing student self-knowledge and their ability to educate patients.

Babita Saxena

Government Homeopathic Medical College and Hospital

Title: Dysfunctional uterine bleeding in premenopausal female
Biography:

Babita Saxena is currently professor in gynec and obstetrics department at Government homeopathic medical college and hospital in Bhopal since last 15 years. During her journey of practicing, she had encountered and treated many cases of DUB successfully of which approximately 15% need surgical intervention. Presently she is working for autistic children and a common pubertal problem i.e. polycystic ovarian disease. They have specific geriatric unit in which they manage menopausal complaints of females through proper counseling and medication. She is fond of reading, writing, and cooking she also likes to join job as freelancer in other countries. She has completed her Post Graduation from Mumbai University in Materia Medica.

Abstract:

Statement of the Problem: Menopause, the term in itself brings many thoughts in a female’s life. Especially if, it is related to
the excessive hemorrhage during menstrual periods. Dysfunctional uterine bleeding (DUB) is a variety of manifestations of
the anovulatory cycle (in the absence of pathology or medical illness).
(a) DUB in menarche i.e. puberty menorrhagia
(b) DUB in middle age female as metropathia hemorrhagic
(c) DUB in premenopausal female i.e. heavy bleeding in a woman approaching menopause.
Of these, the third point affects women the most as they are in troubles related to menopause itself.
Cause: As approaching menopause time ovaries start devoid of mature follicles. So, FSH start increasing as a result initially
proliferative endometrium grows up to 5-6 mm size which is very fragile, only estrogenic primed endometrium. So, as soon as
estrogen level decreases, tissues undergo spontaneous breakage and bleeding as one site heals another, yet another new site of
breakdown will appear. Endometrial control mechanism is missing. So, excess blood loss is due to disorderly, abrupt, random
breakage of tissue- with opening of multiple vascular channels. (a) No vasoconstriction (b) No tight coiling of spiral vessel (c)
No collapse to induce stasis. As a result, a most common treatment program for such cases is: (i) Hormones OCP (ii) Estrogen
therapy (iii) Maintenance of hemoglobin (iv) Use of antiprostaglandins (v) GnRH (gonadotropin-releasing hormone) agonists
(vi) Ablation of the endometrium (vii) Surgical removal of uterus i.e. hysterectomy
An agent from this entire homeopathy -an alternative science is a better choice where without hormonal side effects bleeding
and the cycle can be controlled satisfactorily. Few things to take care like: (a) Proper case taking (b) Selection of similimum
(c) Selection of good potency (d) Selection of intercurrent remedy (e) Selection of mother tinctures for acute conditions (f)
Re-case taking- taking miasm behind into consideration (g) Give mental symptoms top priority (h) Reassurance to patient (i)
Spending some extra time with patient alone then with husband and children counseling them (j) See the response of cases.
So, managing DUB in the premenopausal female is time taking with best results.