4^th World Congress on Public Health, Epidemiology & Nutrition May 24-25, 2018 Osaka, Japan

Biography:

Ann K. Peton is the Director of the National Center for the Analysis of Healthcare Data (NCAHD) located in Blacksburg, Virginia. The mission of NCAHD is to provide data mapping and analysis support of advocacy, healthcare education planning/expansion, research, and other healthcare workforce planning at the national, state and local levels using the nation’s most complete collection of physician and non-physician data, demographic, socio-economic, and political data

Abstract:

Disparities in the distribution of healthcare workforce in rural areas has been a persistent problem in the United States for decades. Adding to this problem are complexities of causes surrounding the lack of quality and consistent data regarding rural population health and workforce. Since 2007, the National Center for the Analysis of Healthcare Data (NCAHD) created a data collection process for the generation of national healthcare workforce datasets of physicians, nurse practitioners, physician assistants, dentists and eleven other healthcare providers that is made available through a free internet mapping portal. Much has been documented about current primary care workforce disparities and the need for new incentives and policies to cause more effective change. But to truly understand the impact these disparities have upon rural we must assess them over time and utilize these results for future program planning, program evaluation and policy development. Through the National Center for the Analysis of Healthcare Data Enhanced State Licensure (ESL) dataset, trend analysis of primary care workforce impact has been conducted to demonstrate the impact upon rural over time. Our presentation will provide statistics results of healthcare workforce trends and instruction on how to utilize our free national healthcare workforce internet mapping portal to generate maps, perform spatial analysis in the following manners: View 14 different healthcare providers at the state, county and zip code levels and download the data to your own computer; create service areas based upon drive distance from a user-defined site (e.g. clinic, city, etc.) and perform spatial analysis; view and then download the providers by state, county, zip code; view healthcare primary care provider workforce migration trends analysis and drill down from national to community level data in support of policy and economic decisions. As healthcare providers, educators, grant writers and policy makers have easier access to current healthcare workforce data and other relevant data (demographic, socio-economic, healthcare facilities, healthcare training institutions, etc.), they will be able to make better informed decisions. The participants of this my session will learn about the value data visualization within healthcare management and planning.

 

Biography:

Cleto Corposanto is Full Professor of Sociology at Magna Graecia University of Catanzaro, Italy. Previously he was Associate Professor at University of Trento. Chair of Sociology BA and MA, he is the scientific Director of Crisp - Research Center on Health Systems and Welfare Policies and. He chairs moreover the Italian Academic group of sociologists of Health and medicine.

Abstract:

The aim of this work is to deepen an aspect of the disease that until now has not been in any other way considered. The medical studies on celiac disease are many, we know the different forms with which the pathology manifests, but little or nothing is known about how the person lives his health condition. One aspect that is rather relevant, given that in addition to the clinical parameters on which the diagnoses are made, the doctor should also take into consideration the approach that the person establishes with food at different times of the day, and since the exclusion from the diet of gluten is the only existing cure, the psychological and social relapses are easily conceivable. We are within a scenario where on the one hand we have the inability to take any medication that can inhibit the symptoms, on the other the relevance of nutrition to a celiac person is remarkable because the food becomes no longer just a primary need, but it acquires a role full of meanings and multiple facets related to the wellbeing of the person. We live in a society where food-related aspects are a media phenomenon, with a televised palimpsest focused on gastronomic talk-shows up to reality shows in which psycho-physical discomfort and relational dynamics related to eating disorders become of common interest. This attention to food dynamics in its different forms, whether deriving from the media factor, or are dictated by the medical context, inevitably imply resilient behaviors depending on the scope within the which they occur.

Nutrition and health, the latter understood in its broadest sense to the welfare of the social actor, become a moment of shared reflection, in a reality today that considers food an element laden with meanings, even more if the latter it is considered the border that traces the boundary between wellbeing, medicine and medicalization. The celiac person encloses in its value, social, working and medical sphere all the aspects hitherto described, for this reason we have decided to understand how (and how much) the Celiacs are considered sick and to what extent this affects Everyday.

The purpose of this contribution is to test a questionnaire that can be the first tool through which it is possible to place each celiac subject within a range that characterizes its personal approach to the disease.

In this regard, the results of a web-survey will be discussed, thanks to the support of social media and the Web information channels most widely consulted by Celiacs.

The methodological purpose of the questionnaire is to build a scale that measures the level of disease not from the medical point of view of clinical analyses, but from the direct point of view of the person who lives the disease daily. Six macro areas will be investigated: Disease, Semantic Illness, Institutional Sickness, Sonetness, Sickscape, Experencied Illness (Corposanto, 2011)

Biography:

George Moll received Biochemistry PhD and MD from University of Chicago Pritzker School of Medicine. He is Tenured Professor Pediatrics and Pediatric Endocrinology at University of Mississippi Medical Center (UMMC) where he has been Division Chair for 25 years. He published over 50 peer reviewed papers and 100 abstracts. Dr. Moll has over 40 years Clinical practice, Education as Graduate Faculty UMMC School of Medicine, and Research experience. He is UMMC Sigma XI Chapter President and holds Chair or Vice-Chair in Mississippi Academy of Sciences Division of Health Sciences. He serves as Abstract and Journal Reviewer and Mississippi Health Department Genetics Advisory Board member.

 

Abstract:

A primary goal of Pediatricians and especially Pediatric Endocrinologists is to support healthy physical growth and mental development of children. The National Institute of Mental Health reports one in five (21%) children have diagnosable mental, emotional or behavioral disorders with Attention Deficit/hyperactivity (ADHD) most prevalent. A 2010 survey finds five million US children 3-17 years of age diagnosed ADHD (8%). With appropriate treatment, children with ADHD can improve short term learning that raises concerns for non-prescribed use such as during college finals and controversy regarding ADHD therapy addiction and substance abuse epidemic.  We identify 225 of our 5-10 y/o patients (~8%) diagnosed and treated outside our practice for ADHD and review their progress and the ADHD literature for influence upon response to Pediatric Endocrine therapy for autoimmune thyroiditis (56 of 225), hyperthyroidism (3), diabetes mellitus type 1 (9), congenital adrenal hyperplasia (2), and the majority for various physical growth disorders (180). We present two case reports where ADHD consideration delayed endocrine diagnoses, but we note ADHD therapy to minimally interfere with thyroid, diabetes mellitus or adrenal therapy though individual compliance can be adversely affected. We note short term ADHD therapy physical growth delay consistent with literature assessment awaiting at least 6-year anticipated “catch-up” growth. We encourage ADHD children to attend to monitoring for appropriate ADHD therapy adjustments with their prescribing physicians. Our observations support particular attention to 4-6 month interval growth assessments for pubertal children, especially those on ADHD therapy, to consider early growth therapy to optimize attainment of individual adult height potential.

 

Biography:

Before joining the University of Portsmouth, she worked as a Teaching Fellow in the Department of Social Statistics and Demography at University of Southampton from where she taught and coordinated modules in Quantitative methods, Research methods and Demography.  Prior to that, she worked with the Malawi Government's National Economic Council and Ministry of Finance as Economist.  My main responsibility was providing advice to policy makers on economic and development policies.  During this time, she participated on a qualitative study on people's perception on the impact of government policies and programmes on their poverty situation.

Abstract:

Child under-nutrition is a major global health challenge that is implicated in child deaths in developing countries every year and contributes to poor cognitive development.  Recent estimates reveal that in Malawi 37% children are stunted, 12% are underweight and 3% are wasted.  This paper used the 2000 and 2015 Malawi Demographic and Health Survey data to examine the co-existence of stunting and underweight within a child, identify children that suffer from stunting only, and performed a multinomial logistic regression to analyse changes in the determinants of child nutritional status in Malawi.  The percentage of children that are stunted reduced from 37.2% in 2000 to 26.8% in 2015.  The majority of children identified as underweight were also stunted: 14.5% in 2000 and 8.8% in 2015, indicating the existence of the double burden of child undernutrition.  The following factors were significantly associated with a child’s nutritional status:  age, sex, size at birth and household wealth status.  Mother education level was only consistently associated with child stunting while mother height, mother weight and having a younger sibling were important associates of the double burden of child undernutrition.  Child stunting and the double burden of child undernutrition have declined but remain high.  Increased female education especially at secondary or higher level and child spacing are likely to help tackle child undernutrition in Malawi. Replacing the underweight measure by the double burden of undernutrition measure may help with the formulation of appropriate policy interventions to tackle child undernutrition in Malawi and affected countries.  

Biography:

Jean-Pierre Marissal works as a health economist at the Catholic Institute of Lille, and the depending hospital structures. He gives lectures on microeconomics at the same academic institution.

Abstract:

Background: Malnutrition among elderly people is a major factor of frailty and dependency, having consequences on both health and quality of life. This factor is also associated with specific difficulties in the process of screening and caring, needing dedicated processes. Objectives: We analyse the economic and medical relevance of an experimental process going from the screening of malnutrition to the definition of individual care plans, and the assessment of the clinical impact. This process required the involvement of hospital workers and ambulatory networks around a specialized hospital team. Data and methods: 272 patients were included between April 2013 and October 2015. Patients were recruited by physicians from the emergency ward (34.9%), the external geriatrics consultation (26.1%), the traumatology ward (11.8%), the cardiology ward (11.0%), other short stay wards (4.6%), and the day hospital for geriatrics evaluation (2.6%). Five general practitioners recruited patients (4.4%). Among the 272 patients, 106 were seen during during a follow-up consultation, on average 7.2 months after their inclusion. Results: The specialization of the team and tts central position in the hospital organization ensured the economic viability of the process by allowing a relevant use of the available resources, a constant influx of cases, and a reduced cost of screening and assessing the medical needs. This process was associated with an improved nutritional status for 35.7% of persons displaying a risk of malnutrition, and for 54.5% of patients diagnosed as malnourished at the inclusion. Gains were not limited to the sole nutritional status, inducing positive externalities for the patients of their participation to a nutritional care. Conclusion: The involvement of hospital workers and ambulatory networks has a proven medical interest for the care of elderly patients with malnutrition-related problems.