Day 1 :
National Center for the Analysis of Healthcare Data (NCAHD), USA
Keynote: Understanding Primary Care Healthcare Disparities at the Community, Regional and State Level through Visualization
Time : 9:00-09:40
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
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.
Magna Graecia University, Italy
Time : 09:40-10:20
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.
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)
University of Mississippi Medical Center, USA
Keynote: ADHD THERAPY IMPACT – Upon Community Health from a Pediatric Endocrine Practice Perspective
Time : 10:40-11:20
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.
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.