Day 2 :
Keynote Forum
Gilmore G Solidum
University of the City of Manila, Philippines
Keynote: Going back to basics solutions to contemporary health care concerns
Time : 09:00-09:40
Biography:
Gilmore G. Solidum is a Professor at Pamantasan ng Lungsod ng Maynila (University of the city of Manila) and was former Dean of the College of Nursing and University Registrar of the same institution. Dr. Solidum is a registered nurse and a licensed professional teacher. Aside from his basic nursing education, he is a holder of a master’s degree in psychology and nursing and has a doctorate in management. Dr. Solidum is an awarded educator and researcher. His involvement goes beyond the academe as he is also active in professional development activities and community development initiatives.
Abstract:
Many health concerns are brought about by disregard to the simplest and most basic health care practices. The problem of health-care associated infections (HAI) is immense with 1/10-25 patients developing it and over 1.4 million cases at a given time worldwide. Sequelae of HAI, an infection absents upon hospital admission but acquired during the hospitalization, include more serious illness, longer hospital, chronic disability and even death. HAI is drawing more attention from stakeholders because of the heightened recognition that these infections are preventable. Health care workers frequently serve as conduit for the spread of infections to other clients in their care. Hand hygiene, the most efficient and cost-effective means of controlling hospital infection, is the most ignored intervention. A study assessed, through direct observation, the hand hygiene practices of selected Filipino junior nursing students of a city-run university (in Manila, Philippines) during drug administration and in-between patient care at a selected tertiary hospital during the students’ three-week clinical exposure in a medical-surgical unit. Results indicates the low hand hygiene compliance rates. Interestingly, the study also showed that with minimal prompting improvement was noticed weeks after with various reminders (as the only intervention) provided to students. Emphasis on infection control measures should be given to students at this level to instill the habit of hand hygiene. The World Health Organization (WHO) acknowledges that continuous staff education and improving personnel accountability are among simple measures toward infection control. With this and the ever-changing landscape in the health care delivery system, ensuring that nurses engage in lifelong learning is the position of the institute of medicine to move the nursing profession forward. As advancement in health technology rapidly ensues and clients’ demands and expectations to health care providers increase, nurses should be competent to meet the challenge. Continuous learning is essential to gain competencies needed to provide care for various clienteles across settings and lifespans. Lifelong learning includes all learning activities undertaken throughout life for the development of competencies and qualifications. A study describing lifelong learning among Filipino nurses of a tertiary government hospital in Manila, Philippines reveals that respondent nurses have a moderately high level for autonomous learning. Further, respondents prefer to plan their own learning, consider themselves as self-directed learners, love learning for learning’s sake and take it as their responsibility to make sense of what has been learned in school. As lifelong learning is increasingly drawing interest, health care leaders should encourage creative and newer strategies to engage health care personnel in lifelong learning.
Keynote Forum
Judilynn N. Solidum
University of the Philippines, Philippines
Keynote: Innovation in Research Translated for Improvement of Filipino Health
Time : 09:40-10:20
Biography:
Dr. Judilynn N. Solidum is Professor IV at the University of the Philippines, Manila and is the Administrative officer of the Association of Higher Education Multidisciplinary Researchers Incorporated, Philippines. She is a licensed pharmacist, an MS degree holder in Pharmacology, and a PhD degree holder in Environmental Science. Dr. Judy has her share of editorial positions as well as publications on both national and international levels. She has also been recognized on local, national and international tiers with awards related to her work as a journal peer reviewer, a translational researcher, and a storybook author especially on subjects concerning dengue prevention. She is one of the Philippine scholars, ready and willing to serve for the betterment of Filipino communities.
Abstract:
Translational research is a process where what has been gathered in the laboratory or clinic or field becomes the springboard for innovation for societal improvement. New scientific methods and technologies, interdisciplinary/multidisciplinary approaches, collaborative institutional arrangements are built to narrow the gap between basic science and its application to product and process innovation. In translational research, knowledge exchange is important for decision making. Knowledge generation funders, knowledge intermediaries, knowledge producers all work together for knowledge users to be able to utilize research results. In 2012, when dengue incidence was high in the Philippines, the three year Dengue Remove program was approved by the Department of Science and Technology, National Research Council of the Philippines, for the prevention of the disease. In the pilot area, Old Balara Quezon City, and several areas in Manila, parts of the Visayas and Mindanao, an innovation on Dengue prevention was applied. Elementary and pre-school students were educated on things related to dengue and its prevention. Storytelling was the strategy used to effectively relay the necessary information regarding dengue among the said age grouped students. Original storybooks were utilized to educate children on how to lessen the occurrence of Dengue in their respective communities. The strategy showed improvements on their knowledge regarding dengue and its prevention. Pre and post tests were used that determined the positive result. The difference between the tests showed extreme significance by means of t-test. A decline in the incidence of dengue occurred in the pilot place. Translation of innovation in research results improved Filipino public health.
- Biomedical & Health Informatics | Clinical Epidemiology | Environmental Epidemiology | Molecular Epidemiology | Cardiovascular Epidemiology | Behavioral Medicine | Personalized Medicine | Preventive Medicine | Medical Ethics & Health Policies | Homeopathy & Public Health
Session Introduction
Jean-Pierre Marissal
Hospital Group of the Catholic Institute of Lille, France
Title: Incentives to Reduce Nosocomial Infections: A Matter of Economics and Statistics
Time : 10:40-11:10
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:
Context: There is a growing political will to link hospital payments not only to the severity and complexity of the cases treated, but also to the ability of a structure to meet some objectives regarding public health or cost cuts. One possible and legitimate objective appears to be the performance as regards the prevention of nosocomial infections. Objectives: We analyse the ability of DRG-based payment systems to help defining financial incentives or penalties, as regards both their economic and statistical feasibility. Material: We assess the theoretical and empirical evidence for the possibility of payment / reward systems aimed at reducing the incidence of nosocomial infections, based on an analysis of the costs involved by such infections for hospitals in both terms of productivity and opportunity losses or gains. We use the case of Clostridium difficile infections as an illustration of the dilemma involved in the task of incentivizing hospitals to prevent nosocomial infections.
Results: There is room for the definition of payment / reward systems based on the definition of criteria related to the productivity gains / losses, based on DRG-payment systems and the estimation of opportunity costs involved. However, we show that the main problem we are facing is related to the assessment of the impact of the nosocomial infection on the duration of hospital stay at the individual level. Conclusion: The methodological stalemate involved in the definition of payment / reward systems, as shown by the analysis of a particular situation with general implications, calls for the definition of some academic consensus or common minimum standard of estimation of such a crucial data that is the measurement of the individual extra lengths of hospital stay.
Amal F. Allam
Alexandria University, Egypt
Title: Comparison of circulating cathodic antigen cassette test and real time PCR in diagnosis of schistosomiasis mansoni with different infection intensities
Time : 11:40-12:10
Biography:
Amal Farahat Mohamed Allam is an acting Dean of medical Research Institute, Alexandria University she is also the Vice Dean of community service and environmental affairs & Professor of Parasitology in Parasitology Department. She published her papers in many international Journals. She participates in many national health education campaigns and help in the treatment of poor population.
Abstract:
Objective: To compare the performance of urine circulating cathodic antigen (CCA) cassette test and real time PCR cycle threshold values in cases of Schistosomaisis mansoni of different infection intensities.
Methods: Stool and urine samples were collected from 110 school children after obtaining the consent of school guardians and children’s parents. Stool samples were microscopically examined using double Kato slides (41.7 mg each). Midstream urine specimens were tested for S. mansoni by using CCA and were tested for S. haematobium by filtration technique . Part of each stool sample was kept at -20 °C and further processed by SYBR Green PCR.
Results: All the examined cases were negative for S. haematobium. In spite of the high prevalence of S.mansoni , the majority of children had light infection intensity (64.3%) as estimated by Kato- Katz. The highest infection rate of S. mansoni was detected by real time PCR (82.7%), followed by CCA test (60%) while the lowest infection rate was diagnosed by Kato-Katz (50.9%). The three tests showed similar performance in moderate and heavy infections. On the contrary, among the 54 negative schistosomiasis individuals after Kato-Katz, real time PCR diagnosed higher positive cases (70%) in comparison to CCA (22%). Cycle threshold values higher than 25, suggest the absence of heavy infection.
Conclusion: Real time PCR was the most detector of positive S. mansoni cases missed by Kato- Katz and CCA test and it would enhance the effectiveness of surveillance and control programs of schistosomiasis. To detect low infection intensity and missed cases after Kato- Katz, it is recommended to increase the cycle threshold during application of real time PCR to 40 cycles.
Keywords: Schistosoma mansoni, Kato-Katz, circulating cathodic antigen (CCA) cassette test, SYBR Green, real-time PCR.
Su-Er Guo
Chang Gung University of Science and Technology, Taiwan
Title: Effects of early exercise on health status and quality of life in hospitalized patients with Chronic Obstructive Pulmonary Disease
Biography:
Su-Er Guo currently works at the College of Nursing, Chang Gung University of Science and Technology. Su-Er does research in Allied Health Science and Medicine.
Abstract:
Ying-Chieh Lai
Department of Healthcare Administration, Asia University, Taiwan, China
Title: Discussion on accessibility to mental and behavioral disorders in Taiwan in parallel with ICD-10 and ICF systems
Biography:
Abstract:
Taiwan promoted the ICF system in 2012 and ICD-10 system in 2016 as the national health insurance coverage for medical expenses. ICD-10 A system of diseases categorized according to the rules and expressed in a coded way. The ICF classification system provides a unified framework for classifying the functional states and disability that make up the health component. The ICF describes the etiology of medicine as a neutral word, focusing on the functional status of an individual rather than a disorder or condition. In addition, the ICF is a health classification tool that considers cross-cultural, age-and-gender variables, which makes the ICF classification system suitable for operation in different demographic contexts. The ICF classification system complements the WHO's (ICD-10) deficiencies because the ICD contains only information on disease diagnosis and health conditions, but no functional status description. The ICD and ICF are currently the core classification system in the World Health Organization's International Classification Family (WHO-FIC). This article explores the accessibility, convenience and safety of patients with mental and behavioral problems through the promotion of two systems and from 2008 to 2016 statistics. Our study found that the number of mental hospitals increased by 122%, the number of psychiatrists increased by 250% and the number of nursing staff increased by 248% between 2008 and 2016. These data show that the Taiwanese government needs more resources to promote long-term care policy and pay attention to the medical needs of potential patients with mental and behavioral disorders.
Ho Kim
Yonsei University, Seoul, South Korea
Title: Predictive Modeling for unmet needs in medical utilization by machine learning approach: using Korea health panel data 2011~2013 year
Time : 12:10-12:40
Biography:
Ho Kim, the first author, is on M.P.H. degree candidates from Institute for Health Promotion & Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, South Korea. He has published 2 papers in Neurosurgery(2015 Apr;76(4):372-80 and 2014 Aug;75(2):124-33).
Abstract:
Unmet need for medical care in Korea has been increasing due to a lot of reasons such as social, econmic or mental status, which has been associated with health inequalities. Therefore, the aim of this study is to develop predictive models for unmet medical need using both logistic regression model and random forest machine-learning approach. Korea Health Panel data from 2011 to 2013 year, surveyed by Korea Institute for Health and Social Affairs and National Health Insrance Service, were used for this study. There were 38 variables including independent variables such as age, educational level, marital status, economic activity, hosehold income quintile, health insurance type, national pension participation status and others. Dependent variable refered to the experience of an unmet need in using medical service although being needed. Total observations in 12,256 subjects were 30,061 and devided into training (18,037:60%), validation (6,013:20%) and test (6,013:20%). Machine-learning approach with logistic regression model and random forest model were used to predict the unmet need. Overall, 16.2% (n=4,864) of observations experiened unmet need in using medical service even though they wanted or had to use it. The logistic regression model showed area under curve (AUC) as 0.696 and random forest model presented 0.937 AUC in training, validation and test data-set. Conclusivly, prediction result could be different based on which machine-learning approach would be used for unmet need for medical service. And AUC of random forest machine-learning approach is shown to be better than that of logistic regression model.