Day 2 :
Keynote Forum
Usman Rasool Lodhi
Provincial Tuberculosis Control Program – Punjab, Pakistan
Keynote: Treatment Outcomes and their Association with Type of Resistance among Drug Resistant Tuberculosis patients during 2014-2015 in Punjab, Pakistan: A Retrospective Cohort Analysis
Biography:
Ex. Affiliation: College of Physicians & Surgeons Pakistan and University of Health Sciences, Punjab.
Currently I am involved in two more research studies related to DRTB in Punjab. I also support implementation of National Guidelines for PMDT in Punjab along with technical assistance regarding regimen selection especially on New Drugs and Short Term Regimen for MDR-TB. Before joining PTP, I also worked with Association for Social Development as a Regional Coordinator and MDR Physician. Since 2013 I am working in public health intervention Program related to Drug Resistant TB.
Abstract:
Tuberculosis still the deadliest infectious disease among all communicable infections and DRTB remains an evil for low income countries like Pakistan. Irrational use of second line drugs including fluoroquinolones and second line injections along with lack of proper awareness to both level community and treatment provider, less number of diagnostic and treatment centers, poor adherence to treatment, primary default, infection prevention and lack of technical resources in Punjab may lead to rise in incidence of DRTB. To find out treatment outcomes and their associations with type of resistance among DRTB patients in Punjab, retrospective cohort analysis was done. Of the total bacteriologically confirmed DRTB registered patients at various PMDT sites across Punjab, n=2046 patient’s records were analyzed. Bivariate analysis shows a significant positive association (relative risk [RR] 1.7 & p-value = < 0·001) between type of resistance and treatment outcome in DRTB patients. Overall treatment success rate for DRTB in Punjab was 61.14% and favorable outcomes including cured and treatment completed were 59.4% and 1.7% respectively. While the unfavorable treatment outcomes including died, LTFU, not evaluated, treatment failure were 22.3%, 9.7%, 3.5%, and 2.7% respectively. Scale up DRTB surveillance activities, contact screening, integration of DRTB with other public health programs, active case finding among populations will have a positive impact on drug resistance tuberculosis case notification and control over spread of diseases.
Session Introduction
HU Xiuying
Sichuan University, China
Title: Nursing interventions of Dementia in China from 2013-2017: a bibliometrics analysis
Biography:
Xu Xiaofeng is a graduate student at Sichuan University,China.Her major is Geriatrics Nursing.She has published some articles in indifferent journals. She has done a series of research on Geriatrics Nursing.Hu Xiuying is professor and has published more than 100 articles in in reputed journals and has been serving as an editorial board member of repute.
Abstract:
Objective To explore the research development situation of dementia nursing interventions in China from 2013 to 2017 by bibliometrics analysis. Methods The CBM, VIP, CNKI and wanFang databases were used to retrieve the studies describing dementia nursing interventions met the predefined criteria from 2013-2017. Altogether 1149 articals were included and were analyzed by bibliometrics method. Results The studies on dementia nursing published annual volume of 250-300 papers. The mainly productive institutions in dementia nursing research were in Jiangsu, Zhejiang, Guangdong, Hubei, Jilin region. The paper wre mainly published in the China's Health Nutrition，followed by The World's Latest Medical Information Abstracts and Medical Information, etc. The research topics mainly focused on clinical nursing , followed by complications of care and psychological intervention. The study design use in dementia nursing research were mainly experimental study, followed by quasi-experimental study and experience reports. The study objects mainly focused on patients with dementia, followed by caregivers of dementia. Conclusion In the past 5 years, there are many researches on nursing in dementia. The dementia nursing developed well with extensive topics but lacked of high quality research
Naina Sachdev
Beverly Hills, California
Title: Nutrigenoimc enhancement in bioidentical hormone replacement therapy- solution for chronic disease prevention
Biography:
Prior proctor and gamble olay ambassador. Md Abaarm anti-aging expert
Abstract:
To overcome chronic disease hormonal imbalances are crucial to balance but in a safe and effective manner.
Using low dose physiologic bioidentical hormone replacement therapy combined with nutrigenomic enhancement of bioidentical hormone replacement therapy is by far the safest option biochemical for the person affected with the chronic disease. This results in partially reversing the ageing process as each hormone has over 300 different functions.
Nutrigenomics: An integrated approach in use with bhrt. By combining bhrt and nutrigenomic substances one can optimize. Bhrt in terms of efficacy and safety.
Three key learning objectives:
key concepts in understanding nutrigenomic medicine
Use of key nutrigenomic substances to enhance estrogen metabolism
Use of key nutrigenomic substances to increase production of key hormones within the body.
Key hormone functions of each hormone and how it relates to chronic disease.
Wang Lingying
Sichuan University, China
Title: Disease Burden in Chinese Dementia patients：A Bibliometric Analysis
Biography:
Wang Lingying is studying in West China School of Medical,Sichuan University for master nursing degree.She is a student cadre. Hu Xiuying is a professor. She has published more than 100 articles in reputed journals and is the head of the nursing department in West China Hospital.
Abstract:
To provide a reference for further research on the burden of dementia patients by studying the relationship between the burden of disease in dementia patients and the existing problems. Methods Bibliometric analysis was conducted on the main contents and related characteristics of the literatures in CBM, VIP, CNKI and WanFang databases. Results A total of 147 articles were included in this studyand about 122 articles(83.0%) were periodical ones. Literatures from Beijing enjoyed the largest share of 24 articles(16.4%); 86.4% of the first author were from hospitals and universities;All articles were published in 76 kinds of journals and Chinese Journal of Gerontology had the biggest share, about 5.4%; Cooperation degree of the authors was 3.21 and coauthor rate was 74.8%. Most research objects were caregivers, accounting for 57.8% and 6.8% of the literatures were carried out in multidimensional burden. 45 papers were supported by funds and 22 literatures were cited more than 20 times. Conclusion The research on the burden of disease in dementia patients is more and more concerned by researchers. However, the quality, breadth and depth of overall research need to be strengthened to improve the research and reduce the burden of dementia patients.
Faryal Luhar
Doctor of Naturopathic Medicine, United Arab Emirates
Title: Importance of the Gut Microbiome for Optimal Health Outcomes in Metabolic Diseases
Biography:
Dr. Faryal Luhar, ND, Doctor of Naturopathic Medicine, Registered in South Africa and Canada
Abstract:
Microbes existed on earth long before humans. Single-celled bacteria living in or on the human body outnumber human cells; the American Academy of Microbiology putting human cells at 37 million, compared to 100 trillion cells of the microbiome. This co-existence between the human self and his/her intestinal microbiota is vital for optimal health; the extensive population and diversity of the microflora playing a crucial role in one's genetic expression, immune function, body weight and composition and even mental health. Ongoing research on the human microbiome reinforces the notion that humans live in symbiosis with a diverse microbial population; how this affects health and disease is an important question.
The microbiome composition varies between healthy individuals and those afflicted with numerous diseases. A flurry of scientific research has implicated these microbes as having a significant role in digestive disorders as well as the development of obesity, diabetes, cardiovascular disease and even cancer. The role of inflammation in the pathogenesis of these diseases is well-recognized. Inflammatory markers and metabolic endotoxemia are increased in obesity, diabetes and insulin resistance, and cardiovascular disease and the gut is the primary point of entry for modifying these inflammatory states. The gut microbiota is being recognized as a separate endocrine organ capable of “crosstalk” with the host, thereby influencing health or disease. The human microbiome is now viewed to be a counterpart to the human genome.
Important considerations in addressing dysbiosis to reduce or resolve the incidence of these diseases include toxic foods, overuse of antibiotics, environmental factors, pharmaceutical medications (PPIs, NSAIDs) and others. Developing a healthy gut flora begins with vaginal childbirth and breastfeeding. A healthy diet to reduce inflammation and oxidative stress, stress management, and the use of Probiotics are other essential factors that beneficially influence the internal ecology to improve health outcomes. The loss of microbial diversity is also linked to urbanized living and reconnecting with nature may play a significant role in health and disease outcomes.