^{4th International Conference on} Internal Medicine & Hospital Administration October 23-24, 2019 Amsterdam, Netherlands

Biography:

Dr. Naznin Esphani has completed her M.B.B.S at the age of 22 years from Madras University, Postgraduate MD in Internal Medicine from Howard University Hospital, and Fellowship in Palliative Medicine from University of Texas M.D. Anderson Cancer Center. She had served as Hospices Director. She is a clinician at University of Maryland Medical Center, Midtown Campus and a Clinical Assistant Professor at University of Maryland School of Medicine. She has presented at several National conferences & an International conference. She has published several clinical papers, and co-authored a chapter on “Current trends in Pain Management in Palliative Medicine.”

Abstract:

Constipation is a commonly prevalent condition and often a distressing digestive complaint. Left untreated/undertreated, it may be associated with severe morbidity and occasionally in mortality. Patients with constipation/ silent excessive colonic fecal stasis (ECFS) may present with myriad symptoms, either ( a). Gastrointestinal symptoms (GIS) or (b). Constipation equivalent symptoms, including chest pain/failure to thrive, or delirium, urinary tract infection, to list a few. This may sometimes lead to unnecessary extensive, and expensive non G.I. work up. Patients, with constipation/ECFS, also experience impaired quality of life. The economic burden due to constipation, and/or its potential complications, on the patient, caregiver and the healthcare industry is enormous. A research study, conducted on 100 patients with significant coprostasis on AXR, revealed, 54 (54%) did not complaint of constipation (although they were silently developing ECFS). 2. Radiologists reported evidence of coprostasis in 56% of subjects. (95% CI, 46-65%). The p value was < 0.001 for comparison of the radiological assessment for coprostasis by Dr. A (author), and the radiologists. Of the 64% patients who were treated for coprostasis, 24 (24%) were probably adequately treated, 26 patients were inadequately treated, and 14 patients were probably inadequately treated. The findings of this study should prompt clinicians to independently review plain AXRs in order to identify coprostasis. Heightened awareness of clinicians to appropriately address the coprostasis will improve patient quality of life, and may avert case fatalities. Also, the findings of this study should prompt radiologists to increase reporting of coprostasis in the “final impression” section” in all cases when evident on imaging studies.

Biography:

Geramie M. Acebuque has completed her Medical Education at the age of 28 years from Manila Central University – Filemon D. Tanchoco Medical Foundation. She is the Chief Resident of Dr. Jose N. Rodriguez Memorial Hospital Department of Internal Medicine.

Abstract:

The fear of leprosy leads to stigma and is due to lack of knowledge about leprosy. 4 The main purpose of this study is to assess knowledge and attitude of a tertiary Hospital staff in Caloocan City, Philippines about leprosy. A cross-sectional survey was conducted among the staff of a tertiary Hospital in Caloocan City, Philippines. Reason for choosing the staff was to assess their knowledge and attitude about leprosy since this tertiary hospital is formerly known as Central Luzon Sanitarium or Tala Leprosarium which accommodate patients suffering from Hansen’s Disease before the Hospital becomes a Tertiary Hospital treating Medical and Surgical cases.Two hundred and sixty eight individuals completed the questionnaire. More than half 51% of the participants were male (n-137). About 39% (n-104) were from the age group of 31-40 years old. More than half 63% of the participants were college graduates (n-169). About 51% (n-141) were from the medical group. Of the total sample, 15% (n-41) were Doctors, 34% (n-91) were Nurses, 0 % (n-1) were Psychologist, 0% (n-1) were Physical therapist, 1% (n-3) were pharmacist, 1% (n-4) were Medical technologist and 47% (n-127) were from non medical group. Three fourths 79% (n-212) had 1-5 years length of service. The p-value for the test on difference in attitude between medical and non medical staff is .654, which is greater than .05 level of significance. The p-value for the test on difference in knowledge between medical and nonmedical staff is .000, indicating a very small number which is less than .05 level of significance. The medical staff got higher scores on the test of knowledge on leprosy compared to the non medical staff. The knowledge and attitude of a tertiary Hospital staff in Caloocan City, Philippines about leprosy is good. There is a significant difference between medical and non medical staff when it comes to their knowledge towards leprosy. Meanwhile, there is no significant difference between medical and nonmedical staff when it comes to attitude towards leprosy.

Biography:

Abstract:

Sleep deprivation disrupts vital biological processes that are necessary for cognitive ability and physical health, but the effect on haematological indices of anaemic individual are largely unknown. The purpose of this present study is to determine the effect of sleep deprivation on red blood cell morphology in rats induced with iron deficiency anaemia. The haematological parameter of anaemic rats fed with garri was investigated. Garri, popular Nigerian fermented cassava gruel was used to feed rats for twenty-five days and later sleep deprived for 7days. Thirty rats were divided into Groups I, II, III and IV respectively. Group I which was the control had 12 rats and was fed normal rat chow while groups II, III and IV had six rats each and was fed with garri for the period of 25 days. After confirming anaemic status of the rats, they were further grouped into four. The former group I was divided into A and B which are the Normal (A) and Normal sleep deprived (B). The former group II, III and IV were selectively grouped into C (anaemic sleep deprived) for the 7 days sleep deprivation phase. The haematological, serum ferritin level and weights of the animal was analysed. Histological examinations of the bones of the rats were assayed. There was no significant change in the white blood cell count of the rats with iron deficiency anaemia with those of the control which was fed normal rat chow after been sleep deprived. The haemoglobin, platelet count and red blood cell counts of anaemic rats and anaemic sleep deprived rats was decreased when compared with the normal (control) and normal sleep deprived rats. The serum ferritin level of anaemic rats and anaemic sleep deprived was reduced when compared with the control rats. It is suggested that nutrients rich in iron content and most especially fortification of Garri with iron supplements should be adopted in order to prevent iron deficiency anemia in the society.

Biography:

Mohamed ElSheikh has completed her bachelor degree in medicine and general surgery at age of 25 years from Tanta university, school of medicine Egypt. Then got his MD in Emergency Medicine and Traumatology at age of 28 years. Current job assistant lecture of Emergency Department at Tanta University Hospital.

Abstract:

Background: Acute pancreatitis is a grave condition that requires fast and accurate diagnosis to save lives and prevent complications. In this study, we evaluated the fast and bedside urinary trypsinogen-2dipstick test in the diagnosis of acute pancreatitis. Aim of Work: This study was designed to evaluate the predictive value of the rapid urinary trypsinogen-2 test strip in acute pancreatitis, in comparison with serum amylase and serum lipase in Emergency Department at Tanta University Hospital. Subjects and Methods: Thirty-five (35) patients with acute pancreatitis (Group I) and thirty-four (34) patients with other causes of acute abdomen (Group II) were included in the study. Full history taking, clinical examination, and laboratory investigations including urine analysis and serum levels of creatinine, random glucose, lipid profile, total and direct bilirubin, albumin, liver enzymes, total calcium, amylase, and lipase were undertaken. In addition, radiological examinations, using abdomi-nopelvic ultrasonography, computed tomography of the abdo-men and conventional X-ray when appropriate were under-taken. Urinary trypsinogen-2 was tested using dipstick. Results: We found that the most common cause of acute pancreatitis was gall stone obstructive pancreatitis (76.47%), serum amylase and lipase were elevated in (91.18% and 88.24% respectively) in acute pancreatitis. While urinary trypsinogen-2 dipstick test was positive in 100% of patients with acute pancreatitis. The specificity of serum amylase, serum lipase and urinary trypsinogen-2 in diagnosis of acute pancreatitis was (76.47%, 88.24% and 100% respectively). Conclusion: Urinary trypsinogen-2 dipstick test is a promising fast and easy test performed in the effort of diagnosis of acute pancreatitis. Further studies on large number of patients are mandatory to confirm the findings in this study.

Biography:

Abstract:

Tribal and their cultural context of illness and health is a broader known fact. Tribals, across the length and breadth of India, are following certain traditional norm related to their wellbeing and illness irrespective of their regions or religions. The present paper aims to explore the health and health care of the tribals in India. A systematic review of the literature was done to examine and identifies the factors of tribal health and health care beliefs in India and to analyze the pattern of their health care practices and beliefs. Tribal health is one of the important phases of tribal development that is ignored and underutilized for years. The core of tribal development cannot be achieved without the paying the due attention to their health care beliefs and practices. The reflections from the analysis show the deprived state of health of the tribals. Further, it is indicative from the analysis that traditional system of medicine and health care is diminishing among tribals and the modern health care systems are yet to adopt. Tribal people have their system of health care which is built upon their own belief. The tribals have a strong traditional system of medicine. But the recent empirical evidence indicates that the tribal indigenous health practices are on degrading track. Most of the tribe believes in supernatural power and magico-religious system of health care. The health condition of tribal is very pathetic. Though there are numbers of studies which reflect the poor health condition of the tribes across the length and breadth of the country; yet there is inadequate information available on the health status of the tribes in the country. The various studies have reported the problems of anemia, diarrhea, malaria and sexually transmitted diseases among these groups. There are numerous contributing factors and causes for the poor health condition of the tribes in India. The inadequate health personnel, inaccessibility to health care, and poor health infrastructure are among the few reasons for the poor health status of tribes in the country. The geographical pattern of their settlement and extremely varied regions make it furthermore difficult to reach them and address the health problems. This misery is further worsened and complicated by poverty, illiteracy, lack of awareness about the diseases, lack of safe drinking water, poor sanitation, age-old traditional practices about cure and ailments, irrational belief system. The present study is an attempt to analyze the health conditions and health care beliefs among the tribes in Jharkhand.