Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 8th International Conference on Epidemiology & Public Health | ANA Crowne Plaza Narita | Tokyo, Japan.

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Scientific Program Day 1
Scientific Program Day 2

Day 1 :

  • Epidemiology and Public Health, Maternal | Infant, and Child Health | Psychiatric Epidemiology | Social Epidemiology | Obesity & Public Health | Reproductive, Perinatal and Pediatric Epidemiology

Session Introduction

Eze Chinwe Catherine

Uederal University Of Technology, Nigeria

Title: Public Health Impact and Risk Factors Associated With Uterine Leiomyomata Among Women In Imo State, Nigeria
Speaker
Biography:

Abstract:

Background: Uterine fibroids(UF), also referred to as uterine myomas, leiomyomas, myomatas, or simply fibroid are benign soft-tissue tumours that arise from uterine smooth muscle tissue (myometrium) .Nigeria is thought to have a high prevalence of fibroids due to its indigenous black population, since uterine fibroids are more prevalent in black women .Although uterine leiomyomata affect the reproductive health and well-being of approximately 25% of premenopausal women, risk factors are poorly understood. 

Objective: To examine public health impact and associated risk factors associated with UF among women in Imo State, its prevalence of, women’s knowledge about health services and to develop modalities to improve awareness to prevent morbidity and improve quality of life. 

Materials and Methods: A four year epidemiological, non-interventional, retrospective and descriptive study research was carried out .The data of all female patients (ages 14-55) within the inclusion criteria that presented with UF during the study period 3rd January 2015 to 3rd January 2019 was  obtained from medical records, theatre records of  gynaecology clinics and Laboratories selected in Imo State. In addition, a pretested and structured questionnaires structured questionnaire with open interviews was used to collect the data from the subjects. The main outcome measures were socio-demographic data, clinical history, myoma clinical features, symptomatology, and risk factors associated to myomas. Clinical, local and ultra-sonographic examination was done for the morphology of the fibroids. Comparison was done with histological picture for accuracy in clinical and sonographic diagnosis. Multivariable adjustment of risk ratios was based on log binomial regression. 

Result: A total of 520 subjects were studied. Fibroids mainly affected those in the reproductive age group (31-40 years). The common clinical presentations- were abdominopelvic mass (95%); menorrhagia (98.7%), infertility (43.9%), anaemia (30.9%) dysmenorrhoea (15.5%), and abdominopelvic pain (15.8%) miscarriages (3.5%) amongst other symptoms. The average uterine size at presentation was 15±9.7 weeks. Most of the patients were nulliparous (76.7%, 79/103) and 51.5% (53/103) were married. The mean age of the women was 35.42yrs ± 9.34 (range, 20-74 years). A significant relationship was found between Level of Education and development of fibroid (R= -0.196; χ2 value= 29.618; p = 0.001) and (R= 0.399, χ2 value= 92.923; p = 0.001) respectively.Majority of the women 88 (44.4%) had tertiary education, (24.7%) secondary, (24.3%) primary and (6.6%) had no formal education. Most of the patients had multiple fibroids, (40.9%) had intramural, (35.4%) submucous and (26.3%) subserous. Out of this number, (216) 37.0% and 45.4% were overweight and obese respectively. 

Conclusion: we identified nine possible risk factors that play an important role in UF epidemiology. The UF risk factors with the strongest evidence were age, weight and parity. High-quality prospective observational data are needed to improve our understanding of UF epidemiology, and thus its aetiology and optimal management and early detection thereby reducing morbidity. Health intervention programmes and healthy lifestyle should be encouraged with routine check-ups should be conducted so as to detect and possibly treat such tumours early. Further research is needed to find out biological factors causing fibroids including diet, stress, and environmental factors and adequate resources towards managing symptomatic patients at a subsidized rate.

Key words

Uterine fibroids, leiomyoma, incidence, prevalence, risk factors, Imo Epidemiology.

Marco Balenci

Italian Association of Analytical Psychology, Italy

Title: From Jungian Attitude-Types to a Comprehensive Model of Diseases
Speaker
Biography:

Marco Balenci, PhD, studied at the Universities of Florence and Rome. He is a Marco Balenci has completed his PhD from Universities of Florence and Rome. He is a Psychoanalyst and also a Member of the American Psychological Association, Associazione Italiana di Psicologia Analitica (AIPA), International Association for Analytical Psychology.
 

Abstract:

A comprehensive model of diseases is proposed - both in their physical and psychic aspects - starting from the pair of opposites named introversion and extraversion by Carl Gustav Jung in 1913. His seminal theory of typology was the reference for Elida Evans' book on cancer in 1926, which will be the foundation of psycho-oncology and of the holistic approach to cancer. Moreover, an explanation of neurological mechanisms underlying the conscious attitude-types of introversion and extraversion is presented. It is also shown that, since 1974, Sydney J. Blatt used these concepts to devise a theory of psychopathology that has had important effects on psychotherapy and on Diagnostic and Statistical Manual (DSM) of mental disorders In 1990, independently of each other, George A. Bonanno and Jerome L. Singer of Yale University, and Marco Balenci of Sapienza University conceived two similar models of diseases, based on the psychophysical balance of the attitude-types. After thirty years there has been no particular development of these models. Persistent dualism in medicine may explain this trend. Actually, this kind of model derives from a holistic view of medicine, which was advocated by George L. Engel giving relevance to bio-psychosocial factors since the 1950s. Currently, the discoveries of psychoneuroimmunology and developmental psychobiology can provide a new scientific impetus to the individual-as-a-whole in medicine. 
 

Reem Ajlouni

King Hussein Cancer Foundation, Jordan

Title: Impact of educational sessions on breast cancer awareness and knowledge in Jordan
Speaker
Biography:

She is working in the King Hussein Cancer Foundation, Jordan. 

Abstract:

Introduction & Objective: Breast cancer became one of the most common cancer worldwide accounting for 627,000 mortalities which is 15% of all cancer deaths. In Jordan, a lower-middle class income country, breast cancer accounts for 20.6% of new cancer cases with a mortality of 11.5%. Due to increasing breast cancer prevalence; the Jordanian Breast Cancer Program (JBCP) was founded to orchestrate national efforts and increase awareness on breast cancer screening and early detection. Several approaches have been taken, such as community based approaches including one to one sessions and one to group sessions. JBCP has acquired on conducting educational lectures throughout the Kingdom in order to raise awareness, change attitudes and inbound practices of breast cancer screening and early detection. Method: Data collected from pre and post-educational session’s evaluation was collected throughout the years of 2011-2015 in order to assess the improvement in the communities’ knowledge. A total of 11,873 questionnaires were collected and the data was entered, coded, and analyzed by the SPSS program. Results: Results have shown that after the educational session 68% of participants knew how to perform self-breast examination and 83% had planned to visit a healthcare provider to undergo clinical breast examination while 66% will undergo mammogram. The knowledge difference was assessed and there was 41% increase in the participant’s knowledge of breast cancer and its screening and early detection methods. Conclusion: With the efforts that JBCP has put in order to raise awareness on breast cancer, it has also coupled in facilitating the examinations to the participants in order to aid in transforming knowledge into practice.
 

Marco Balenci

Italian Association of Analytical Psychology, Italy

Title: Inward and outward: Opposite as dimensions for a model of diseases
Speaker
Biography:

Marco Balenci has completed his PhD from Universities of Florence and Rome. He is a Psychoanalyst and also a Member of the American Psychological Association, Associazione Italiana di Psicologia Analitica (AIPA), International Association for Analytical Psychology. 

Abstract:

A comprehensive model of diseases is proposed both in their physical and psychic aspects - starting from Carl Gustav Jung’s pair of opposites of introversion and extroversion in 1921. It is shown that this seminal approach will be taken up by scholars such as Claus B. Bahnson in 1960s and Sydney J. Blatt from 1974. In 1990, independently of each other, George A. Bonanno and Jerome L. Singer of Yale University, and Marco Balenci of Sapienza University conceived two similar models, based on the psychophysical balance of the two opposite attitudes. After thirty years, the evolution of this approach has had important developments in the psychiatric field, while for organic diseases it has been used much less. Persistent dualism in medicine may explain this trend. Actually, this kind of model derives from a holistic view of medicine, which was advocated by Engel’s consideration of bio psychosocial factors in the 1950s and is currently receiving a new scientific impetus from the discoveries of psychoneuroimmunology and developmental psychobiology.
 

Goloshchapov-Aksenov Roman

Friendship University of Russia, Russia

Title: Organizational and methodological foundations of the endovascular care system at the regional level in Russia
Speaker
Biography:

Roman Goloshchapov-Aksenov is a Surgeon of the highest qualification category, a cardiovascular surgeon, an interventional radiologist, associate professor of cardiovascular surgery of the Russian University of peoples ' friendship, head of vascular surgery and interventional radiology department. Medical work experience in the field of cardiovascular and endovascular surgery 18 years ago. Endovascular practice generalist - interventional oncology, gynecology, urology, neurosurgery, cardiology and cardiovascular surgery with a low complication rate and absence of fatal outcomes in patients when performing scheduled operations. 

Abstract:

The high effectiveness of endovascular care in acute myocardial infarction has been scientifically proven and is the rationale for increasing its territorial and economic accessibility to the population at the regional level. Aim: To develop the organizational and methodological foundations of the endovascular care system at the regional level in Russia. Material and methods: The development of organizational and methodological foundations of the endovascular care system at the regional level was carried out in the basic economically developed, densely populated (more than 7 million people) subject, in which there was no endovascular care. The methods of statistical analysis (correlation and regression), mathematical modeling, analogy and synthesis are used. The results were evaluated based on the analysis of the effectiveness of the implementation of the endovascular care system. Results: The organizational and methodological basis of the endovascular care system was developed, which includes four blocks: need (analysis of the general and special incidence of diseases of the circulatory system), standardization (development of medical and economic standards for endovascular care), safety (assessment of the safety of endovascular interventions and the quality of life of patients) and systematization (development of an organizational-functional model). Analysis of the results of the implementation of the developed fundamentals of endovascular care at the regional level for the period 2008 - 2017 evidence of their effectiveness, which was characterized by: the organization of 10 PCI centers, the development and implementation of 12 medico-economic standards of endovascular care, the high intensity of  hospitalization of patients with myocardial infarction in the first 6-12 hours for PCI (more than 80%), and a decrease in hospital mortality from acute myocardial infarction by 2.75 times (from 22% to 8%; p<0.05), a decrease in the average duration of treatment of patients with acute coronary syndrome in the hospital by 2 times (from 14 to 7 days; p <0.001), improved average bed occupancy rate from 305 to 340 (p <0.001) and an increase in bed turnover from 29.6 to 53.9 (p <0.001). Conclusion: The introduction of modern organizational and methodological principles of the organization of endovascular care at the regional level provides high quality medical care.
 

Lili Meng

Karolinska Institute, Sweden

Title: Identification of risk factors for cervical insufficiency: A population-based study
Speaker
Biography:

Lili Meng has completed her PhD from Sun Yat-Sen University. She has published more than 5 papers in reputed journals. She has been serving as an Obstetrician at Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University. 

Abstract:

Cervical Insufficiency (CI) is one of the most important etiologies which spontaneous late abortion/preterm birth. With the lack of population-based studies focusing on risk factors for CI, diagnosis and treatment are challenging, especially for the incident cases. The aim of this study is to investigate risk factors for incident CI in a population-wide register of deliveries. We identified as cases the first diagnosis of CI in women who delivered in Sweden from 2004-2012 by linking the Swedish Medical Birth Register (SMBR), the Swedish National Patient Register (SNPR). As a control group, we selected a random sample of deliveries during the same period from women who had no diagnosis of CI. Demographic, pregnancy-related, reproductive historic and medical historic characteristics of cases and controls were compared in univariate and multivariate analysis. All data management and analysis were conducted using SAS 9.4. A total of 822 incident CI deliveries was identified, corresponding to 8.7% of all deliveries (n=940624). In univariate comparisons of the 822 cases to 8220 controls, we found significant differences in maternal age and country of origin. The CI cases had higher parity and higher rates of multiple gestation, assisted reproduction, gestational diabetes and history of cervical operations. The independent contribution of these factors will be explored and the confounding effect of infertility and mediation effect of IVF will also be discussed. The results will provide evidence to help clinicians to identify women at risk of CI in time to provide management and treatment that can improve the pregnancy outcome.
 

Nadia Mohamed Ahmed Mohamed

National Research Centre, Egypt

Title: Biocompatible amifostine nanoemulsion via expression of nephrin in nephrotoxic experimental rat
Speaker
Biography:

Nadia Mohamed Ahmed Mohamed is currently working as a Professor in the field of Medical biochemistry. He has completed his Graduation from Ain Shams University with Bachelors of Science in Biochemistry.
 

Abstract:

Drug-induced kidney injury is the causative of acute kidney failure. Amifostine loaded silica nanoemulsion was synthesized using water/oil emulsion with the help of ultra-sonication waves. The nanoemulsion was prepared using Tetraethyl Orthosilicate [TEOS], Cetyltrimethylammonium Bromide [CTAB], Castor Oil [CAO] and Amifostine [AMF] as a source for silica, surfactant, extra stabilizing agent and a model drug respectively. The as synthesized nanoemulsion of silica and silica loaded with amifostine [SiNPs@AMF] was examined via Transmission Electron Microscopy [TEM] and Dynamic Light Scattering [DLS] in terms of particles shape and hydrodynamic average size. The study was extended to investigate the protective role of this nanoemulsion model as cytoprotective drug effect against cisplatin-induced nephrotoxicity in male albino rats. It was clearly seen that the successful preparation of the as-synthesized silica nanoemulsion loaded with amifostine [SiNPs@AMF] but the particle size was marginally increased when comparing with silica nanoemulsion. Additionally, Blood Urea Nitrogen (BUN), Serum Creatinine (SC) and Urinary Total Protein (UTP) were increased and the level of Creatinine Clearance (Crcl) was decreased. All those were met with disorders in oxidative stress and down regulation in expression of nephrin gene. Also, histopathologic changes of the kidney tissue were observed. These changes back to normal by treatment with silica nanoparticles loaded amifostine [SiNPs@AMF]. Oil/water nanoemulsion of [SiNPs@AMF] showed a protective and promising preventive strategy against nephrotoxicity due to their cytoprotective and antioxidant effects.
 

Abdul Halim Mokhtar

University of Malaya, Malaysia

Title: The effect of my body is fit and fabulous at school program on physical fitness in overweight and obese primary school children
Speaker
Biography:

Abdul Halim Mokhtar is currently working as an Associate Professor in Sports Medicine from the Faculty of Medicine, University of Malaya. He is also Senior Lecturer in Master of Sports Medicine program in the University, and practices as a Consultant Sports Physician in Universiti Malaya Medical Centre and UM Specialist Centre. He has completed his Graduation as a Physician from University of Malaya with Master in Sports Medicine.
 

Abstract:

The aim of this study was to investigate the effect of My Body is Fit and Fabulous at School (MyBFF@school) program on the physical fitness of overweight and obese primary school children. The intervention group went through six months of MyBFF@school program which was 30 minutes of Small-Sided Games (SSG) session twice a week, replacing physical education sessions and additional one hour for extracurricular activities per week for nutrition and psychology component. Meanwhile, the control group underwent the standard physical education lesson and extracurricular activities. Physical fitness was assessed using Modified Harvard step test. Data were collected at baseline, month-3 and month-6 of the program and were analyzed using IBM Statistical Package for Social Science (SPSS) version 22. At baseline, the mean physical fitness score of both intervention and control groups were comparable and denoted no significant differences. The fitness score in both groups showed significant improvement over 3 and 6 months, and at 6 months, the mean (SD) were 72.609 (4.51) intervention and 72.452 (5.10) control respectively. However, the intervention group showed better improvement than the control at month-6 (0.553 differences, p=0.026). We also found significant changes in the intervention girls and morbidly obese category. MyBFF@ school program improved physical fitness of the primary school children. The improvement in physical fitness was especially notable among girls and the morbidly obese category.
 

Rajvir Singh

Hamad Medical Corporation, Qatar

Title: Factors influencing family consent for organ donation in Qatar: Results of a household survey
Speaker
Biography:

Rajvir Singh has completed his PhD in Biostatistics from All India Institute of Medical Sciences, New Delhi and Post-graduation in Mathematics from Agra University, India. He is currently working as a Senior Consultant in Biostatistics at Hamad Medical Corporation, Doha, Qatar. 

Abstract:

Consent rate and organ donors are co-linear to each other. Study assesses influence of socio-demographic and behavioral factors on family consent rate for organ donation in household population, Qatar. 1044 subjects of age 18 years and above were enrolled between October and November, 2016. A validated questionnaire was used to collect data through face to face interview by trained interviewers in two stage systematic random process. Integer codes were applied to make qualitative data at par on quantitative data for each domain. 532 (51%) subjects, average age 38.9±10.5 years, were agreed to family consent for organ donation. 479/532 (90%) of the subjects were higher secondary and above educated. The consent was more in those who heard about organ donation (87.8%) and donated any organ blood/tissue (32%) than those who do not heard ( 83%) and not donated any blood/tissue (26%), p<=0.05 (for both). Knowledge (0.48±0.14 vs. 0.44±0.16, p=0.001), attitude (0.93±0.60 vs. 0.47±0.65, p=0.001), behavioral belief (0.49±0.46 vs. 0.35±0.47, p=0.001) and intention to organ donation (0.40±0.31 vs. 0.18±0.28, p=0.001) indices were more in those who agreed to family consent. Multivariate logistic regression analysis showed that attitude (aOR: 1.73, 95% C.I.: 1.28-2.34, p=0.001) and intention to organ donation (aRO: 7.50, 95% C.I.: 4.0413.92, p=0.001) were associated to improve the consent whereas; control belief was negatively associated. Model was able to discriminate (C: 0.74, 95% C.I.: 0.71-0.77, p=0.001) between agreed for family consent and those who did not. Factors knowledge, attitude and intention to organ donation were found associated to family consent to increase organ donors in the study.
 

Tala Hamadeh3

Jordan Breast Cancer Program, Jordan

Title: Impact of educational sessions on breast cancer awareness and knowledge in Jordan
Speaker
Biography:

She works for Jordan Breast Cancer Program in King Hussein Cancer Foundation, Jordan.

Abstract:

Introduction & Objective: Breast cancer became one of the most common cancer worldwide accounting for 627,000 mortalities which is 15% of all cancer deaths. In Jordan, a lower-middle class income country, breast cancer accounts for 20.6% of new cancer cases with a mortality of 11.5%. Due to increasing breast cancer prevalence; the Jordanian Breast Cancer Program (JBCP) was founded to orchestrate national efforts and increase awareness on breast cancer screening and early detection. Several approaches have been taken, such as community based approaches including one to one sessions and one to group sessions. JBCP has acquired on conducting educational lectures throughout the Kingdom in order to raise awareness, change attitudes and inbound practices of breast cancer screening and early detection. Method: Data collected from pre and post-educational session’s evaluation was collected throughout the years of 2011-2015 in order to assess the improvement in the communities’ knowledge. A total of 11,873 questionnaires were collected and the data was entered, coded, and analyzed by the SPSS program. Results: Results have shown that after the educational session 68% of participants knew how to perform self-breast examination and 83% had planned to visit a healthcare provider to undergo clinical breast examination while 66% will undergo mammogram. The knowledge difference was assessed and there was 41% increase in the participant’s knowledge of breast cancer and its screening and early detection methods. Conclusion: With the efforts that JBCP has put in order to raise awareness on breast cancer, it has also coupled in facilitating the examinations to the participants in order to aid in transforming knowledge into practice.