Day 1 :
Keynote Forum
Shannon Lovell Greene
University of Monash University, Australia
Keynote: The impact of covid-19 on maternal and child undernutrit
Time : 11:20-12:20
Biography:
Shannon Lovell Greene is a transgender registrar in obstetrics and gynecology in regional Australia with a special interest in law and ethics as it pertains to reproductive rights. He has completed BSc, BA, LLB, Master of Bioethics, MBBS and is currently studying MPH and Master of Forensic Medicine.
Abstract:
The COVID-19 pandemic has had a devasting and unanticipated effect on destabilising nutrition globally, but more markedly in middle and low-socioeconomic countries (Fore et al., 2020, p. 517). The most significant burden of the global destabilisation of trade routes, transportation, disruption of production and social distancing has created a deficit in fresh and affordable food, which is most noticeably affecting maternal and child nutrition. Health systems are beyond strained, humanitarian response and engagement has been minimal. This diminishing contact is forcing individuals to pursue nutrient poor substitutes (Robertson, et al., 2020, p. 902). The economic downturn has become protracted without an end in sight, creating a malnutrition epidemic, that more harshly affects children and expectant mothers and even render them more likely to suffer extreme symptoms of COVID-19 (Headey, et al., 2020, p. 1). Globally nutrition has suffered a tremendous blow during the COVID-19 crisis. Malnutrition rates have grown exponentially as supply lines and a global recession have limited nutritious food sources and more people than ever are struggling with poverty and isolation. Children have become more vulnerable as food shortages have meant fewer school meals, greater access to poorer quality alternatives and due to maternal wasting and malnutrition breastfeeding rates are falling (Gundersen and Ziliak, 2015, p. 1834). Women are struggling to maintain their own nutritional needs, jobs are scarcer and incomes are suffering, feeding their children places a further burden on their own bodies which require substantially higher caloric intake to sustain themselves and their children and finally living in close quarters, unable to social distance places them at further risk of contracting infectious diseases (Farhadi and Ovchinnikov, 2018, p. 168). Governments and health authorities are not adhering to global health advice (WHO, 2020) – such as leaving COVID-19 affected or suspected affected women to breastfeed their babies, as they act out of misguided concern for the children involved. Governments themselves are financially struggling and their usual resources are stretched or completely broken due to trade restrictions, travel bans and the fall in agricultural productivity, and have reduced funding to school lunch programs and regional meal programs (Kluge et al., 2020, p. 2020). Thus it has fallen to international humanitarian and global health programs to both create awareness and understanding around malnutrition and expose how a global pandemic has adversely impacted on maternal and child health (Lambrecht et al., 2020, p.1), and also provide access to nutritional substitutes and high quality foods in many regional areas to stem the rise of malnutrition – a task that is immense and unfeasible long term, and demands global attention to initiate procedures to mitigate this disaster
Keynote Forum
Doroteya Velikova
National Center for Public Health & Analysis, Bulgaria
Keynote: The Implementation of the European framework for the Bulgarian system of school health promotion
Time : Webinar
Biography:
Doroteya Velikova completed her Master of Public Health and Health Management. She is a Chief expert in “Child and Adolescent health”, NCPHA. She has Experience in regional epidemiological surveys, analyses and reports.
Abstract:
School health services improve health and education outcomes by providing young people in all education settings with health promotion and preventive health services. In Bulgaria, there are no quality standards in school health services. Creating a national framework for quality standards in school health services and competencies for school health professionals based on the European framework for quality standards in school health services is the goal of the presented study. Description of the problem: The national standards should support School health services managers and experts to develop and maintain quality services that meet children and adolescents‘ health needs and support institutions that train School health services professionals in developing specific curricula. The results: A study conducted in Bulgaria on health care proves the need to expand the national school health system based on European standards in school, especially as an important element of this system are the school health promotion professionals who are described in these standards. The task of this study is to understand what the activities of health professionals in school should be, what knowledge base they have and where they encounter difficulties in fulfilling their responsibilities. Lessons: The focus of the study is important for several reasons. First, it throws light on an occupational group and their absence from the official policy document that has been neglected within medical sociology. Second, if the research on the effectiveness of health promotion is to be translated into action, it is necessary to evaluate the organizational context where it can be used. The main goal is creating a framework for quality standards in school health services and competencies for school health professionals based on the European framework for quality standards in SHS. This includes an intersectional national normative framework of service delivery of School health services based on children‘s rights and priority public health concerns.
Keynote Forum
Shannon Lovell Greene
University of Monash University, Australia
Keynote: Is conscientious objection, with respect to terminations, ever morally justified in low resourced states such as Tasmania?
Time : 10:00-10:30
Biography:
Shannon Lovell Greene is a transgender registrar in obstetrics and gynecology in regional Australia with a special interest in law and ethics as it pertains to reproductive rights. He has completed BSc, BA, LLB, Master of Bioethics, MBBS and is currently studying MPH and Master of Forensic Medicine.
Abstract:
Veracity and morality can legally be rationalised and support failing to execute one’s duty to your patient. If there is a true duty of care towards a patient asking to execute their autonomous decision to terminate a pregnancy, conscientious objection is flawed and iniquitous. In situations where a clinician owes an essential and imperative duty, it should be unlawful. A physician’s personal set of morals has no place in the bearing of medical care. The duty owed to patients is codified in law and delivered to patients in consonance with their informed consent and identification of the alternative treatment options. If a physician cannot offer lawfully permissible, prudent, efficient, and preferred care to their patient due to variances in a personal belief, that is unsupported by medicine, they must reconsider their vocation especially in areas, like Tasmania, that has limited resources and often cannot outsource these to another physician as geography limits access to other medical professionals. Reproductive rights are personal, private, and intensely impassioned and emotional, therefore decisions concerning these topics are often particularly arduous and trying for the women who have to make them, furthermore they are often censured and bear social and moral denunciation from the more conservative members of a community (Eyal & Gosseries, 2013, p. 114). The lack of culpability and extent afforded clinicians to conscientious object to performing terminations allows objectors to deny women, by recusing themselves from their professional and legal duties, the right to reproductive autonomy (Wicclair, 2000, p. 217). The spartan specialist services in Tasmania contribute to the restrictive services available, and the conscientious objectors in public hospitals in this state often refer patients to private surgeons that operate in religiously run private hospitals. On the rare occasion that private clinicians have operating rights in the public hospital, the operating theatre is often so overwhelmed by critical cases and is unable to cope with and further patients. Medical specialists, who receive governmental funding, as is the case of all medical officers in Launceston, must act in the public interest, not their own (Savulescu, 2006, p. 297).
Keynote Forum
Aurore Nishimwe
University of the Witwatersrand, South Africa
Keynote: The effect of an mLearning application on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: Pre-post intervention study
Time : 11:20-12:20
Biography:
Aurore Nishimwe is currently a PhD candidate with WITS University-South Africa. She is also a lecturer in the department of Health Informatics, College of Medicine and Health Sciences at the University of Rwanda. Aurore holds a Master of Science in Health Informatics from the University of Rwanda. She is an active member of the international society for telemedicine and e-Health (ISfTeH) and she serves as the VicePresident of Rwanda Health Informatics organization (RIO). She is passionate about research on e-Health interventions implementation with a particular interest in maternal and child health, and non-communicable diseases in Sub-Saharan Africa.
Abstract:
Statement of the Problem: Globally, mobile learning (mLearning) tools have attracted considerable attention as a means of continuous training for healthcare workers. Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers’ knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR). Methodology & Theoretical Orientation: The study used a pre-post-test design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior SDA intervention and after 6 months SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre-post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova were used to test for potential confounders. Findings: The analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to end line measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI = 14.69 to 19.49 and 2.6% for PPH skills; 95% CI = 1.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI = 16.31 to 21,76 and 5.5% for NR skills; 95% CI = 3.66 to 7.41. Increases were unaffected by participants’ attendance to in-service training six months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care. Conclusion & Significance: The SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6 months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.
Keynote Forum
Ms Barbora Krivankova
University of Glasgow, Scotland
Keynote: Review of Neuropsychology use in Multiple Sclerosis
Time : 10:00-11:20
Biography:
Barbora Krivankova is currently working in the department of Neurology at University of Glasgow, Scotland.
Abstract:
Multiple Sclerosis (MS) is a disabling neurological disease common in Scotland. Apart from physical disability MS causes fatigue, depression, anxiety and cognitive decline. Neuropsychology began to be utilised for cognitive testing, psychological therapy and other input to help patients with MS. The aim is to analyse service delivery, characteristics of patients referred and outcomes of the Neuropsychology referral. The retrospective analysis looked at a database of 430 patients with diagnosis of MS. Data collected included patient basic demographics, MS characteristics, details of their Neuropsychology referral and outcomes, for example number of session or recorded benefit. Results showed that 11% of patients were referred to Neuropsychology since 2017. Out of the patients referred 55% were women and 45% were men. Taking gender ratios of patients with MS into consideration, data shows that 2.3 times (p = 0.004) more men are being referred to Neuropsychology compared to women. Patients with successful referral to Neuropsychology had 1-4 sessions and 48% had a recorded benefit associated. The study demonstrates benefit of Neuropsychology to management of MS. While identifying that small proportion reached referral. Unproportionate referral by gender was also demonstrated, inviting further analysis of the phenomena to ensure appropriate service delivery in the future.
Keynote Forum
Isham Alzoubi
School of Surveying Geospatial Engineering,Syria
Keynote: Prediction of environmental indicators in land levelling using artificial intelligence techniques
Time : 10:00-10:30
Biography:
Alzoubi has completed his PhD at the age of 40 years Tehran University and postdoctoral studies from Tehran University School of Surveying Geospatial Engineering-Department of Surveying and Geomatics Engineering. He is the director at the Directorate of Engineering and Transportation, a premier service organization. He has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute. He Opening and studying the financial offers and the organization of the fundamental record, supervising the efficiency of electrical generators at Nseeb border center, and Supervising the efficiency of agricultural machinery at the ministry of agriculture.
Abstract:
The aim of this work was to determine best linear model Adaptive Neuro-Fuzzy Inference System (ANFIS) and Sensitivity Analysis in order to predict the energy consumption for land leveling. In this research effects of various soil properties such as Embankment Volume, Soil Compressibility Factor, Specific Gravity, Moisture Content, Slope, Sand Percent, and Soil Swelling Index in energy consumption were investigated. The study was consisted of 90 samples were collected from 3 different regions. The grid size was set 20 m in 20 m (20*20) from a farmland in Karaj province of Iran. The values of RMSE and R2 derived by ICA-ANN model were, to Labor Energy (0.0146 and 0.9987), Fuel energy (0.0322 and 0.9975), Total Machinery Cost (0.0248 and 0.9963), Total Machinery Energy (0.0161 and 0.9987) respectively, while these parameters for multivariate regression model were, to Labor Energy (0.1394 and 0.9008), Fuel energy (0.1514 and 0.8913), Total Machinery Cost (TMC) (0.1492 and 0.9128), Total Machinery Energy (0.1378 and 0.9103).Respectively, while these parameters for ANN model were, to Labor Energy (0.0159 and 0.9990), Fuel energy (0.0206 and 0.9983), Total Machinery Cost (0.0287 and 0.9966), Total Machinery Energy (0.0157 and 0.9990) respectively, while these parameters for Sensitivity analysis model were, to Labor Energy (0.1899 and 0.8631), Fuel energy (0.8562 and 0.0206), Total Machinery Cost (0.1946 and 0.8581), Total Machinery Energy (0.1892 and 0.8437) respectively, respectively, while these parameters for ANFIS model were, to Labor Energy (0.0159 and 0.9990), Fuel energy (0.0206 and 0.9983), Total Machinery Cost (0.0287 and 0.9966), Total Machinery Energy (0.0157 and 0.9990) respectively, Results showed that ICA_ANN with seven neurons in hidden layer had better. According to the results of Sensitivity Analysis, only three parameters; Density, Soil Compressibility Factor and, Embankment Volume Index had significant effect on fuel consumption. According to the results of regression, only three parameters; Slope, CutFill Volume (V) and, Soil Swelling Index (SSI) had significant effect on energy consumption. Using adaptive neuro-fuzzy inference system for prediction of labor energy, fuel energy, total machinery cost, and total machinery energy can be successfully demonstrated.
Keynote Forum
Mohamed Omran Abu Shawish
University of Al-Butana. PA
Keynote: Effectiveness Of Group Support in Alleviating Anxiety, Depression, Stress Among Amputees in Gaza Strip
Time : 10:00-10:30
Biography:
Mohamed Omran Abu Shawish has completed his Master in community mental health Islamic university (WHO scholarship) and Postgraduate diploma of community mental health and human right Gaza Community Mental health program and Islamic university and BSN Palestine college of nursing
Abstract:
Background: According to Ministry of Health since the beginning of the great marches return (GMR) in March 2018, the number of injured people 35.703, who had amputated limbs was 157 The amputees may experiences body images disturbances, stress, depression, and anxiety, Many reviews and studies done to define the psychological burden of amputations, Social supports received by different amputees is vital in structuring effective treatment plan as a holistic approach in treating these physically disabled patients. Aim: the objective of current study is to examine the efficacy of peer support group in alleviating the emotions state of Depression, Anxiety and stress among amputees in Gaza strip. Method: using semi-experimental (pre, post and follow-up) design, 60 Amputees after assessment using DASS , assigned to Peer Group Support (PGS). and its effect measured on the dependent variable, Emotional state of Depression, Anxiety and Stress. Result: The prevalence of depression in the amputee is estimated to be (%59) , anxiety is (59.6%), and stress is (%65.5), The mean score of the patients’ depression, stress and anxiety before intervention was 1.8424 after the intervention of the peers group support in the post test measurements was reduced to 0.8668 compared to that of pre test measurements which is significant in value of (p<0.05). Conclusion: The results of this study showed that utilizing the peer group support is effective for alleviating the emotional state of depression, stress and anxiety among patients with amputation
- Clinical Psychology | Mental Health | Neurological Disorders | Food Science & Nutrition | Medical Ethics & Fitness Guidelines | Nutritional Health & Epidemiology | Nursing | Epidemiology & Public Health
Session Introduction
Farhana Sharmin
Livestock Research Institute (BLRI), Bangladesh
Title: Dietary effect of Moringa oleifera on native laying hens’ egg quality, cholesterol and fatty acid profile
Biography:
Farhana Sharmin is working on Poultry Research and Development Project, at Livestock Research Institute, Bangladesh. Her research area is mainly into Value Addition in Poultry meat and egg.
Abstract:
Functional foods included a wide variety of foods to improve overall health and wellbeing, reduce the risk of specific diseases, or minimize the effects of other health concerns. Therefore, this experiment aimed to evaluate feeding effects of addition Moringa oleifera leaf meal in the diet of native laying chickens on yolk cholesterol and fatty acid profile. One hundred sixty (160) native laying chickens at the age of 26 weeks were selected for this study and continued for a period of 42 weeks. The birds were distributed in four dietary groups having 40 birds in each group with 4 replications having 8 birds per replication. The dietary treatments were produced from the basal feed as follows: control (T1 ), M. oleifera leaf meal (MOL) 0.5% (T2 ), MOL 1.0%, (T3 ) and MOL 1.5% (T4 ). The birds were randomly distributed in each pen, and the data were analyzed using the SPSS statistical package. The study revealed that the yolk cholesterol and serum cholesterol levels in hens as influenced by dietary treatments were significantly reduced (P< 0.05) in all additive groups. All additives diet the yolk omega-3 fatty acid levels were increased significantly (P< 0.05) with proportionate reduction in saturated fatty acid levels in MOL 1 and 1.5% groups. No significant changed was observed in the linoleic acid levels in yolk lipids. It was indicated that eggs, depending on their composition, can contribute significantly to human’s daily requirement especially docosahexaenoic acid (DHA), high intakes of this fatty acid might reduce coronary heart disease. Based on these results, it is suggested that 1~1.5% of MOL may be added in the diet of native laying hen to increase the higher beneficial fatty acids in the yolk.
Shannon Lovell Greene
University of Monash University, Australia
Title: The impact of covid-19 on maternal and child undernutrit
Biography:
Shannon Lovell Greene is a transgender registrar in obstetrics and gynecology in regional Australia with a special interest in law and ethics as it pertains to reproductive rights. He has completed BSc, BA, LLB, Master of Bioethics, MBBS and is currently studying MPH and Master of Forensic Medicine.
Abstract:
The COVID-19 pandemic has had a devasting and unanticipated effect on destabilising nutrition globally, but more markedly in middle and low-socioeconomic countries (Fore et al., 2020, p. 517). The most significant burden of the global destabilisation of trade routes, transportation, disruption of production and social distancing has created a deficit in fresh and affordable food, which is most noticeably affecting maternal and child nutrition. Health systems are beyond strained, humanitarian response and engagement has been minimal. This diminishing contact is forcing individuals to pursue nutrient poor substitutes (Robertson, et al., 2020, p. 902). The economic downturn has become protracted without an end in sight, creating a malnutrition epidemic, that more harshly affects children and expectant mothers and even render them more likely to suffer extreme symptoms of COVID-19 (Headey, et al., 2020, p. 1). Globally nutrition has suffered a tremendous blow during the COVID-19 crisis. Malnutrition rates have grown exponentially as supply lines and a global recession have limited nutritious food sources and more people than ever are struggling with poverty and isolation. Children have become more vulnerable as food shortages have meant fewer school meals, greater access to poorer quality alternatives and due to maternal wasting and malnutrition breastfeeding rates are falling (Gundersen and Ziliak, 2015, p. 1834). Women are struggling to maintain their own nutritional needs, jobs are scarcer and incomes are suffering, feeding their children places a further burden on their own bodies which require substantially higher caloric intake to sustain themselves and their children and finally living in close quarters, unable to social distance places them at further risk of contracting infectious diseases (Farhadi and Ovchinnikov, 2018, p. 168). Governments and health authorities are not adhering to global health advice (WHO, 2020) – such as leaving COVID-19 affected or suspected affected women to breastfeed their babies, as they act out of misguided concern for the children involved. Governments themselves are financially struggling and their usual resources are stretched or completely broken due to trade restrictions, travel bans and the fall in agricultural productivity, and have reduced funding to school lunch programs and regional meal programs (Kluge et al., 2020, p. 2020). Thus it has fallen to international humanitarian and global health programs to both create awareness and understanding around malnutrition and expose how a global pandemic has adversely impacted on maternal and child health (Lambrecht et al., 2020, p.1), and also provide access to nutritional substitutes and high quality foods in many regional areas to stem the rise of malnutrition – a task that is immense and unfeasible long term, and demands global attention to initiate procedures to mitigate this disaster
Doroteya Velikova
National Center for Public Health & Analysis, Bulgaria
Title: The Implementation of the European framework for the Bulgarian system of school health promotion
Biography:
Doroteya Velikova completed her Master of Public Health and Health Management. She is a Chief expert in “Child and Adolescent health”, NCPHA. She has Experience in regional epidemiological surveys, analyses and reports.
Abstract:
School health services improve health and education outcomes by providing young people in all education settings with health promotion and preventive health services. In Bulgaria, there are no quality standards in school health services. Creating a national framework for quality standards in school health services and competencies for school health professionals based on the European framework for quality standards in school health services is the goal of the presented study. Description of the problem: The national standards should support School health services managers and experts to develop and maintain quality services that meet children and adolescents‘ health needs and support institutions that train School health services professionals in developing specific curricula. The results: A study conducted in Bulgaria on health care proves the need to expand the national school health system based on European standards in school, especially as an important element of this system are the school health promotion professionals who are described in these standards. The task of this study is to understand what the activities of health professionals in school should be, what knowledge base they have and where they encounter difficulties in fulfilling their responsibilities. Lessons: The focus of the study is important for several reasons. First, it throws light on an occupational group and their absence from the official policy document that has been neglected within medical sociology. Second, if the research on the effectiveness of health promotion is to be translated into action, it is necessary to evaluate the organizational context where it can be used. The main goal is creating a framework for quality standards in school health services and competencies for school health professionals based on the European framework for quality standards in SHS. This includes an intersectional national normative framework of service delivery of School health services based on children‘s rights and priority public health concerns
Shannon Lovell Greene
University of Monash University, Australia
Title: Is conscientious objection, with respect to terminations, ever morally justified in low resourced states such as Tasmania?
Biography:
Shannon Lovell Greene is a transgender registrar in obstetrics and gynecology in regional Australia with a special interest in law and ethics as it pertains to reproductive rights. He has completed BSc, BA, LLB, Master of Bioethics, MBBS and is currently studying MPH and Master of Forensic Medicine.
Abstract:
Veracity and morality can legally be rationalised and support failing to execute one’s duty to your patient. If there is a true duty of care towards a patient asking to execute their autonomous decision to terminate a pregnancy, conscientious objection is flawed and iniquitous. In situations where a clinician owes an essential and imperative duty, it should be unlawful. A physician’s personal set of morals has no place in the bearing of medical care. The duty owed to patients is codified in law and delivered to patients in consonance with their informed consent and identification of the alternative treatment options. If a physician cannot offer lawfully permissible, prudent, efficient, and preferred care to their patient due to variances in a personal belief, that is unsupported by medicine, they must reconsider their vocation especially in areas, like Tasmania, that has limited resources and often cannot outsource these to another physician as geography limits access to other medical professionals. Reproductive rights are personal, private, and intensely impassioned and emotional, therefore decisions concerning these topics are often particularly arduous and trying for the women who have to make them, furthermore they are often censured and bear social and moral denunciation from the more conservative members of a community (Eyal & Gosseries, 2013, p. 114). The lack of culpability and extent afforded clinicians to conscientious object to performing terminations allows objectors to deny women, by recusing themselves from their professional and legal duties, the right to reproductive autonomy (Wicclair, 2000, p. 217). The spartan specialist services in Tasmania contribute to the restrictive services available, and the conscientious objectors in public hospitals in this state often refer patients to private surgeons that operate in religiously run private hospitals. On the rare occasion that private clinicians have operating rights in the public hospital, the operating theatre is often so overwhelmed by critical cases and is unable to cope with and further patients. Medical specialists, who receive governmental funding, as is the case of all medical officers in Launceston, must act in the public interest, not their own (Savulescu, 2006, p. 297).
Aurore Nishimwe
University of the Witwatersrand, South Africa
Title: The effect of an mLearning application on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: Pre-post intervention study
Biography:
Aurore Nishimwe is currently a PhD candidate with WITS University-South Africa. She is also a lecturer in the department of Health Informatics, College of Medicine and Health Sciences at the University of Rwanda. Aurore holds a Master of Science in Health Informatics from the University of Rwanda. She is an active member of the international society for telemedicine and e-Health (ISfTeH) and she serves as the VicePresident of Rwanda Health Informatics organization (RIO). She is passionate about research on e-Health interventions implementation with a particular interest in maternal and child health, and non-communicable diseases in Sub-Saharan Africa.
Abstract:
Statement of the Problem: Globally, mobile learning (mLearning) tools have attracted considerable attention as a means of continuous training for healthcare workers. Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers’ knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR). Methodology & Theoretical Orientation: The study used a pre-post-test design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior SDA intervention and after 6 months SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre-post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova were used to test for potential confounders. Findings: The analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to end line measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI = 14.69 to 19.49 and 2.6% for PPH skills; 95% CI = 1.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI = 16.31 to 21,76 and 5.5% for NR skills; 95% CI = 3.66 to 7.41. Increases were unaffected by participants’ attendance to in-service training six months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care. Conclusion & Significance: The SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6 months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.
Ms Barbora Krivankova
University of Glasgow, Scotland
Title: Review of Neuropsychology use in Multiple Sclerosis
Biography:
Barbora Krivankova is currently working in the department of Neurology at University of Glasgow, Scotland.
Abstract:
Multiple Sclerosis (MS) is a disabling neurological disease common in Scotland. Apart from physical disability MS causes fatigue, depression, anxiety and cognitive decline. Neuropsychology began to be utilised for cognitive testing, psychological therapy and other input to help patients with MS. The aim is to analyse service delivery, characteristics of patients referred and outcomes of the Neuropsychology referral. The retrospective analysis looked at a database of 430 patients with diagnosis of MS. Data collected included patient basic demographics, MS characteristics, details of their Neuropsychology referral and outcomes, for example number of session or recorded benefit. Results showed that 11% of patients were referred to Neuropsychology since 2017. Out of the patients referred 55% were women and 45% were men. Taking gender ratios of patients with MS into consideration, data shows that 2.3 times (p = 0.004) more men are being referred to Neuropsychology compared to women. Patients with successful referral to Neuropsychology had 1-4 sessions and 48% had a recorded benefit associated. The study demonstrates benefit of Neuropsychology to management of MS. While identifying that small proportion reached referral. Unproportionate referral by gender was also demonstrated, inviting further analysis of the phenomena to ensure appropriate service delivery in the future.
Isham Alzoubi
School of Surveying Geospatial Engineering,Syria
Title: Prediction of environmental indicators in land levelling using artificial intelligence techniques
Biography:
Alzoubi has completed his PhD at the age of 40 years Tehran University and postdoctoral studies from Tehran University School of Surveying Geospatial Engineering-Department of Surveying and Geomatics Engineering. He is the director at the Directorate of Engineering and Transportation, a premier service organization. He has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute. He Opening and studying the financial offers and the organization of the fundamental record, supervising the efficiency of electrical generators at Nseeb border center, and Supervising the efficiency of agricultural machinery at the ministry of agriculture.
Abstract:
The aim of this work was to determine best linear model Adaptive Neuro-Fuzzy Inference System (ANFIS) and Sensitivity Analysis in order to predict the energy consumption for land leveling. In this research effects of various soil properties such as Embankment Volume, Soil Compressibility Factor, Specific Gravity, Moisture Content, Slope, Sand Percent, and Soil Swelling Index in energy consumption were investigated. The study was consisted of 90 samples were collected from 3 different regions. The grid size was set 20 m in 20 m (20*20) from a farmland in Karaj province of Iran. The values of RMSE and R2 derived by ICA-ANN model were, to Labor Energy (0.0146 and 0.9987), Fuel energy (0.0322 and 0.9975), Total Machinery Cost (0.0248 and 0.9963), Total Machinery Energy (0.0161 and 0.9987) respectively, while these parameters for multivariate regression model were, to Labor Energy (0.1394 and 0.9008), Fuel energy (0.1514 and 0.8913), Total Machinery Cost (TMC) (0.1492 and 0.9128), Total Machinery Energy (0.1378 and 0.9103).Respectively, while these parameters for ANN model were, to Labor Energy (0.0159 and 0.9990), Fuel energy (0.0206 and 0.9983), Total Machinery Cost (0.0287 and 0.9966), Total Machinery Energy (0.0157 and 0.9990) respectively, while these parameters for Sensitivity analysis model were, to Labor Energy (0.1899 and 0.8631), Fuel energy (0.8562 and 0.0206), Total Machinery Cost (0.1946 and 0.8581), Total Machinery Energy (0.1892 and 0.8437) respectively, respectively, while these parameters for ANFIS model were, to Labor Energy (0.0159 and 0.9990), Fuel energy (0.0206 and 0.9983), Total Machinery Cost (0.0287 and 0.9966), Total Machinery Energy (0.0157 and 0.9990) respectively, Results showed that ICA_ANN with seven neurons in hidden layer had better. According to the results of Sensitivity Analysis, only three parameters; Density, Soil Compressibility Factor and, Embankment Volume Index had significant effect on fuel consumption. According to the results of regression, only three parameters; Slope, CutFill Volume (V) and, Soil Swelling Index (SSI) had significant effect on energy consumption. Using adaptive neuro-fuzzy inference system for prediction of labor energy, fuel energy, total machinery cost, and total machinery energy can be successfully demonstrated.
Mohamed Omran Abu Shawish
University of Al-Butana. PA
Title: Effectiveness Of Group Support in Alleviating Anxiety, Depression, Stress Among Amputees in Gaza Strip
Biography:
Mohamed Omran Abu Shawish has completed his Master in community mental health Islamic university (WHO scholarship) and Postgraduate diploma of community mental health and human right Gaza Community Mental health program and Islamic university and BSN Palestine college of nursing
Abstract:
Background: According to Ministry of Health since the beginning of the great marches return (GMR) in March 2018, the number of injured people 35.703, who had amputated limbs was 157 The amputees may experiences body images disturbances, stress, depression, and anxiety, Many reviews and studies done to define the psychological burden of amputations, Social supports received by different amputees is vital in structuring effective treatment plan as a holistic approach in treating these physically disabled patients. Aim: the objective of current study is to examine the efficacy of peer support group in alleviating the emotions state of Depression, Anxiety and stress among amputees in Gaza strip. Method: using semi-experimental (pre, post and follow-up) design, 60 Amputees after assessment using DASS , assigned to Peer Group Support (PGS). and its effect measured on the dependent variable, Emotional state of Depression, Anxiety and Stress. Result: The prevalence of depression in the amputee is estimated to be (%59) , anxiety is (59.6%), and stress is (%65.5), The mean score of the patients’ depression, stress and anxiety before intervention was 1.8424 after the intervention of the peers group support in the post test measurements was reduced to 0.8668 compared to that of pre test measurements which is significant in value of (p<0.05). Conclusion: The results of this study showed that utilizing the peer group support is effective for alleviating the emotional state of depression, stress and anxiety among patients with amputation