Biography:

Mohammed N Albaraesi is a Chief Consultant Surgeon in Benghazi Medical Center, Libya (2010-2017). He has also worked as Professor of Surgery in University of Benghazi, Department of Surgery, Faculty of Medicine (2008-2017) and teaching staff, collaborator with the Libyan International Medical University. His research interests lie in the area of laparoscopic, trauma and emergency surgery. He has published more than 20 various research papers in several international journals.

Abstract:

Background: Abdominal trauma considered one of the most common traumas seen in emergency department worldwide. Currently, in our city the majorities of abdominal injuries are related to shrapnel of the missiles.

Objective: To study and evaluate the clinical manifestation, diagnostic approaches and management of different organ injuries as well as the associated morbidity and mortality caused by shrapnel of the missiles and to improve our approach and management in this type of injury.

Materials & Method: A retrospective study of the medical records of 100 patients presenting to the emergency department with history of abdominal trauma in Benghazi Medical Center from 01-01-2016 to 31-12-2016. The clinical manifestations, diagnostic modalities, management, complications and death rate were evaluated.

Results: Patients in 5-40 years were more prone to this type of trauma. Males were predominantly involved. Abdominal pain was the most common presentation and abdominal tenderness was the most common sign. Mean duration of hospital stay for operated cases were 20 days and for non-operated cases were 7 days. Abdominal ultrasound was 81% sensitive and 100% specific in diagnosing solid organ injury. Operative management was done in 85% of cases. Mortality was 7%.

Conclusion: Penetrating abdominal injuries which results from shrapnel of the missiles are common injury in Benghazi. Repeated clinical examinations and use of appropriate diagnostic modalities holds the key in management. Hollow viscous injuries were the most common injury which mandates urgent operative management. Non-operative management and close observation for solid organ injuries in a hemodynamically stable patient is a better option.

Biography:

Tae Chang Jang currently works at the Department of Emergency medicine, Catholic University of Daegu. Tae does research in Emergency Toxicology, Pre-hospital Care and Emergency Medicine. His Research interest are Critical care, trauma, Emergency medicine.

Abstract:

Purpose: Various kinds of educational programs have been tried to achieve skill, willingness and self-confidence in performing cardiopulmonary resuscitation (CPR). Paramedic students usually participate in clinical practice in emergency department as one of their educational courses. We investigated the effects of hospital based clinical practice and participation in real cardiac arrest situation on EMT student.

Methods: From December 2016 to August 2017, 81 paramedic students from ten different University received hospital based clinical practice for three or four weeks in regional emergency medical center and were enrolled in our study. They were asked, using a questionnaire, about their confidence and willingness to perform CPR before and after clinical practice. We also objectively measured two minutes-CPR performance by Laerdal skill reporter before and after clinical practice. In clinical practice, they participated in real CPR situation and took several theoretical examinations but additional CPR practical training was not included.

Results: This study included 48.1% male volunteers, 70.4% with BLS provider certification. Average participation in real CPR situation was 8.35 times. Scores in confidence of CPR were significantly increased (3.80 vs. 4.36, p<0.001). Scores in willingness of CPR were high in both group (4.46 vs. 4.48, p=0.787). Average chest compression depth were significantly increased (51.3 mm vs. 55.5 mm, p<0.001). Average compression rate showed no difference (111 vs. 111, p=0.694). Correct hand positioning and chest recoil also showed no difference in both groups.

Conclusion: Hospital based clinical practice of paramedic students could provide extra confidence to perform CPR and could make chest compression depth adequately.

Biography:

Faiza A Abou El-Soud has completed her RN, BSN from Cairo University and MSN, PhD from College of Nursing, Menuofiya University, Egypt. She was acting as an Assistant Professor of College of Nursing, Menuofiya University since 7 years.

Abstract:

Background: With the intention of maximizing academic success and minimizing academic failure among nursing students, it is a crucial to carry out several researches for better understands the success and failure-related factors for improving academic performance and quality of the nursing graduates that have a direct reflection on the country’s monetary development, social progress, and better living for the individual.

Purpose: The purpose was to investigate associations among the dependent variable (academic performance or GPA) and the independent variables (success and failure factors as well as demographic characteristics of thenursing students).

Methodology: A correlational descriptive-design was conducted with a convenience sample of 150 female senior nursing students, college of nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA. A self-reporting questionnaire has three main categories, which included demographic characteristics of the nursing students; success factors and failure factors were examined to correlate with their academic performance. The data were analyzed using Pearson correlation to estimate the degree of association between students’ performance and success and failure factors as well as their selected demographic characteristics and regression analysis to determine the model summary, ANOVA and coefficient.

Results: It revealed that a positive association between nursing students’ academic performance and the demographic characteristics as age, level of English language skills and language barriers at the P value (0.05) level. In addition, there were degrees of associations between nursing students’ academic performance and certain success factors such as learner factor at 40% and (r=0.408; p=0.000) and lecturer factor at 18% and (r=0.187; p=0.058). Meanwhile, there were degrees of associations between students’ academic performance and failure factors such as learner factor at 39% and (r=0.39; p=0.000), lecturer factor at 21% and (r=0.219; p=0.000); environment factor at 37% and (r=0.372; p=0.000).

Conclusion & Recommendation: Based on the results, great evidence was shown a positive association between the success and failure-related factors and academic performance of the nursing students. Further study on the academic and non-academic interventions are recommended to build nursing students’ abilities and competency skills which can assist help them to overcome failure factors that might influence their academic achievement.

Biography:

Nagwa Abdel Fadeel A Afefy has completed her PhD from College of Nursing, Cairo University (2008) and Postdoctoral studies from Cairo University, College of Nursing. She has published more than 13 papers in reputed journals, supervised 10 master’s theses and working at quality assurance unit, community service committee, students’ activities committee, student’s affairs committee, maternal and new born health nursing department committee and is also a Member of Faculty Council of College of nursing, Egypt.

Abstract:

Background: Weight gains during pregnancy have an important health implication on pregnancy outcomes.

Aim: The aim of the current study was to assess the impact of gestational weight gain educational session on pregnant women’s knowledge and perception.

Methods: A quasi experimental design was used to conduct the study. A convenient sample of 100 Saudi pregnant women who attended Obstetrics and Gynecology Outpatient Clinic at King Fahad Hospital in King Abdulaziz Medical City, Ministry of National Guard Health Affairs/Riyadh (KAMC-MNGHA) were recruited. Data was collected by using self-administered close ended questionnaire which consisted of four parts: (1) Socio-demographic characteristics, (2) obstetrical history, (3) knowledge assessment (pre-post assessment) and (4) perception assessment (pre-post assessment). The educational session lasted for 20-25 minutes.

Result: There was a significant improvement in the total knowledge score before and after educational session about pregnancy weight gain including (pregnancy weight gain, risk of over weight gain during pregnancy and risk of less weight gain during pregnancy) (P=0.000 for each), as 72% of the subjects had poor knowledge pretest compared to 91% had good knowledge post-test. Also, there was significant differences in total perception score before and after the session (p=0.000). About two third (64%) had fair perception pretest compared to 69% had good perception post-test. However, there were no significant differences in the knowledge mean score of the pregnant women across their socio-demographic variables and selected obstetrical variables.

Conclusion: Pregnant women have poor knowledge about proper weight gain and its impact on pregnancy outcome. Bridging this knowledge gap is an important step towards improving perinatal outcomes, especially those who enter pregnancy overweight or underweight. The educational session has an impact on improving pregnant women’s knowledge and perception about proper weight gain during pregnancy.

Biography:

Park Ho-Ran has her expertise in evaluation and passion in improving the pediatric health and wellbeing. Her research and education evaluation model based on responsive constructivists creates new pathways for improving healthcare. She has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions.

Abstract:

Purpose: To prevent early childhood accident is primarily necessary, but care should be taken to cope with growing number of childhood trauma accident in recent years. The purpose of this study was to identify parental coping in early childhood injury and to provide basic data for parent’s educational program and desirable directions.

Method: A Q-methodology that provides a method of analyzing the subjectivity of each item was used. 34 selected Q-statements were derived from a literature review and interviews. 47 parents were classified into a shape of normal distribution using 9-point scale. Collected data was analyzed by the pc-QUANL program.

Result: Five types of parental coping in early childhood injury were identified. The first type is the type to problem solving focused on situational coping: Hear the expert opinion carefully and treat to prevent further complications in the future, solve problem step by step carefully. The second type is the safety seeker focused on accident prevention: Consider what the root cause of accident is and to check behavior of child or surrounding environment as to prevent child injury. The third type is the anxious expression focused on emotion: Can’t accept injury situation and showed anxious psychological feelings. The forth type is the problem solving focused on leading judgment: Performs injury solving situation predominantly. The fifth type is the type to safety seeker focused on causal perception: Identify cause of injury situation as a way to prevent recurrence of child’s trauma and try to minimize secondary adverse effects of accident on the future growth of the child.

Conclusion: The results of this study provide improved outlines that different approaches to educational programs can be used for parent in early childhood injury. This study is meaningful to investigate coping type and viewpoint of parents.

Biography:

Amit Frenkel is a Medical Doctor with training in Critical Care and Internal Medicine. He is the Medical Director of the Critical Care outreach team at the Soroka University Medical Centre, a tertiary 1100 bed teaching hospital with more than 65,000 hospitalizations and about 200,000 emergency department visits annually. His current research includes the attention to the correlation between different diseases to their laboratory results.

Abstract:

Statement of the Problem: Glucocorticosteroids (GCS) are known to cause the hematologic effect of leukocytosis and neutrophilia. Leukocytosis is a key parameter in establishing the diagnosis of sepsis and in the estimation of its severity. In this study, we quantified the effect of chronic or acute GCS treatment on the level of leukocytosis in patients with acute infectious process in a critical care unit.

Methodology & Theoretical Orientation: We conducted a retrospective cohort study of patients with an acute infection hospitalized in tertiary medical center between the years 2003-2014. Patients were classified into three categories: Chronic GCS treatment, acute GCS treatment, no GCS treatment. The primary outcome was the maximal WBC count within the first 24 hours from admission.

Findings: We identified 5468 patients with acute infection: 333 of them with chronic GCS treatment, 213 with acute GCS treatment and 4922 with no GCS treatment. The overall maximal leukocytes count was higher in GCS therapy groups: 15.4±8.3×10⁹/L for the acute GCS treatment, 14.9±7.4 ×10⁹/L for chronic GCS treatment and 12.9±6.4×10⁹/L for the no GCS group (P<0.001).

Conclusion & Significance: In patients with acute infections chronically treated with GCS, an increase in the WBC is at average of 5×10⁹/L. These data must be taken into consideration while using the level of leukocytosis as a parameter in the diagnosis of the infectious process in critical care patients.

Biography:

Min-Feng Tseng is a board-certified Nephrologist at Tri-Service General Hospital, National Defense Medical Centre. He has his expertise in improving the individual outcome and health. In addition to his clinical duties, he maintains an active clinical research program, which focuses on studying acute kidney injury, critical care nephrology and hypertension in chronic kidney disease.

Abstract:

Statement of the Problem: There is limited information on the outcome of acute kidney injury (AKI) in patients with traumatic intracranial hemorrhage (tICH). The aim of this study is to estimate the outcome using different renal replacement therapy on the survival rate and rate of long term renal-replacement therapy in adult tICH patient.

Methodology & Theoretical Orientation: We retrospectively identified a total of 310 tICH patients with AKI who required glycerol or mannitol therapy admitted to the intensive care unit during a 10 year period ending DEC 2010 from the National Health Insurance Research Database. Demographic data, severity of tICH, medication, level of care, type of head surgery were collected. All patients subjects were older than >18 years. We also excluded patients diagnosed with tICH before the cohort entry date, hemodialysis before tICH, chronic kidney disease/cancer/coagulation defects/purpura and other hemorrhagic conditions, mortality/mechanical ventilation/ischemic heart disease before tracking. The primary outcome was overall survival at day 30. The secondary outcome was the rate of long term HD therapy.

Findings: A total of 310 patients were enrolled. The Kaplan-Meier estimates of mortality at day 30 did not differ significantly between the continuous vino-venous hemofiltration (CVVH) and intermittent hemodialysis (HD) strategies (Adjusted hazard ratio: 0.782, 95% CI, 0.239 to 2.558; P=0.685). The rate of long term HD was higher in the HD-strategy group than in the CVVH-strategy group (Log-rank P=0.021) especially in injury severity score 16 group.

Conclusion & Significance: tICH patient with AKI receiving CVVH may have effect on renal blood flow protection or cytokine removal which lowers the rate of long term HD.

Biography:

Eunsuk Choi has completed her PhD from Seoul National University School of Nursing. She is known for occupational health research targeting prevention and management of work-related diseases. She has published more than 50 papers in reputed journals.

Abstract:

Aim: The purpose of this study was to analyze literature related to post-traumatic growth among police officers.

Methods: Comprehensive literature searches using Ovid-Embase, Ovid-Medline, Cochrane, PubMed and RISS were conducted. The research terms included police officers, police, trauma, posttraumatic growth, and growth.

Results: A total of 9 studies were identified. In the Korean researches, PTG was positively correlated with self-esteem, problem focused coping, emotion focused coping, social support, self-disclosure and deliberate rumination. In the foreign researches, PTG was correlated with thriving, resilience, events involving threat, personal relationship stress, trauma severity, life stress and gratitude. Demographic variables such as female, white were also associated with PTG.

Conclusion: To improve post-traumatic growth of police officers, strategies to increase stress coping, social support, are needed. Strategies to decrease stress, trauma and PTSD symptoms should be developed.

Biography:

Abstract:

Background & Aim: Endotracheal intubation is known to be prolonged by wearing Chemical Personal Protective Equipment (C-PPE). Aim of this stiudy is to evaluate the efficiency of airway control by using 2^nd generation supraglottic airway devices (SAD) as compared with endotracheal intubation wearing C-PPE.

Methods: This trial involved 117 medical practitioners from five groups: medics, paramedics, general practitioners, residents and anesthesiologists in the reserve army. Four devices were examined: Endotracheal tube with direct laryngoscopy; 1^st generation laryngeal mask airway Unique (Figure-1) and two of the 2^nd generation SAD; the laryngeal tube suction disposable (Figure-2) and laryngeal mask airway supreme (Figure-3). Each subject practiced each of the four study devices on a simulator for six times: Three times while wearing C-PPE and three times wearing standard uniform. Primary measures were success or failure to achieve airway control, number of attempts to achieve airway control and time to insertion. Secondary endpoint was a subjective assessment.

Result: More attempts were required to airway control with ETT compared with any other devices, with and without C-PPE (p<0.001). Airway control with ETI was 88% longer than the time required other devices. No statistically difference was noted when comparing the different SAD’s. For all devices, the mean times to achieve an airway were longer when operators were equipped with C-PPE as compared with standard uniform (Table-1). Subjectively, difficulty levels were significantly higher for ETI than for all other devices (p<0.0001).

Conclusion: Using second generation SADs significantly shortens the time for airway control while wearing C-PPE compared with ETI.