th Epidemiology & Public Health Internal Medicine & Primary Care · 2020-01-09 · Epidemiology: Open Access October 21-22, 2019 Tokyo, Japan Epidemiology & Public Health Internal

conferenceseries.comOctober 2019 | Volume: 09 | ISSN: 2161-1165Epidemiology: Open Access

October 21-22, 2019Tokyo, Japan

Epidemiology & Public Health

Internal Medicine & Primary Care

8th International Conference on

5th World Congress on

Joint event Proceedings of

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Epidemiology Summit 2019 & Internal Medicine Congress 2019

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08:55-09:00 Introduction

Keynote Forum

09:00-10:00Title: From jungian attitude-types to a comprehensive model of diseases

Marco Balenci, Italian Association of Analytical Psychology, Italy

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

Session Introduction

10:00-10:30Title: Impact of educational sessions on breast cancer awareness and knowledge in Jordan

Reem Ajlouni, King Hussein Cancer Foundation, Jordan

10:30-11:00Title: Inward and Outward opposites as dimensions for a model of diseases

Marco Balenci, Italian Association of Analytical Psychology, Italy

Group Photo Networking and Refreshments Break: 11:00-11:30

11:30-12:00Title: Organizational and methodological foundations of the endovascular care system at the regional level in Russia

Goloshchapov-Aksenov Roman, Friendship University of Russia, Russia

12:00-12:30Title: Identification of risk factors for cervical insufficiency: a population-based study

Lili Meng, Karolinska Institute, Sweden

Lunch Break: 12:30-13:30

13:30-14:00Title: Biocompatible amifostine nanoemulsion via expression of nephrin in nephrotoxic experimental rat

Nadia A. Mohamed, Ain Shams University, Egypt

14:00-14:30Title: The Effect of MyBFF@school programme on physical fitness in overweight and obese primary school children

Abdul Halim Mokhtar, University of Malaya, Malaysia

14:30-15:00Title: Factors influencing family consent for organ donation in Qatar: Results of a household survey

Rajvir Singh, AIIMS, India

Networking and Refreshments Break: 15:00-15:30

Poster Presentations: 15:00-15:20

IMC-001Title: Case study of fibroids and DVT: A rare presentation and its management

Chong Ronald, 3Tan Tock Seng Hospital, Singapore

Day Concludes

Awards & Closing Ceremony

08:00-08:30 Registrations Clavel

Opening Ceremony08:30-08:55conferenceseries.com

Day 1 October 21, 2019

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/from-jungian-attitude-types-to-a-comprehensive-model-of-diseases

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/marco-balenci-italian-association-of-analytical-psychology-italy-r-n-r-n

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/impact-of-educational-sessions-on-breast-cancer-awareness-and-knowledge-in-jordan

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/reem-ajlouni-king-hussein-cancer-foundation-jordan

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/inward-and-outward-opposite-as-dimensions-for-a-model-of-diseases

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/marco-balenci-italian-association-of-analytical-psychology-italy

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/organizational-and-methodological-foundations-of-the-endovascular-care-system-at-the-regional-level-in-russia

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/goloshchapov-aksenov-roman-friendship-university-of-russia-russia

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/identification-of-risk-factors-for-cervical-insufficiency-a-population-based-study

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/lili-meng-karolinska-institute-sweden

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/biocompatible-amifostine-nanoemulsion-via-expression-of-nephrin-in-nephrotoxic-experimental-rat

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/nadia-mohamed-ahmed-mohamed-national-research-centre-egypt

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/the-effect-of-my-body-is-fit-and-fabulous-at-school-program-on-physical-fitness-in-overweight-and-obese-primary-school-children

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/abdul-halim-mokhtar-university-of-malaya-malaysia

https://publichealth-epidemiology.conferenceseries.com/abstract/2019/factors-influencing-family-consent-for-organ-donation-in-qatar-results-of-a-household-survey

https://publichealth-epidemiology.conferenceseries.com/speaker/2019/rajvir-singh-hamad-medical-corporation-qatar-715747139

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Supporting Journals

Epidemiology: Open Access

Journal of Community Medicine & Health Education

Journal of Tropical Diseases & Public Health

Supporting Journals

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conferenceseries.com

October 21-22, 2019 Tokyo, Japan



Upcoming Conferences

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October Conferences

TOKYO

JAPAN

Alternative Medicine 2019 October 25-26, 2019 | Tokyo, Japan [email protected] https://alternativemedicine.conferenceseries.com/

Pulmonary Meet 2019 October 25-26, 2019 | Tokyo, Japan pulmonary-criticalcare.global-summit.com

Aquaculture Fisheries 2019 October 28-29, 2019 | Tokyo, Japan [email protected] https://aqua.conferenceseries.com/

Wound Care Congress 2019 Oct 30-31, 2019 | Tokyo, Japan [email protected] https://woundcare.surgeryconferences.com/

Spine Congress 2019 October 30-31, 2019 | Tokyo, Japan [email protected] https://spinecongress.neurologyconference.com/

Parkinson’s Congress 2019 October 30-31, 2019 | Tokyo, Japan [email protected] https://parkinsonscongress.neurologyconference.com/

November Conferences

TOKYO

JAPAN

Osteoarthrits 2019 November 11-12, 2019 | Tokyo, Japan [email protected] osteoarthritis.conferenceseries.comBiodiversity Congress 2019 November 11-12, 2019 | Tokyo, Japan [email protected] https://biodiversity.conferenceseries.com/Stem Cell Biology 2019 November 11-12, 2019 | Tokyo, Japan [email protected] https://stemcell.geneticconferences.com/Gynecologic Cancer 2019 November 12-13, 2019 | Tokyo, Japan [email protected] gynecologic-cancer.cancersummit.org

CDPS 2019 November 12-13, 2019 | Tokyo, Japan [email protected] https://cosmeticdermatology.dermatologymeeting.com/Organ Transplantation 2019 November 12-13, 2019 | Tokyo, Japan [email protected] https://organtransplantation.conferenceseries.com/Lung Cancer 2019 November 12-13, 2019 | Tokyo, Japan [email protected] lung-cancer.cancersummit.orgBariatric Surgery 2019 November 12-13, 2019 | Brisbane, Australia [email protected] http://bariatric-metabolic.surgeryconferences.com/Autoimmunity 2019 November 12-13, 2019 | Brisbane, Australia [email protected] http://autoimmunity.global-summit.com/Vaccines & Immunology 2019 November 12-13, 2019 | Brisbane, Australia [email protected] https://vaccines.vaccineconferences.com/Surgery Asia Pacific 2019 November 14-15, 2019 | Brisbane, Australia [email protected] https://surgery-anaesthesia.surgeryconferences.com/Diabetes Management 2019 November 14-15, 2019 | Brisbane, Australia [email protected] http://diabetesmanagement.conferenceseries.comWCDA 2019 November 14-15, 2019 | Brisbane, Australia [email protected] https://depression-anxiety.neurologyconference.com/

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Keynote ForumDay 1

Volume: 09Epidemiology: Open Access

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Epidemiology Summit & Internal Medicine Congress 2019October 21-22, 2019

October 21-22, 2019 | Tokyo, Japan



Types to a comprehensive model of diseases: From Jungian attitude

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.

BiographyMarco 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.

[email protected]

Marco BalenciItalian Association of Analytical Psychology, Italy

Marco Balenci, Epidemiology 2019, ISSN: 2161-1165

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Scientific Tracks & AbstractsDay 1

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Day 1 October 21, 2019

Session:

Epidemiology and Public Health, Maternal | Infant, and Child Health |Psychiatric Epidemiology | Social Epidemiology | Obesity & Public Health |

Reproductive, Perinatal and Pediatric Epidemiology

Session IntroductionTitle: Impact of educational sessions on breast cancer awareness and knowledge in Jordan

Reem Ajlouni, King Hussein Cancer Foundation, JordanTitle: Inward and Outward opposites as dimensions for a model of diseases

Marco Balenci, Italian Association of Analytical Psychology, ItalyTitle: Organizational and methodological foundations of the endovascular care system at the regional level in

RussiaGoloshchapov-Aksenov Roman, Friendship University of Russia, Russia

Title: Identification of risk factors for cervical insufficiency: a population-based studyLili Meng, Karolinska Institute, Sweden

Title: Biocompatible amifostine nanoemulsion via expression of nephrin in nephrotoxic experimental ratNadia A. Mohamed, Ain Shams University, Egypt

Title: The effect of MyBFF@school programme on physical fitness in overweight and obese primary school children Abdul Halim Mokhtar, University of Malaya, Malaysia

Title: Factors influencing family consent for organ donation in Qatar: Results of a household surveyRajvir Singh, AIIMS, India



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Reem Ajlouni et al., Epidemiology 2019, ISSN: 2161-1165

Impact of educational sessions on breast cancer awareness and knowledge in Jordan Reem Ajlouni1, Taghreed Nsairat2 and Tala Hamadeh3

1King Hussein Cancer Foundation, Jordan2Department of Jordan Breast Cancer Program, Jordan3Jordan Breast Cancer Program, Jordan

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.

[email protected]; [email protected]



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Marco Balenci, Epidemiology 2019, ISSN: 2161-1165

Inward and outward: Opposite as dimensions for a model of diseasesMarco BalenciItalian Association of Analytical Psychology, Italy

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.

BiographyMarco 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.

[email protected]



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Goloshchapov-Aksenov Roman et al., Epidemiology 2019, ISSN: 2161-1165

Organizational and methodological foundations of the endovascular care system at the regional level in RussiaGoloshchapov-Aksenov Roman1, Kicha Dmitri2, Semenov Vladimir3

1Friendship University of Russia, Russia2Friendship University of Russia, Russia3National Medical Research Center of Cardiovascular Surgery, Russia

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.

BiographyRoman 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.

[email protected]



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Lili Meng et al., Epidemiology 2019, ISSN: 2161-1165

Identification of risk factors for cervical insufficiency: A population-based studyLili Meng and Marie Reilly1Karolinska Institute, Sweden2Sun Yat-Sen University, China

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.

BiographyLili 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.

[email protected]



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Nadia Mohamed Ahmed Mohamed et al., Epidemiology 2019, ISSN: 2161-1165

Biocompatible amifostine nanoemulsion via expression of nephrin in nephrotoxic experimental ratNadia Mohamed Ahmed Mohamed, Wagdy K B Khalil and Mehrez E El-NaggarNational Research Centre, Egypt

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.

BiographyNadia 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.

[email protected]



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Abdul Halim Mokhtar et al., Epidemiology 2019, ISSN: 2161-1165

The effect of my body is fit and fabulous at school program on physical fitness in overweight and obese primary school childrenAbdul Halim Mokhtar1, Muhammad Ashaari Kamarudin1, Alston Choong1, Lakvinder Singh1, Vinotha Ganesan1, Abqariyah Yahya1, Ruziana Mona Wan Mohd Zain1,2, Fuziah Md. Zain2, Rusidah Selamat3, Zahari Ishak1 and Muhammad Yazid Jalaludin1

1University of Malaya, Malaysia2Institute for Medical Research- Ministry of Health, Malaysia3Nutrition Division- Ministry of Health, Malaysia

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.

BiographyAbdul 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.

[email protected]



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Rajvir Singh et al., Epidemiology 2019, ISSN: 2161-1165

Factors influencing family consent for organ donation in Qatar: Results of a household surveyRajvir Singh, Betsy Varughese, Yusuf Almasalmani, Ayman El Menyar, Tulika Mehta and Hasan Al ThaniHamad Medical Corporation, Qatar

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.: 4.04-13.92, 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.

BiographyRajvir 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.

[email protected]

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Posters



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Chong Ronald et al., Epidemiology 2019, ISSN: 2161-1165

Case Study of Fibroids and DVT: A Rare Presentation and its ManagementChong Ronald1, Sahadevan Suresh2, Handa Pankaj31,2,3Tan Tock Seng Hospital, Singapore

A 45 year old Chinese woman presented to Tan Tock Seng Hospital with a ten day history of Left thigh pain previously treated with analgesics with no resolution. She did not have any recent history of long flights, immobility, cancer, or

recent operations. On further history, she has a long standing history of heavy periods but otherwise asymptomatic (currently having menses on presentation). On examination, she was noted to be pale and a notable mass was felt arising from the pelvis equivalent to a 24 week uterus. Hemoglobin at presentation was 4.4 g/dL. Urine pregnancy test was negative. US Doppler confirmed a left proximal deep vein thrombosis (DVT) in the left femoral vein and left popliteal vein. CT Abdomen-Pelvis was performed showing an enlarged uterus with multiple predominately enhancing solid lesions, likely representing fibroids. Gynecology team from KKH was referred. An IVC filter was inserted on July 31, 2019. Leuprorelin 11.25mg SC was given on October 2, 2019. Clexane was initiated when menses ceased. Patient was discharged with plans for early hysterectomy and removal of IVC filter after completion of 3 months of anticoagulation

BiographyRonald Chong was born in Trinidad, West Indies and graduated from the University of the West Indies with his MBBS in 2008. He went on to obtain his MRCP (UK) in 2013 and decided to explore The Asian Medical world. He entered the Singhealth Internal medicine Residency program from 2016 to 2019 and then joined the National Health Group Advanced Internal Medicine Senior Residency Program in 2019. He enjoys jogging and taking nature walks to relax his mind from the hectic modern world.

[email protected]

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Accepted Abstracts



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Epidemiology 2019, ISSN: 2161-1165

The use of social stories as an intervention for autism, a state of the art systematic review and qualitative data analysis, with consideration of the efficacy of digital technologies in interventions for autistic childrenSumiya Hussain1, C Grieco1 and M Bronan2

1University of Bristol, UK2University of Bath, UK

Introduction & Aim: Autism is a complex neurobehavioral disorder, characterized by impairments in the development of language and communication skills. The burden of disease is high, with over 62 million cases worldwide. The study involved a state-of-art systematic review, in addition to qualitative data analysis, to establish the evidence for social stories as an intervention strategy for autistic children. An up-to-date review of the use of digital technologies in the delivery of interventions to autistic children was also carried out; to propose the efficacy of digital technologies and the use of social stories to improve intervention outcomes for autistic children.

Method: Two student researchers reviewed a range of randomized control trials, and observational studies. The aim of the review was to establish if there was adequate evidence to justify recommending social stories to autistic patients. Students devised their own search strategies to be used across a range of search engines, including Ovid-Medline, Google Scholar and PubMed. Students then critically appraised the generated literature. Additionally, qualitative data obtain from a comprehensive online questionnaire on social stories was also thematically analyzed. The thematic analysis was carried out independently by each researcher, using a ‘bottom-up’ approach, meaning contributors read and analyzed responses to questions and devised semantic themes from reading the responses to a given question. The researchers then placed each response into a semantic theme or sub-theme. The students then joined to discuss the merging of their theme headings. The Inter-Rater Reliability (IRR) was calculated before and after theme headings were merged, giving IRR for pre- and post-discussion. Lastly, the thematic analysis was assessed by a third researcher.

Results: A review of the literature, as well as thematic analysis of qualitative data found supporting evidence for social story use. The thematic analysis uncovered some novel and very interesting themes from the questionnaire responses, relating to the reasons why social stories were used and the factors influencing its effectiveness in each case. However, overall the evidence for digital technologies interventions was limited and the literature could not prove a causal link between better intervention outcomes for autistic children and the use of technologies. However, they did offer valid proposed theories for the suitability of digital technologies for autistic children.

Conclusion: Overall the review concluded that there was adequate evidence to justify advising the use of social stories with autistic children. The role of digital technologies is clearly a fast-emerging field and appears to be a promising method of intervention for autistic children; however, it should not yet be considered an evidence-based approach.

[email protected]

An IoT based system for assisting and utilizing kids with autismPaul Eigan M Santiago, Yugi V. Ido, Selai Q. Camaibulu, Rolando B. BarramdedaDe La Salle University, Philippines

Autism is a complex biological disorder characterized by difficulties with speech; abnormalities of posture or gesture; problems with understanding the feelings of others; sensory and visual misperceptions, fears and anxieties and behavioral abnormalities such as compulsive/obsessive behavior and

ritualistic movements. Meanwhile, IoT or Internet of Things is the internetworking of physical/connected/smart devices. Embedded with electronics, software, sensors, actuators and network connectivity that enable these objects to collect and exchange data and be controlled remotely. Therefore this study would like to apply IoT in order to create a device and app that can assist and utilize the kids with autism at a local elementary school. It was initiated through a few visitations and observations on a regular class day and was followed with interviews of the teachers for more detailed information. After the device was implemented, the feasibility and effectiveness of the device were determined through the use of a survey. The targeted samples of the survey were the teachers. Data and results were then collected and gathered in tabular forms. The children were observed for reactions and their values were recorded on the basis of rights and wrongs. Individually, the children may have got a few differences throughout the use, but overall, achieved excellent results while using the device. Survey results were also gathered and organized into the six components: Functionality, reliability, usability, efficiency, maintainability and portability. They showed attentiveness, curiosity, willingness, and excitement while using the device compared to a normal lesson. It was also noted that the children did exceptionally well, even though it was their first time. ComAssist did have a positive impact on these children and it has been affirmative to the researchers that the device, in fact can be used within a learning environment to extract improvements and better learning.

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INDEX

Abdul Halim Mokhtar 18

Chong Ronald 22

Goloshchapov-Aksenov Roman 15

Lili Meng 16

Marco Balenci 10

Marco Balenci 14Nadia Mohamed Ahmed Mohamed

17

Rajvir Singh 19

Reem Ajlouni 13

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