Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 5th International Conference on Medical Informatics & Telemedicine Prague, Czech Republic.

Day 1 :

Keynote Forum

Christian Milaster

Ingenium Consulting Group, Inc, USA

Keynote: Why telehealth is not about technology?

Time : 09:15-09:55

OMICS International Medical Informatics 2017 International Conference Keynote Speaker Christian Milaster  photo
Biography:

Christian Milaster is a German engineer and Founder of the Ingenium Consulting Group, Inc. He is passionate about enabling the delivery of extraordinary care with a focus on creating effective and efficient Digital Health Transitions. Following his passion, Mr. Milaster partners with forward-thinking healthcare leaders to prepare their organizations for the future of healthcare delivery. Mr. Milaster’s expertise stems from a 30-year career, including 17 years in healthcare, at employers including IBM Global Services and the Mayo Clinic, and numerous digital health consulting engagements ranging from strategy development and business planning to the design and implementation of new healthcare services. He has designed and builds sustainable healthcare delivery services that delight patients and improve outcomes, while exciting care providers. His communication methods and implementation skills have emboldened healthcare leaders to effectively execute visionary healthcare delivery strategies.

Abstract:

Most people’s off-the-cuff associations with telehealth include technology terms such as video, camera, remote communication, or even robots. But telehealth is not about the technology. Telehealth is healthcare – delivering care at a distance.

When organizations make telehealth about the technology, for example by putting IT in charge of telehealth, this high-potential solution for many of today’s healthcare problems fails every time.

This presentation explores that telehealth really is about people (patients and providers), about processes, about health outcomes, and, yes, about the technology enabling the care at a distance. It will include an overview of dozens of the most common telehealth applications, the numerous benefits of telehealth, and pragmatic guidance how to design executive and operational support telehealth so that telehealth can achieve its full potential.

Recent Publications:

  1. “Just how mature is your health system’s telehealth program?”American Telemedicine Association Conference, April 2017 Orlando, Florida, USA.
  2. “Is the Dunning-Kruger Effect holding back your Telehealth Success?”, LinkedIn Post, April 2017.
  3. “Ending the Digital Health Confusion – A Digital Health Taxonomy”, Ingenium Telehealth Whitepaper, February 2017.
  4. “Ignorance, Inertia, Internal IT: Sabotaging Telehealth Success”, Weblog article, November 2016.
  5. “Your Telehealth Business Plan: Don’t Leave Your Clinic Without It”, Florida Telehealth Summit, November 2016, Safety Harbor, FL, USA Alabama Telehealth Summit, May 2016, Birmingham, AL, USA GA Partnership for Telehealth, March 2016, Jekyll Island, GA, USA.

OMICS International Medical Informatics 2017 International Conference Keynote Speaker Steve Shaha photo
Biography:

Steve Shaha was introduced at three international conferences as “the premier outcomes researcher globally in breadth and depth.” in 2016, He has 35+ years of experience in studies, consulting, lecturing, teaching and speaking.  He’s provided advisory work to 11 non-US governments on 4 continents, has 250+ conference presentations, 140+ journal publications, 4 books, and in 2015 three requested chapters for international reference books.  With two PhDs, he is full Professor and has taught, adjuncted or lectured at 30+ universities in 6 countries, among them Harvard, Cambridge (UK), Oxford, the King’s College, Macquarie University (Australia), UCLA, Westminster, Columbia, Cornell, and others.  Beyond the 200+ healthcare-focused organisations, he has also advised 50+ of non-healthcare organizations, including e.g. Disney, Ritz-Carlton, RAND, Coca-Cola, Time-Warner, Intel, IBM, Marriott and New Line Cinema organizations.  He also served as the Special Assistant to the President of Coca-Cola during crucial months and years of Coca-Cola history.

Abstract:

Electronic patient records (EPRs) have proliferated throughout global healthcare.  Too often however, and for too many care organizations, the objective is mostly about maximise financial performance blindly of clinical impacts, particularly within healthcare models dependent upon viability of privately owned healthcare organisations.  Regardless, proof of well-balanced benefits to clinical outcomes, cost reductions and user satisfaction remain unjustifiably rare.  In healthcare, this lack of substantiation is arguably unconscionable.

The mission and purpose of healthcare and organisations remains improved care to restore or enhance the health and wellbeing of persons and populations.  This mission is beyond records computerisation alone, and the mission of computerisation must represent a match in purpose.  At its foundational level the mission is only accomplished by pairing the most appropriate clinicians, with patients matched with needs, all within the most clinically appropriate and cost-effective delivery setting.  Translated to modern healthcare, that care-giver, recipient and setting match ideally represents the most cost-effective, readily accessible and clinically delivering model.  Therefore the mission of computerisation must reflect those needs, and be justified by the benefits required for all.

A vast collection has been amassed reflecting substantive, quantified and compelling gains – proof – in benefits reflecting the needed balance of clinical, cost, satisfaction and efficiency improvements.  Case studies shared substantiate improvements in the full array of benefits needed, including improved Sepsis occurrence and care, Transfusion rates, Medication errors (adult and Paediatric), Stroke care and outcomes, Obstetric care and infant complications/mortalities, Cardiology and reduced in-house arrests, Thrombolytics, Orthopedics, Pulmonology, Urology, IV to PO (oral) medication conversions, and beside caregiver inclusive efficacy. Also, maximised benefits for telehealthcare, community integration, emergency utilization, hospitalizations, length of stay, and others. Sharing these examples will provide sufficient background for analogous success throughout healthcare organisations and models.

Recent Publications:

  1. Adams, H. P., Del Zoppo, G., Alberts, M. J., Bhatt, D. L., Brass, L., Furlan, A., & Wijdicks, E. F. (2007). Guidelines for the Early Management of Adults With Ischemic Stroke. Circulation, 115(20).
  2. Audebert, H. J., Kukla, C., von Claranau, S. C., Kühn, J., Vatankhah, B., Schenkel, J., & Horn, M. (2005). Telemedicine for Safe and Extended Use of Thrombolysis in Stroke The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria. Stroke, 36(2).
  3. Bates, D. W. (2002). The quality case for information technology in healthcare. BMC Medical Informatics and Decision Making, 2(1).
  4. Fichman, R. G., Kohli, R., & Krishnan, R. (Eds.). (2011). Editorial overview-the role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3).
  5. Hick, J. L., Hanfling, D., Burstein, J. L., DeAtley, C., Barbisch, D., Bogdan, G. M., & Cantrill, S. (2004). Health care facility and community strategies for patient care surge capacity. Annals of Emergency Medicine, 44(3).

Keynote Forum

Wilfried Dimpfel

Justus Liebig University Giessen, Germany

Keynote: Enkephalovision, a new computer-operated approach in brain research

Time : 10:50-11:30

OMICS International Medical Informatics 2017 International Conference Keynote Speaker Wilfried Dimpfel photo
Biography:

Wilfried Dimpfel is Honorary Professor at Justus-Liebig-University Giessen, Germany, since 1983. He is pharmacologist and got his neurophysiological education during 1973-1974 as Max Kade stipend (New York) at the NIH Bethesda from Phil Nelson. Together with Hans-Carlos Hofmann, a physicist and mathematician, he developed quantitative EEG software for research and practice. Wilfried Dimpfel is consultant and CSO at NeuroCode AG, Wetzlar, Germany. He published more than 150 papers in peer-reviewed journals.

 

 

Abstract:

Statement of the Problem: In order to understand brain function several approaches have been used like functional NMRI or quantitative Electroencephalography (qEEG). Functional NMRI suffers from the fact, that it only provides an indirect measurement but covers the whole brain. Quantitative EEG provides a direct measurement of neuronal activity but is limited to the cortical surface. The present approach aimed at achieving higher time resolution in qEEG analysis in order to combine it with eye tracking.

Methodology & Theoretical Orientation: Fast Fourier Transformed EEG signals were subdivided into specially defined frequency ranges now allowing to analyze epoch lengths of 364 ms. Electric power within the frequency ranges was transformed into spectral colors and mixed according to RGB resulting in brain images representing the true measurement not any so-called “false color coding”. Screen capture of the online real time EEG data resulted in the first video-clip. The eye tracker provided a second video as a so-called gaze overlay. By starting the presentation with a gong, offline synchronization using Adobe Premiere software was achieved by taking into account brain and computer dependent processing time.

Findings: Combination of this ultra-fast qEEG analysis with eye tracking allowed functional analysis of brain activity in response to audio-visual challenges with a time resolution of about 3 brain maps per second. Cognitive and emotional challenges revealed particular frequency changes in different brain regions related to individual eye gazes.  The new methodology has been successfully applied in evaluation of TV commercials, web site viewing and efficacy characterization of plant-derived drugs, food supplements and food extracts.

Conclusion & Significance: The combination of ultra-fast qEEG and eye tracking called “EnkephaloVision” for the first time revealed extensive focal electric activity at different brain regions related to momentary focal attention shown by orientation of eye gazes.

Fig. 1

Recent Publications:

  1. Dimpfel W, Hofmann H-C (2014) Neurocode-Tracking Based on Quantitative Fast Dynamic EEG Recording in combination with Eye-Tracking. World Journal of Neuroscience, 4: 106-119. 
  2. Dimpfel W, Chiegoua GN, Gericke N (2016) EnkephaloVision: Anatomical Functionality Indicated by Ultrashort Transient Regional EEG Spectral Power changes during Cognitive and Emotional Challenges. World Journal of Neuroscience, 6: 90-108.
  3. Dimpfel W (2015) Neuromarketing: Neurocode-Tracking in Combination with Eye-Tracking for Quantitative Objective Assessment of TV Commercials. J of Behavioral and Brain Science, 5: 137-147.

4.Dimpfel W, Morys A (2014) Quantitative Objective Assessment of    Websites by Neurocode-Tracking in combination with Eye-Tracking. J of Behavioral and Brain Science 4: 384-395.

5. Dimpfel W, Chiegoua Dipah GN, Suliman S (2016) Proof of Effectiveness of Pascoflair® in Subjects Suffering from Examination Anxiety Using Quantitative EEG in Combination with Eye-Tracking (EnkephaloVision). A Double-Blind, Randomized, Placebo Controlled, 2-Armed, Phase IV Study in Parallel Design. Pharmacology & Pharmacy 7: 424-442.

 

  • Medical Informatics and Electronic Medical Records | Telehealth | Neuroinformatics and Behavioural Neurology
Location: Captain B+C
Speaker

Chair

Rebecca Meehan

Kent State University, USA

Session Introduction

Fatima Barnes

Howard University, USA

Title: Mobile access to clinical information at the point of care

Time : 11:30-12:00

Speaker
Biography:

Fatima Barnes has worked as a technology integration specialist for more than ten years. She has also conducted research on the use of iPads and Tablets in clinical care while managing a medical library. In the past three years, the library trained more than 70 clinicians with teaching responsibilities on using or teaching with iPads and Tablets. Dr. Barnes has held preconference workshops on evaluated productivity tools for busy professionals and presented on emerging medical devices in health care. In addition, several abstracts and posters have been published and presented at conferences on the use of medical apps in professional education.

 

Abstract:

Objectives: Using library subscriptions and accessible on handheld devices, this study sought to promote authoritative health information apps, and evidence-based point-of-care resources.

Methods: Three cohorts of internal medicine residents were issued iPads at the beginning of their second year, and were trained to skilfully access resources from the digital library.
Pre- and post-intervention surveys were respectively administered at the beginning of the second year and end of the third year of training. The residents’ computer experience and computer knowledge was assessed. Additionally, before and after formal introduction to iPads, perceptions on the use of computers to access clinical information were assessed. Survey responses were compared using two sample methods and summarized through descriptive statistics.

Results: Sixty-eight residents completed the pre-survey questionnaires and 45 completed the post-surveys. There were significant improvements in the residents’ level of computer experience, and familiarity with medical apps. Furthermore, there was increased knowledge obtained in accessing clinical information through electronic medical records. Residents positively perceived the potential effects of computers and electronic medical records in medicine.

Conclusion: Study findings suggested that health science libraries can be instrumental in providing search skills to health professionals, especially residents in training. Participants showed appreciation of iPads and library support that facilitated successful completion of their related tasks. Replicating this study with a larger sample derived from multiple sites is recommended for future studies. Participation of mid-level healthcare professionals, such as Physician Assistants and Nurse Practitioners is suggested. 

Recent Publications:

  1. Boulos MNK, Wheeler S, Tavares C, Jones R. How smartphones are changing the face of mobile and participatory healthcare: An overview, with example from eCAALYX. Biomedical engineering online. 2011;10(1):24-24. doi: 10.1186/1475-925X-10-24.
  2. Osheroff JA, Teich JM, Middleton B, Steen EB, Wright A, Detmer DE. A roadmap for national action on clinical decision support. Journal of the American Medical Informatics Association : JAMIA. 2007;14(2):141-145. doi: 10.1197/jamia.M2334.
  3. Lumsden CJ, Byrne-Davis LMT, Mooney JS, Sandars J. Using mobile devices for teaching and learning in clinical medicine. Archives of disease in childhood-Education & practice edition. 2015:edpract-2014-306620.
  4. Chatterley T, Chojecki D. Personal digital assistant usage among undergraduate medical students: Exploring trends, barriers, and the advent of smartphones. Journal of the Medical Library Association: JMLA. 2010;98(2):157-160. doi: 10.3163/1536-5050.98.2.008.
  5. Tews M, Brennan K, Begaz T, Treat R. Medical student case presentation performance and perception when using mobile learning technology in the emergency department. Medical education online. 2011;16:1-7. doi: 10.3402/meo.v16i0.7327.

Speaker
Biography:

William Schoenl is Professor emeritus, Modern European History (including Imperialism) and Michigan State University.  He is also interested in helping serve dire human needs overseas.  He is cofounder of: the Chicken Project with Nutri-Fresh Farm & Agri-Hub in Thika, Kenya (2016-present); the Michigan State University Honors College Dire Needs Overseas Undergraduate Grants (2008-present, Endowment 2013-present); the Michigan State University College of Engineering Dire Needs Overseas Undergraduate Grants (2013-present); and the Canisius College Honors Scholarships for International Program (2008-present).  His wife Linda Schoenl and he were Nyaka AIDS Orphans Foundation Volunteer of the Year, Uganda (2015).  He has published five books and numerous articles.  He was included in Who’s Who in America (2002-15) and Who’s Who in the World (2003-04).

 

Abstract:

This is about a project combining entrepreneurship and micro lending—two currently significant concepts in international development.  The project’s purpose is to empower poor rural families with a source of income and protein-rich food through micro lending chicken start-up support.  Its method is to partner with a non-governmental organization, Nutri-Fresh Farm & Agri-Hub, for creating agricultural entrepreneurs from subsistence farmers in Kenya.  Each family is supplied with 50 chicks of the improved Kuroiler indigenous breed and signs a Poultry Project Loan Agreement. It states their obligation to repay—without interest—in the form of mature poultry cocks the costs of the chicks, feeds, vaccines, training and follow-up until the chicks attain maturity at six months.  The repaid loan amounts are invested in new families.  All families so far involved have eggs for sale and as a regular source of protein for themselves.  They increase their asset through the additional hatching of their own chicks.  They are repaying the loan.  The project is now expanding to additional families in the Donyo region in Kenya.  The repaid loan amounts allow it to continue sustainably in the future.  Our conclusion is that this project combining entrepreneurship and microlending chickens has been successful and that it can be useful elsewhere and can include other agricultural inputs as well.

Recent Publications:

  1. Darrow, B. (2016) Why Bill Gates thinks raising chickens would solve a huge problem. URL (Accessed May 6, 2017). http://www.fortune.com
  2. Gates, B. (2016) Why I would raise chickens. URL (Accessed May 6, 2017).http://www.gatesnotes.com.
  3. Heifer International (2016) Ending hunger and poverty: Our approach: Livestock and  training. URL (Accessed May 6, 2017). http://www.heifer.org.
  4. Schoenl, W. (2017) Microlending chickens and entrepreneurship: Empowering poor rural families in Kenya. Open Access Library Journal 4: e3659. URL (Accessed June 7, 2017).https://doi.org/10.4236/oalib.1103659.
  5. Wachieni, S. (2016) Chicken project status report. Prepared by Simon Wachieni, Director of Nutri-Fresh Farm & Agri-Hub, Thika, Kenya.

Jill Flo

University College of Southeast Norway, Norway

Title: Content validity of the modified OPCq instrument - A pilot study in home health care in Norway

Time : 12:30-13:00

Speaker
Biography:

Jill Flo has her experience from clinical work as an Anaesthesia Nurse and from Department of Nursing Sciences as a senior lecture/associate professor. The research work is from evaluation studies concerning learning methods in nursing education using computer driven patient simulator in preclinical studies. She has evaluate use of learning management system and student’s evaluation of e-learning combined with traditional lectures, and suggestions for improvements in the post graduated program: Wound- prevention, treatments and palliation. She has also worked with project in interdisciplinary clinical practice (ICP). The research area is now the OPCq instrument a part of the RAFAELA patient classification system in home health care.

 

Abstract:

Statement of the Problem: A gradual increase in life expectancy has resulted in a larger aging population in developed countries. The number of hospital beds is decreasing and there is a shift towards nursing homes, residential care facilities and home health care (HHC). Due to the growing number of patients in HHC, a Patient Classification System (PCS) whereby the systematic registration of patients’ care needs, nursing intensity and the allocation of nursing staff can occur is needed. The validity and reliability of the modified OPCq instrument has been tested with good outcomes in hospital settings, and only once in primary health care for older people. In this study, the modified OPCq was tested for the first time in HHC in Norway. The purpose of this study was to test the content validity of the modified OPCq instrument in HHC.

Methods: A pilot study with a descriptive design. The data were collected through a questionnaire (n=44). Both qualitative and quantitative analyses were used.

Results: The modified OPCq fulfills the requirements for validity in HHC, but the manual may need some minor adjustments.

Conclusion: The modified OPCq seems to be useful for measuring nursing intensity in HHC. Staff training and guidance, high-quality technological solutions and that all technology works satisfactorily are important when implementing a new PCS. Further research is needed in regard to nursing intensity and the optimal allocation of nursing staff in an HHC setting.

Recent Publications:

  1. Flo J, Landmark B, Hatlevik O, Tønnessen S & Fagerström L (2016) Testing of the content validity of a Modified OPCq instrument – A pilot study in Norwegian Home Health Care. Open Journal of Nursing 6: 1012-1027.
  2. Andersen M.H., Lønning K., & Fagerström, L. (2014) Testing Reliability and Validity of the Oulu Patient Classification Instrument – The first Step in Evaluating the RAFAELA System in Norway. Open Journal of Nursing 4: 303-311.
  3. Fagerström, L., Lønning, K. & Andersen, M.H. (2014) The RAFAELA system: a workforce planning tool for nurse staffing and human resource management. Nursing Management 21: 30-36.
  4. Frilund, M., & Fagerström L. (2009). Validity and reliability testing of the Oulu patient classification: instrument within primary health care for the older people. International Journal of Older People Nursing 2009a; 4: 280-287.
  5. Fagerström L. (2009) Evidence-based human resource management: a study of nurse leaders’ resource allocation. Journal of Nursing management 17: 415-425.

Ahmed Makki

King Abdulaziz University, Saudi Arabia

Title: Constructing a structured medical presentation

Time : 13:00-13:30

Speaker
Biography:

Ahmed Makki works as an Assistant Professor of Surgery at Medical School- Department of Surgery. He works as Examiner of the Royal College of Surgeons in Ireland. I.D. 2121, Examiner of the Royal College of Surgeons of Edinburgh. I.D. 2121, Fellow of the Royal College of Surgeons in Ireland, Fellow of the Royal College of Surgeons of Edinburgh, Fellow of the Royal College of Surgeons of Glasgow and Fellow of the Royal College of Surgeons of England. Ahmed Makki has several credentials like Membership of the Royal College of Physicians & Surgeons of Glasgow, Fellowship of the Royal College of Surgeons in Ireland, Fellowship of the Royal College of Surgeons of Edinburgh, Fellowship of the Royal College of Surgeons of Glasgow and Fellowship of the Royal College of Surgeons of England.
 

Abstract:

Introduction: Giving presentation is an essential part in the medical practice. Physicians, in general are not expert in giving presentations, as it is not their daily practice. The weakness in conducting presentations comes from lack of the guidelines of making presentations and poor practice. Criticism is often directed to the facts emphasized in the presentations rather than the method of conduction. Therefore physician’s skills in making presentations have to be improved. The objective of this article is to provide the physicians or medical students with guidelines on how to prepare and deliver a structured and effective presentation in the medical practice.

Discussion: The structure of making effective presentation is based on 3 pillars (3Ps) Plan, Preparation and Performance (delivery of presentations). Plan starts with selecting an interesting topic for the audience, then to plot down the ideas and objectives with pen and paper. Sketch a script with logical flow of ideas and suggest related images or illustrations. Preparation of presentation passes through 3 steps:- Extensive reading, selective writing /typing before making interesting slides, the latter needs attractive foreground and comfortable background. Performance means the delivery process of the prepared presentation. The speech looks like telling a story, it should have a clear introduction, provocative engaging context and a logical conclusion. The needed skills and the difficulties of conducting speech, in addition to some important tips of giving presentation are fully explained in this article.

Conclusion: Presentation of teaching or research material has an important role in the work of health care professionals. The structure of medical presentation is based on three pillars: Plan, preparation and performance. Physicians should attain some skills in making effective presentation which are not sufficiently taught in the medical school.

  • Health Information Technology | Medical Informatics & Nursing | Biostatistics | Telemedicine | Health Systems
Location: Captain B+C
Speaker

Chair

Marion Ben Jacob

Mercy College, USA

Speaker
Biography:

Rebecca A Meehan is an Assistant Professor of Health Informatics at Kent State University, where she teaches health information systems, research, human factors and usability in health informatics. Dr. Meehan earned her doctorate in medical sociology and gerontology from Case Western Reserve University in Cleveland, Ohio.  She has over 20 years of experience in applied gerontology, health research in technology, and software development. Dr. Meehan’s research focuses on usability of health IT (electronic health record) and the user experience of health information technology in long term care settings.  

 

 

Abstract:

Statement of the problem: Communication technology, specifically, health information exchange (HIE) is creating opportunities for improving lives of older adults in long term post-acute care (LTPAC) settings. There is an increasing number of older adults worldwide.  By 2050, the number of people aged 60 years and over is expected to increase from
605 million to 2 billion people, with the proportion of the world's population over 60 years of age to double from about 11 per cent to 22 per cent (WHO, 2014). Moreover, there are forecasts for substantial increases in the number of people with severe chronic conditions and/or disabilities in most parts of the world because of changes in fertility and life expectancy over the next fifty years. (WHO, 2002). Although many older adults will continue to live in their own homes or communities, some with formal or informal caregiving support, there is still a growing need for LTPAC services.  In the United States, the number of people using LTPAC services is projected to increase from 15 million in 2000 to 27 million in 2050 (Harris-Kojetin, Sengupta, Park-Lee, & Valverde, 2013).

Methodology: A literature review was conducted to evaluate the state of HIE and its effects in LTPAC settings.  Findings:  Findings are summarized and presented to inform the current state and future potential of HIE in LTPAC, in the US and globally.  It is critical to provide the right medical information to clinicians as older adults transition from a hospital (e.g. after a broken hip) to a LTPAC facility.  Most commonly, a summary of care is sent from the hospital to the LTPAC facility, faxed or pinned to the gown of an incoming patient.  HIE is an information technology alternative, and can streamline communication globally, allowing timely receipt and use of medical information, leading to improved care opportunities for older adults.  

Recent Publications:

  1. Meehan, R., Staley, J. “Facilitating Participation of Long Term Care in ACOs through HIE,”  Accepted for publication (2017), Perspectives in Health Information Management.
  2. Meehan, R., Mon, D., Kelly, K., Rocca, M., Dickinson, G., Ritter, J., & Johnson, C. (2016).  “Increasing EHR system usability through standards:  Conformance criteria in the HL7 EHR system-functional model.”  Journal of Biomedical Informatics  63: 169-173. 
  3. Meehan, R. & Shura, R. (2016).  Residents’ Perspectives on Living with Vision Impairment in Long-term Care:  An Unseen Factor in Quality of Life and Appropriateness of Care.  Journal of Nursing Home Research.  2:  34-40.
  4. Meehan, R. (2015).  Improving continuity of care in long term care:  Impact of health information exchange.  Journal of Healthcare Information Management.  29:  14-17.
  1. Meehan, R.  (2015)  Electronic Health Records in Long Term Care:  Staff Perspectives.  Journal of Applied Gerontology.  Pg. 1-22.

Speaker
Biography:

Jose Eduardo Corrente has undergraduate in mathematics and took his MSc and PhD in Biostatistics. He is Associate Professor at Biostatistics Department -University of Sao Paulo State - UNESP, and his field of research is epidemiology of third age. Main projects are in quality of life, lifestyle and nutritional aspects for older people with respect to eating patterns and adequate intake as well as publications in reputed journals. Giovana Fumes has taken his PhD in Statistics and nowadays she is a Post-Doc researcher at “Luiz de Queiroz” Agricultural School working in asymmetric models for fitting nutrient intake distributions.

 

Abstract:

One of the main interests in the nutrition field is to estimate the distribution of usual nutrient intake. Data from vitamin intake generally present high asymmetry mainly to the presence of outliers. This can occur due to the variability of the diet and, in this case, robust estimation to get the distribution of the data can be required. Then, the aim of paper is to propose an alternative approach for estimating usual intake through asymmetric distributions with random effects applied to data set 10 vitamins obtained from a dietetic survey for 368 older people from Botucatu city, São Paulo, Brazil. In general, these asymmetric distributions include parameters related to mean, median, dispersion measures and such parameters provide good estimates for the intake distribution. In order to make some comparisons, a model fitted by National Cancer Institute (NCI) method with only for amount of nutrient intake was established using Akaike Information Criteria (AIC). NCI method is based on a Box-Cox transformation coupled with normal distribution but in case of asymmetric data, this transformation can be not useful. It was observed that, in the presence of outliers, the asymmetric models provided a better fit than the NCI method in the major of the cases. Then, these models can be an alternative method to estimate the distribution of nutrient intake mainly because a transformation for the data is no necessary and all the information can be obtained directly from the parameters.

Recent Publications

  1. Corrente, José Eduardo; FUMES, Giovana. Use of Asymmetric Models to Adjust the Vitamin Intake Distribution Data for Older People. Health (Irvine), v. 08, p. 887-893, 2016.
  2. Corrente, José E; FUMES, Giovana ; Fontenelli, M.M.; Fisberg, R.M. ; Marchioni, D.M.L. . Use of Asymmetric Models to Estimate the Distribution of Usual Nutrient Intakes. Journal of Nutrition and Health, v. 2, p. 1-6, 2016.
  3. Oliveira, E.P. ; Torezan, G.A. ; Gonçalves, LS ; Corrente, José E ; Mclellan, K.C.P. ; Burini, Roberto Carlos . O CONSUMO AGUDO DE ERVA MATE AUMENTA O GASTO ENERGÉTICO DE HOMENS JOVENS SAUDÁVEIS: UM ESTUDO PILOTO. Revista Brasileira de Obesidade, Nutrição e Emagrecimento, v. 10, p. 242, 2016.
  4. RINALDI, ANA ELISA MADALENA ; GABRIEL, GLEICE FERNANDA COSTA PINTO ; MORETO, FERNANDO ; Corrente, José Eduardo ; MCLELLAN, KÁTIA CRISTINA PORTERO ; Burini, Roberto Carlos . Dietary factors associated with metabolic syndrome and its components in overweight and obese Brazilian schoolchildren: a cross-sectional study. Diabetology & Metabolic SyndromeDescription: http://buscatextual.cnpq.br/buscatextual/images/curriculo/jcr.gif, v. 8, p. 58, 2016.
  5. CORRENTE, JOSÉ E.; FUMES, Giovana ; Ferreira, P.M. . Obesity in older people: A new scenario and a new challenger. Integrative Food, Nutrition and Metabolism, v. 3, p. 341-344, 2016.

Steve Shaha

Institute for Integrated Outcomes, USA

Title: Maximising clinical and financial outcomes through integrated care

Time : 15:10-15:40

Speaker
Biography:

Steven H Shaha was introduced at three international conferences as “the premier outcomes researcher globally in breadth and depth.” in 2016, He has 35+ years of experience in studies, consulting, lecturing, teaching and speaking.  He’s provided advisory work to 11 non-US governments on 4 continents, has 250+ conference presentations, 140+ journal publications, 4 books, and in 2015 three requested chapters for international reference books.  With two PhDs, he is full Professor and has taught, adjuncted or lectured at 30+ universities in 6 countries, among them Harvard, Cambridge (UK), Oxford, the King’s College, Macquarie University (Australia), UCLA, Westminster, Columbia, Cornell, and others.  Beyond the 200+ healthcare-focused organisations, he has also advised 50+ of non-healthcare organizations, including e.g. Disney, Ritz-Carlton, RAND, Coca-Cola, Time-Warner, Intel, IBM, Marriott and New Line Cinema organizations.  He also served as the Special Assistant to the President of Coca-Cola during crucial months and years of Coca-Cola history.

Abstract:

The healthcare mission remains to improve the health and wellbeing outcomes for patients.  Achieving that focus must reflect capabilities to meet patient needs regardless of the location of physicians, caregivers, elaborate diagnostic equipment or hospitals.  These capabilities are particularly needed for caring for patients in locations remote from larger, more urban populations, representing more state-of-the-art equipment and specialists for diagnosing and defining interventions.  And optimal care reaches balanced, integrated outcomes for clinical, financial and efficiency optimisation, all with the greatest access and outcomes for patients.

Distance capabilities require inter-location communication to connect remote and urban clinicians, the Internet being the most achievable in the 21st century.  Telemedicine, with information exchange and visual interactions, requires equipment in place, and clinical professionals sharpened for sending information, interacting with specialists and diagnostic equipment in the more populated areas.  Capable professionals with sufficient equipment collect initial diagnostic information provide information at the patient location and the information-enabled clinician interactions provide best care: Telemedicine.

Examples of telemedicine successes shared include pregnancy, through Labor and Delivery, through postpartum care, all including mother, fetus and newborn.  Also Stroke care, integrating information from remote pre-event patient records, through Stroke, through care, follow-up and care thereafter.  Another example includes ideal medication selection and dosing. Especially for paediatric patients, again reflecting full knowledge from patient history gathered at the remote patient and clinician location.  Each is evidence by clinical, cost and efficiency metrics.

Every example of telemedicine illustrates the beneficial impact accomplished through inter-location information sharing, remote and urban-based clinical professionals optimizing diagnoses, interpretations and best-care determinations.  Each undertaking must prove optimal modelling as quantified by outcomes metrics for clinical, financial and efficiency metrics.  Each must also reflect evidence-based best care for patients in terms of medical benefits and access to care.

Oldrich Vysata

Charles University, Czech Republic

Title: Quantifying the degree of muscle weakness in bell's palsy using ms kinect 2

Time : 15:55-16:25

Speaker
Biography:

Oldrich Vysata graduated from the University J.E. Purkynje Brno, Czech rep. in 1985 with M.D. (Doctor of Medicine). Later he obtained qualification in Neurology and Neurophysiology. He is Board Certified in Electroencephalography, Electromyography and Electronystagmography. In 2010 he defended PhD. in Technical Cybernetics. He strives to bring new information technology closer to clinical practice.

 

 

 

Abstract:

Statement of the Problem: Bell’s palsy is the most common acute mononeuropathy, and is associated with mostly unilateral facial nerve weakness/paralysis. The grading system developed by House and Brackmann categorizes Bell palsy on a scale of I to VI. This and similar clinical scales allow only a very approximate assessment of the degree of muscle weakness. Evidence of a high interobserver variability of the subjective House-Brackmann facial nerve grading system justifies technological enhancements of objective classifications for facial nerve paresis. Quantification of muscle weakness by 3D scanners in patients with Bell’s palsy was not to the best knowledge of the authors performed. The aim of this work is to design a simple outpatient system for monitoring asymmetry of muscle strength in patients with Bell's palsy based on cheap 3D scanner Microsoft Kinect 2.

Methodology & Theoretical Orientation: MS Kinect's 3D facial model is based on the Candide3 model. The Face Tracking SDK tries to fit a 3D mask to the user’s face. Based on a priori knowledge about the anatomical localization of the observed muscles, areas of interest on the mask were chosen. To test the strength 6 muscles were selected. We have used the modified Hausdorff distance to quantify the side difference of muscle contraction for each muscle of interest. Estimation of the paretic muscle strength is verified in 12 patients with Bell's palsy using EMG and clinical scales.

Findings: This method finds the correct side of the lesion with 100% accuracy. It correlates better with findings of conductive studies and needle EMG than the clinical scale.

Conclusion & Significance: This method allows practically immediate evaluation of the degree of paralysis in Bell’s palsy in outpatient practice. It allows more accurate and reproducible monitoring of therapy results. The method is also suitable for clinical trials.

Recent Publications:

  1. Vrabec JT,  Backous DD, Djalilian HR, Gidley PW, Leonetti JP, Marzo SJ, Morrison D, Ramsey MJ, Schaitkin BM, Smouha E, Toh EH, Wax MK, Williamson RA, Smith EO (2009) Facial Nerve Grading System 2.0. Otolaryngol Head Neck Surg. 140: 445-50.
  2. Peitersen E (2002) Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 549: 4-30.
  3. Scheller C et all (2017) Interobserver variability of the House-Brackmann facial nerve grading system for the analysis of a randomized multi-center phase III trial. Acta Neurochir (Wien). 159: 733-738.
  4. Donato G, Bartlett, Marian S, Hager J, Ekman P, Sejnowski TJ (1999) Classifying Facial Actions. IEEE Trans. Pattern Anal. Mach. Intell. 10: 974.
  5. Tang XM, Chen JS, Moon YS (2008) Accurate 3D face registration based on the symmetry plane analysis on nose regions. 2008 16th European Signal Processing Conference. 1-5.

Speaker
Biography:

Atheer is microbiologist work in university of Baghdad, veterinary medical college and department of microbiology since seven years. I got my BSc in science college university of Baghdad department of biology in 1984 and work in al Mansur factory as a microbiologist for water treatment , then I got MSc in bacteriology in veterinary college and work head department of bacteriology in Al razee center for research and production diagnostic kits in ministry of industry and minerals, after that I got my PhD in virology from university of Almustanseria  department of biology and return to my work ,head department of virology, from this time I started to work in research and published my work in many journals.

Abstract:

Methicillin-resistant Staphylococcus aureus (MRSA) is among the most alarming pathogens affecting both humans and the global bovine industry. The current control measures in hospitals and on farms for MRSA have proven to be inadequate leaving a need for new rapid control methods to curb MRSA infections in situ. New control measures for bacterial infection are widely sought, with particular interest in the applications for bacteriophages (phages) as a biocontrol or therapeutic agent. The current study uses a wild highly lytic phage isolated from cow’s milk taken from three farms in Baghdad, Iraq. The resulting phage was able to rescue 100% of the mice from a median lethal dose (LD50) or (1 × 108 CFU mL−1 per mouse) for MRSA wild isolates achieved when the phage: bacteria ratio was 100:1. Even when treatment was delayed for 6 h post lethal infection, to the point where all mice were moribund, 80% of them were rescued by a single injection of this phage preparation. Based on the current results, a comprehensive study is needed to guide further research on the MRSA phage as a biocontrol for MRSA mastitis in dairy cows to replace or reduce the use of antibiotics in animal husbandry.

Speaker
Biography:

Uchenna Ogoke is a lecturer in the Department of Mathematics and Statistics, University of Port Harcourt, Nigeria. She has her research interest in the area of Biostatistics. She has attended many Local and International workshops and conferences where she presented her works and won a number of awards. In one of her works, she developed a model which was adopted in the bipolar investigation, using “The Modified Logistic Ridge Regression Estimator”. She has published widely in both Local and International journals of which “Cubic Spline Regression: An Application to Early Bipolar Disorder Dynamics” is one of the publications. Her publications have provided positive interactions and collaborations between her and some allied disciplines, thereby strengthening the profile of statistics in the Biosciences. She is a member of relevant professional bodies such as Nigerian Statistical Association (NSA) and International Biometric Society (IBS), Washington DC, USA.

Abstract:

Cardiovascular disease (CVD) is a general term for conditions affecting the heart or blood vessels, usually associated with building up of fat deposits inside the arteries. Majority of individuals with CVD may go about their normal day-to-day schedule of duties without realizing the danger the disease portends. As the severity increases, affected persons become more prone to suffer death. In this study, some risk factors other than family history, diabetes, poor diet, and smoking have been investigated. We modelled the relationship between BMI, BP and Age for male and female separately so as to investigate the fluctuations in the proximity to cardiovascular diseases between male and female individuals. Many studies have shown a couple of significant associations between BP, BMI and Age, but in this study, we will like to predict the likelihood of having abnormal BMI with age to bring to the notice when one is due for check-up to prevent cardiovascular problems using multiple linear regression. A receiver Operating Characteristics (ROC) was done to compare male and female individuals considering their ages and the results show that there seem to be a positive correlation.

Recent Publications:

  1. Ogoke U.P, Nduka E.C and Soyinka A.T (2016). The Trend of Mood Disorder by Gender. Biometrics and Biostatistics International Journal. USA. Vol. (5). 1.
  2. Ogoke U.P, Nduka E.C and Ajibola T.S (2016). Cubic Spline Regression: An Application To Early Bipolar Disorder Dynamics. Open Journal of Statistics, USA. Vol.6  1003-1009.
  3. Ogoke U.P, Nduka E.C and Soyinka, A.T (2016). A Chi-Squared Approach To Obtaining    Missing Values On Egg Production. International Journal of Statistics and Applications, USA. Vol.6(6), 386-390.
  4. Ogoke U.P, Nduka E.C, and Nja M.E.(2015). Bipolar Disorder Investigation Using Modified Logistic Ridge Estimator. International Organisation of Scientific Research (Journal of Mathematics) India.11(1), 12-15.
  5. Ogoke U.P, Nduka E.C and Nja M.E.(2013).The Logistic Regression Model with a Modified Weight Function in Survival Analysis. Journal of  Mathematical Theory and Modeling, USA. 3(8),  12-17.