Day 1 :
Keynote Forum
Krzysztof Cudzik
Krzysztof Cudzik is a Medical doctor, graduate from Warsaw Medical University, Poland in 2017. In 2018 he started his residency in internal medicine on Cardiology Ward in District Hospital in Ostrowiec Świętokrzyski.
Keynote: Every Breath Counts: Halt the rise of COPD, Prevention of COPD in Poland
Time : 9:30 - 10:15
Biography:
Abstract:
Keynote Forum
Mohammad Reza Pourshafie
Institute Pasteur of Iran, Iran
Keynote: Serotype and genetic variations in COPD infected with Streptococcus pneumoniae in Tehran
Time : 10:15
Biography:
Mohammad Reza Pourshafie is an professore of Microbiology Department and he done his Ph.D in Bacteriology at Institute Pasteur of Iran, Tehrat
Abstract:
A total of 100 Streptococcus pneumoniae were collected in Tehran, Iran. The strains were tested for antimicrobial susceptibility and Minimum Inhibitory Concentrations (MIC), serotyped, and genotyped by Multilocus Sequence Typing (MLST). The most frequent serotypes amongst the isolates of S. pneumoniae (PNSP) were 14 (24%), 23F (18%) and 19F (17%). MLST indicated a high degree of genetic diversity amongst the 93 PNSP with 36 different sequence types. Six internationally known penicillin resistant clones were identified in our isolates amongst which Spain23F-1 (ST81), Spain6B-2 (ST90), Spain9V-3 (ST156) were the predominant clones. The results indicated international identifiable clones of S. pneumoniae, especially Spain23F-1 with high penicillin resistance, could play a major role in spread of antimicrobial resistant in Iran. The extensive sequence variation in PBP2x, PBP2b, and PBP1a in resistant strains was suggestive of a widespread homologous recombination within S. pneumoniae populations.
Keynote Forum
Nancy Midiwo
Nurse practioner, Kenya
Keynote: Integration of cough monitors in lung cancer diagnosis
Biography:
Nancy Midiwo is working as an oncology nurse practioner at Beacon Health services in kenya.
Abstract:
Introduction & Objective: Lung cancer is the leading cause of death among both men and women each year globally. The most effective way of reducing lung cancer deaths is early diagnosis. This can be achieved through early identification and proper referral of suspected clients. A cough monitor is a lay individual trained in community sensitization, cough assessment and sputum collection for symptomatic clients to rule out pulmonary TB. Lung cancer program has shown that diagnosis of lung cancer cases has increased due to integration of cough monitors. The objective was to improve on early identification, raise high index of suspicion and proper referral for suspected lung cancer patients.
Method: Cough monitors from peripheral health facilities within our catchment areas were involved and trained in order to ensure that patients who present with cough, hemoptysis, chest pain, shortness of breath, backache, unexplained weight loss and gene x-pert negative are referred. A standard referral tool and a phone call referral log were developed and a contact person from both ends identified. Total of (24) cough monitors from (12) peripheral health facilities underwent a two day training and sensitization.
Results: Between October 2018 and February 2019, total of (95) clients have been referred for further investigations. Of the (95), (68) clients had no lung mass while (27) had lung mass. (9) were diagnosed with non-small cell lung cancer, of the (9) diagnosed, (7) were male and (2) female.
Conclusion: The integration of cough monitors has raised awareness of lung cancer, led to early identification of suspected lung cancer cases and proper referral systems.
Keynote Forum
Wondu Reta
Jimma University, Ethiopia
Keynote: Prevalence of cardiac arrhythmias among chronic obstructive pulmonary disease patients admitted to Jimma Medical Center
Biography:
Wondu Reta is a Lecturer of Medical Physiology and Anesthesiology at jimma university - Jimma, Oromia, Ethiopia. And his research interests in chronic diseases, cardiac electrophysiology.
Abstract:
Aim: Cardiac arrhythmias are common in COPD patients and are a major cause of morbidity and mortality. The present study aimed to determine the prevalence of cardiac arrhythmias among patients with COPD.
Method: The study was conducted on COPD patients visiting chest clinic of Jimma Medical Center (JMC) located at Jimma town, South west Ethiopia from May 18 to August 18, 2017 G.C. A hospital based cross-sectional study was conducted among 80 sampled COPD patients; and an investigation for 12 Lead resting supine ECG was performed. The results of ECG patterns and other variables were entered into EPI data (3.1) and exported to SPSS (20) for further analysis.
Results: The prevalence of arrhythmia accounted for 50% and the magnitude of its types were classified as Sinus origin arrhythmia (30%) specifically [Sinus bradycardia (16.3%), sinus tachycardia (8.8%) and sinus arrhythmia (5.0%)], ectopic arrhythmia (20%) specifically [Premature ventricular contraction (7.5%), atrial fibrillation (6.3%), premature atrial contraction (3.8%), atrial flutter (1.3%) and multi focal atrial tachycardia (1.3%)], conduction block arrhythmia (23.8%) specifically [Bundle branch block (17.5%) for instance: Complete right bundle branch block (3.8%), complete left bundle branch block (5%), incomplete right bundle branch block (7.5%), incomplete left bundle branch block (1.3%), hemi fascicular block (5%)] and atrioventricular block (1.3%)], and other arrhythmia (11.4%) like prolonged QTc interval (8.8%) and pre-excitation syndrome or Wolf Parkinson white syndrome (2.5%) as a single COPD patient presented with more than one arrhythmias.
Conclusion: Routine ECG investigation should be performed at the setup to screen and initiate early management of Cardio vascular diseases including cardiac arrhythmias for better prognosis COPD patients which was inevitable and very common.
Keynote Forum
Mark Jay M Robles
University of Santo Tomas Hospital, Philippines
Keynote: Effect of chlorhexidine bath on the prevention of ventilator associated pneumonia: A meta-analysis
Biography:
Mark Jay M Robles is working as medical practioner in Ospital ng Makati on internal Medicine at Makati city and Jay S Fonte is working as Principal Investigator, Senior Fellow, Section of Endocrinology and Metabolism at University of Santo Tomas, Manila, Philippines
Abstract:
Aim: Cardiac arrhythmias are common in COPD patients and are a major cause of morbidity and mortality. The present study aimed to determine the prevalence of cardiac arrhythmias among patients with COPD.
Method: The study was conducted on COPD patients visiting chest clinic of Jimma Medical Center (JMC) located at Jimma town, South west Ethiopia from May 18 to August 18, 2017 G.C. A hospital based cross-sectional study was conducted among 80 sampled COPD patients; and an investigation for 12 Lead resting supine ECG was performed. The results of ECG patterns and other variables were entered into EPI data (3.1) and exported to SPSS (20) for further analysis.
Results: The prevalence of arrhythmia accounted for 50% and the magnitude of its types were classified as Sinus origin arrhythmia (30%) specifically [Sinus bradycardia (16.3%), sinus tachycardia (8.8%) and sinus arrhythmia (5.0%)], ectopic arrhythmia (20%) specifically [Premature ventricular contraction (7.5%), atrial fibrillation (6.3%), premature atrial contraction (3.8%), atrial flutter (1.3%) and multi focal atrial tachycardia (1.3%)], conduction block arrhythmia (23.8%) specifically [Bundle branch block (17.5%) for instance: Complete right bundle branch block (3.8%), complete left bundle branch block (5%), incomplete right bundle branch block (7.5%), incomplete left bundle branch block (1.3%), hemi fascicular block (5%)] and atrioventricular block (1.3%)], and other arrhythmia (11.4%) like prolonged QTc interval (8.8%) and pre-excitation syndrome or Wolf Parkinson white syndrome (2.5%) as a single COPD patient presented with more than one arrhythmias.
Conclusion: Routine ECG investigation should be performed at the setup to screen and initiate early management of Cardio vascular diseases including cardiac arrhythmias for better prognosis COPD patients which was inevitable and very common.