Day 2 :
Keynote Forum
Galina Migalko
Universal Medical Imaging Group, USA
Keynote: The Importance of interstitial fluid evaluation in relationship to any health condition
Time : 09:00-05:30
Biography:
Galina Migalko graduated with her M.D. from Uzghorod Medical University (Ukraine) in 1988, After finishing the California School of Medical Sciences and earning an additional ARDMS license in Diagnostic Medical Sonography, she founded the Universal Medical Imaging Group an alternative and complementary practice that uses the Comprehensive Full Body Screening. In 2011, She received her NMD from the University of Science Arts and Technology (Montserrat, British West Indies and London, England) with a degree in Naturopathic Medicine
Abstract:
Due to the many ineffective and incomplete diagnostic and treatment results of conventional medical protocols (e.g. Comprehensive Blood and Chemistry tests, mammograms, antibiotics, antivirals, chemotherapy and radiation), more efficient alternative methods are needed. The potential of Non-invasive Medical Diagnostics (NMD) coupled with an Alkaline lifestyle and Diet (ALD) as a legitimate alternative to radioactive diagnostice and chemical treatments are examined. While largely ignored in conventional Medicine, the pH and electrolytes of the interstitial fluids of the Interstitum is suggested as an important part in identifying any viral, bacterial, fungal and/or cancerous condition. It is further suggested that all of these conditions may be the result of an over-acidic chemistry of the interstitial fluids of the body that can be prevented or reversed
with an alkalizing lifestyle and diet (ALT). Non-invasive Blood Testing (NBT) and Full Body Bio-Electro Interstitial Fluid Scan (FBBIES) are presented as a noninvasive and non-radioactive diagnostic tests to examine the body fluids pH, chemistry,
metabolic data and functionality of the organs and organ systems in the presence of any acidic disease causing condition. In addition, non-invasive Full-Body Thermography (FBT) and Full-Body Ultrasound (FBU) combined with the interstitial fluid testing (FBBIES) are presented as noninvasive methods to examine the physiology, the anatomy and the functionality of the organs, organ systems, glands and tissues in relationship to acute or chronic health conditions in the prevention, diagnosis, prognosis, treatment and monitoring the progress of any therapy progress. Finally, qualitative and quantitative non-invasive Blood Evaluation (NBE) is used as an important part of determining hematological data to compare with the interstitial fluid analysis (FBBIES). In contrast, to the potential chemical acidosis caused by conventional medical treatments, ALT methods such as Intravenous Nutritional Infusion (INI), Rectal Nutritional Infusion (RNI), alkaline foods and drinks, alkaline nutritional supplements, detoxification, exercise and stress reduction provide an alkalizing approach in preventing and reversing any health condition.
Break: Networking and Refreshments Break @ 10:30-11:00
- Virology | Medical Virology | Clinical Aspects of Viral Infection | Vaccines for Tropical Diseases | Tropical Viral Diseases
Location: Dubai, UAE
Session Introduction
Caroline Bilen
Clinical Educator, UAE
Title: Surgical safety solution to improve patient safety in caesarean procedures
Biography:
Caroline holds BS in nursing since 1988, certified in Infection Control (NYIC) as well as educator for NYIC certification and patient safety. She is JCI certified educator for JCI education program “Safety in Surgical Services”. She has more than 25 years’ experience in Nursing Management, Infection control and Health Care Quality, Accreditation Management and Elderly Care. She held the position of Director of Nursing Services at “Home Care Lebanon”, where she was leading the Health Care Team and responsible for Patient Safety. She is an active public speaker at international and national congresses. She has been working closely with Hospitals Management team, Infection Control and Patient Safety Committees all over the CEEMEA region to improve patient safety, Expectations and outcomes. Her contribution in creating awareness of the best practices and driving surgical safety solution, surgical pathway, clinical evidences and standards of care to prevent Hospital Acquired Infection as well as educating Health Care Staff in CEEMEA region is broadly recognized and appreciated. She has publication on the Reduction of Surgical Site Infections in Cesarean Section Deliveries by Implementation of a Surgical Care Pathway
Abstract:
Health Care-Associated Infections (HCAI) is the most frequent adverse event in health-care delivery worldwide. Up to 16% of HCAI are Surgical Site Infections (SSI). Managing the risk of SSI is complex. Many patients are affected by SSI each year, leading to significant mortality, morbidity and financial losses for health systems. Caesarean section deliveries are an important surgical procedure that is used to improve both maternal and fetal outcomes in complicated pregnancies. In recent times however the convenience of the surgery for both mother and surgeon has resulted in an increasing global trend of C-section deliveries which according to the world health organization has now reached pandemic proportions. The nature of the surgery makes it a high risk procedure and the incidence of infection have been increasing in both well and under-resourced countries. Since the entire process is not limited to a single hospital department, a multi-disciplinary approach is needed to minimize the risk of infections. For this study a surgical care pathway was introduced as part of a performance improvement project to a private hospital in South Africa which resulted in C-section infection rates decreasing from 5.12±0.82% to 0.23±0.15% (p<0.0001).
- posters
Location: Dubai, UAE
Session Introduction
Sachin Damke
Jawaharlal Nehru Medical College, India
Title: Correlation of dengue serology with disease severity
Biography:
Sachin Damke has completed MBBS in 2001 and MD pediatrics in 2006. He is working in a medical college from last 10 years.
Abstract:
Background & Objective: Dengue fever is one of the most common arboviral mediated outbreaks. The disease carries high morbidity and mortality. The spectrum ranges from mild self-limiting illness to severe fatal disease. This study was designed to correlate the dengue serology with the disease
.
Methods: Prospective observational study was undertaken among pediatric patients in a rural tertiary care hospital. The study
conducted over a period of 4 years. In patients suspected as dengue NS1 antigen, IgM and IgG for dengue were sent and those who
were positive for at least one of the three were included in the study.
Results: In the study, 234 patients studied, majority were males (68%). In the presenting symptom, fever was the most common symptom (100%) followed by headache (86%), myalgia (84%). Edema was observed in 19% while rash in 13%. According to the WHO criteria 174 (74%) were classified as non-severe dengue while 60 (26%) as severe dengue. Thrombocytopenia was seen in 97%
of patients. The complications of dengue observed in our study were hemorrhagic manifestations (26%), shock (33%), ARDS (8%) and CNS involvement (5%). Mortality rate was 8.97%. In the children classified as severe dengue only 5 (2%) children had only NS1 positive, 21 (9%) were positive for IgM, 11 (5%) for IgG and 23 (10%) for both IgG and IgM
Smita Damke
Jawaharlal Nehru Medical College, India
Title: Seroprevalence of Brucella agglutinins in patient with pyrexia of unknown origin attending a tertiary care rural hospital
Biography:
Smita Damke has completed MBBS in 2007 and MD Microbiology in 2013. She is working in a medical college from last 5 years
Abstract:
Background & Aim: Human brucellosis is a zoonosis with worldwide distribution, with great importance in developing countries like India. The diagnosis of brucellosis is frequently difficult to establish as it mimics many other infectious and non-infectious diseases. The use of feasible diagnostic tests seems to be great importance for diagnosing human brucellosis. The present study was carried out to study the seroprevalence of human brucellosis by estimating IgG and IgM by ELISA in central India.
Methodology: A total of 124 serum samples were collected and processed from April 2016 to March 2017 in tertiary care teaching hospital on central India. The serum samples of the patients admitted to the hospital with the diagnosis of Pyrexia of Unknown (PUO) were investigated for detectable IgG and igM antibodies by ELISA. The observance value thus obtained was converted to NovaTec Unit (NTU) by using the formula according to the manufacturer’s instructions.
Results: In the present study, from the total of 124 serum samples, ELISA detected presence of IgG antibodies in 12 (9.67%) indicating chronic infection and IgM antibodies in 28 (22.58%) suggesting acute and recent infection.
Conclusion: ELISA has the ability to measure two specific immunoglobulins for effective diagnosis and is also a rapid method for detecting seroprevalence of human brucellosis in the community.
Monika Halanova
Pavol Jozef Safarik University, Slovakia
Title: Monitoring of opportunistic micro-sporidia in immune-compromised patients in Slovakia
Biography:
Monika Halanova has completed DVM Degree at University of Veterinary Medicine in Kosice in 1995 and PhD in Infectious and Parasitic Diseases in 2000. She was honored as Associate Professor in Epidemiology at Pavol Jozef Safarik University in Kosice, Faculty of Medicine in 2008. She works with several labs focusing on the diagnosis of infectious and parasitic diseases and long lasting study stay in Central Laboratory in Abu Dhabi, UAE. Her research takes place at the crossroads bof public health, epidemiology and infectious diseases. She has been part of several research projects as principal investigator or scientific co-worker. She has published around 367 scientific papers and abstracts.
Abstract:
The importance of opportunistic pathogens, which are able to be agents of disease only if the natural defence mechanisms are damaged and function of immune system is decreased, is growing due to an increasing number of patients with HIV infection/ AIDS, as well as other persons with disrupted immune systems due to primary or secondary immunodeficiency. Micro-sporidia are among the opportunistic pathogens that are occurring with greater frequency or severity in patients with impaired host defenses. Therefore, the aim of our study was to map the prevalence of Encephalitozoon intestinalis and Enterocytozoon bieneusi infection in a group of patients and to compare it with the occurrence of specific antigens in immune-competent people. Detection of spores of both pathogens in fecal samples was performed by an immunofluorescence test using species-specific monoclonal antibodies. Overall, we examined 142 people, including 80 men and 62 women. We compared the relative risk of micro-sporidia between groups of immunecompromised patients and immune-competent persons. The risk of occurrence of micro-sporidia Encephalitozoon intestinalis in the group of HIV/AIDS patients was 6.6 times higher, in the group of hemodialysis patients 1.6 times and in the group of renal transplant patients 4 times higher in comparison with the immune-competent persons. The risk of occurrence of micro-sporidia Enterocytozoon bieneusi in the group of HIV/AIDS patients was 10 times higher and in the group of renal transplant patients 6.7 times higher in comparison with the immune-competent persons. In the group of hemodialysis patients, the risk of occurrence of micro-sporidia Enterocytozoon bieneusi was the same as in the group of immune-competent persons.
Lenka Cechova
Pavol Jozef Safarik University, Slovakia
Title: Pigeons as a source of chlamydial infections for humans
Biography:
Lenka Cechova has completed Public Health degree at the University of Pavol Jozef Safarik in Kosice, Slovak republic in 2013 and PhD in Public Health in 2017. Her research takes place at the crossroads of public health, epidemiology and infectious diseases with special focus on DNA analysis and genotyping spectrum of chlamydial pathogens in humans and animals. She is a member of several research projects. She has published more than 30 scientific papers and abstracts.
Abstract:
Urban and periurban areas are frequently home to wild birds, particularly feral pigeons (Columba livia domestica), which can be present at high density. These animals are known as reservoirs of zoonotic viruses, bacteria, fungi and protozoa. In particular, columbiform birds, including pigeons, have been ranked as the second major reservoir, after psittaciformes, of Chlamydia psittaci. This is a highly infectious bacterium which inducing asymptomatic forms or pneumonia, poor growth, diarrhea and central nervous system
disorders. C. psittaci is transmissible to humans causing severe zoonotic infections. Because both, domestic and feral pigeons may be carriers of hazardous agents for humans and animals and get in close contact with humans, the aim of this study was to investigate the pigeons in Slovakia living in different areas close to the people for the presence of C. psittaci from pharyngeal and cloacal swabs and compare incidence between domestic and feral pigeons. Each sample was examined by molecular method PCR and in case of positive result the identity of the obtained sequences was examined by a BLAST search. Of the total of 60 clinically healthy feral pigeons that were examined, 13 (21.7% positivity) were positive for C. psittaci after sequenation. From 47 domestic pigeons were no pigeons positive for chlamydial infections. Our results show, that feral pigeons have higher risk for chlamydial infections in comparison with domestic pigeons (21.2 times higher). Because urban pigeon populations still represent risk to public health, is necessary performs screening examination of animals and analyze the epidemiological factors affecting the way of transmission and circulation of pathogen with the aim of reducing or halting of the spread of this infection not only between animals but also in the line pigeons – sensitive persons.
Ingrid Babinska
Pavol Jozef Safarik University, Slovakia
Title: Prevalence of cryptosporidiosis in children from minority group in Slovakia
Biography:
Ingrid Babinska has completed her Graduation as a Medical Doctor in 1995 at the Medical Faculty, Pavol Jozef Safarik University, completed three years of study
Master of Public Health (2005) and finished PhD study in Public Health (2014). Currently, she is working as a Assistant Professor in the Department of Epidemiology, Medical Faculty, Pavol Jozef Safarik University. She is a member of several research team. Her research is in the field of public health and epidemiology with a particular focus on socio-economically disadvantaged groups. She has published 36 scientific papers and abstracts.
Abstract:
In present, intestinal parasitic infections remain a serious public health problem globally concern in both developed and developing countries. One of them is cryptosporidiosis, a diarrheal disease caused by protozoan parasites of the genus Cryptosporidium. In human, two species – Cryptosporidium hominis and Cryptosporidium parvum are of major significance to public health. Infection is endemic in places with poor sanitation and crowded living conditions and is associated with source of water supply, age and socioeconomic status.
In Slovakia, such places largely representing the Roma settlements and housing. Because Cryptosporidiosis is potentially life-threatening in immunocompromised persons and younger children between 1 and 5 years, which are more susceptible to infection than others, for the presence of Cryptosporidium antigen we examined a total of 81 asymptomatic children aged 0-14 years of Roma national minority coming from settlements of Eastern Slovakia. The faecal samples were analysed by ELISA method and by modified Kinyoun’s acid-fast stain. The overall positive percentage was 44.4%. All faecal samples were parallel examined by the modified Kinyoun’s acid-fast stain, which had a lower detection rate. The finding of large numbers of oocysts was observed mostly at absorbance between 0.575 OD to
2.066 OD.
Zuzana Kalinova
Pavol Jozef Safarik University, Slovakia
Title: Occurrence of IgG A. phagocytophilum antibodies in professional soldiers in Eastern Slovakia
Biography:
Zuzana Kalinova has received her Medical Doctor Degree at Pavol Jozef Safarik University, Medical Faculty in 1995 and her PhD degree in Public Health in
2011. Since 2006 she has worked as a senior research at Pavol Jozef Šafárik University in Košice, Medical Faculty, Department of Epidemiology. Her research
activities are oriented on different fields of epidemiology, mainly on the field of vector-borne diseases. She is co-worker of several research projects. To this time,
she published 147 scientific papers and abstracts.
Abstract:
Human Granulocytic Anaplasmosis (HGA) is emerging tick-borne infectious diseases caused by Anaplasma phagocytophilum. In Europe, the first serological evidence of HGA was described in 1995 in Switzerland and first clinical case was confirmed in 1997 in Slovenia. Since then, many European countries, including Slovakia reported occurrence of HGA. Therefore, the aim of the study was map the occurrence of IgG A. phagocytophilum antibodies in group of professional soldiers. A total 322 human serum samples (296 men and 26 women) were analyzed for the presence of antibodies against A. phagocytophilum. Anti-A. phagocytophilum IgG antibodies were detected by the focus diagnostics indirect immunofluorescence antibody IgG test, which is intended for the detection of human serum IgG class antibodies to A. phagocytophilum, as an aid in the diagnosis of HGA. Blood sera were processed and results interpreted according to the test producer. Of the total number of 322 examined people, 67 (20.8%) showed positivity for IgG antibodies against A. phagocytophilum. Out of 67 positive people, 35 have positive anamnesis for tick bite. The real infection rate of HGA in Europe is still hard to establish. Sero-prevalence rates range from zero to up to 28.0%. No official epidemiological data on the prevalence of this infection in the human population are available in Slovakia. Only a few studies have been published relating to anaplasmosis, with results of prevalence ranging from 7% to 25%. The total prevalence of A. phagocytophilum antibodies in our sample (20.8%) corresponds with the findings of these studies.