Scientific Program

Conference Series LLC Ltd invites all the participants across the globe to attend Global Physicians and Healthcare Congress Dubai, UAE.

Day 1 :

Keynote Forum

Peter Tunbridge

Hormones & Health, Australia

Keynote: A New Model of Cancer

Time : 9:15 - 10:15

Physicians Congress 2018 International Conference Keynote Speaker Peter Tunbridge photo
Biography:

Peter Tunbridge works in private practice in South Australia where he specializes in the treatment of complex metabolic disorders and thyroid disease. He is a qualified Scientist as well as a Physician and was the first person to discover genetic cause to the folic acid pathway and how it could be reversed by administering folinic acid. He has held the position of Senior Lecturer in Clinical Medicine at the University of Adelaide. He is regularly invited to speak both nationally and internationally. He is author of the book - The Human Code.

 

Abstract:

Two years ago, I was asked by the Breast Cancer Society of New Zealand to propose a new model of cancer because the current model was deemed to be inadequate. This new model is based on the cancer arising in visceral fat stem cells that have been transported to the affected organ by the immune system to act as rapid glucose metabolizers. It examines the role of sex hormones and thyroid hormones in mediating this metabolic response to transient glucose overload in the lumen of the endothelial cells. The model can explain why cancer is not destroyed by the immune system and finally gives an understanding of the process of metastasis, which are not part of the original tumor but new genetically similar primaries. The model was received with great enthusiasm (standing ovation).

 

Keynote Forum

Toniya Singh

St. Louis Heart and Vascular, USA

Keynote: Physician Burnout causes, consequences, and solutions

Time : 10:15 - 11:15

Physicians Congress 2018 International Conference Keynote Speaker Toniya Singh photo
Biography:

Toniya Singh is a managing partner at St. Louis Heart and Vascular. She is a passionate about empowering and mentoring women in medicine. She is the Chair Elect for the National Women in Cardiology Committee of the American College of Cardiology as well as President of the Missouri chapter of Women in Cardiology section of the American College of Cardiology. She is a Cardiovascular Disease Specialist and she has been in practice since 2003. She is a licensed in both MO and IL; is board certified in Internal Medicine, Cardiology, and Adult Echocardiography. She has received her MBBS degree from Lady Hardinge Medical College in New Delhi India and completed an internal medicine residency and a Cardiology Fellowship at St. Louis University Hospital.

 

Abstract:

Describing the physician burnout: Discussing of contributors and consequences of physician burnout and distress. Few evidence-based methods are summarized in this study i.e. to prevent burnout and promote physician wellbeing. Physician well-being has come under increased scrutiny in recent years, there has been more discussion about Burnout and it leads to low job satisfaction, high stress and low quality of life. It affects all stages of physician training and practice and affects all specialties. The excessive workload, inefficient work environment, inadequate support, problems with work-life integration lead to worsening outcomes for both patients and physicians. For physician’s loss of autonomy/flexibility/control, has led to loss of values and meaning in work. The consequences of physician burnout are medical errors, impaired professionalism, reduced patient satisfaction, increased staff turnover, depression and suicidal ideation, motor vehicle crashes and near-misses. The goal is to identify values, Debunk myth of delayed gratification. For physicians to work on hat matters to them most (integrate values) integrate personal and professional life, optimize meaning in work, nurture personal wellness activities, calibrate distress level. Make self-care (exercise, sleep, regular medical care); relationships (connect w/colleagues; personal); Religious/spiritual practice mindfulness; personal interests (hobbies) a priority. Individual-focused interventions meditation techniques stress management training, including MBSR communication skills training self-care workshops, exercise help reduces burnout symptoms.

 

  • General Medicine and Primary Care | Surgery | Neurology
Location: Dubai, UAE

Session Introduction

Ned Abraham

University of New South Wales, Australia

Title: Are randomized controlled trials of surgical procedures a waste of time, money and effort?

Time : 11:30-12:00

Speaker
Biography:

Ned Abraham is a Professor of Colorectal Surgery at UNSW Australia, Coffs Harbour Campus, NSW. He has graduated with Honors in 1986  and obtained the degrees of Master of Medicine and a PhD in Surgery from the University of Sydney. He is a Practicing Colorectal and General Surgeon, an Endoscopist with close to 20 years of experience. His main areas of interest include evidence-based surgery, enhanced recovery after surgery programs, capsule endoscopy and biofeedback. He is a Fellow of Royal Australasian College of Surgeons and Royal College of Surgeons of England. He got trained at Royal Prince Alfred Hospital in Sydney and is a Member of Colorectal Surgical Society of Australia and New Zealand. His research has been widely published and cited in international peer reviewed journals and he has been an invited guest speaker at multiple national and international meetings in Asia, Europe, USA, Australia and New Zealand.

Abstract:

Objective: Despite the lack of supportive evidence, the claim that randomized trials (RCT’s) is the Gold Standard is unfortunately too popular to be questioned. This is a presentation of original research exposing the fallacies of RCT’s in surgery. Material & Method: A prospective study of enrolment patterns in the largest completed Australian RCT for laparoscopic surgery for colon cancer (ALCCaS) was conducted for a six-month period and the results compared with those from other published studies. This was followed by a systematic review of the reasons for non-entry of eligible patients in surgical RCT’s. The results of an RCT and of a case control study performed under the same conditions were statistically compared. Two contemporaneous meta-analyses of RCT’s and of non-randomized comparative studies (NRCS’S) of the same procedure were then conducted and their results statistically compared. Result: At best, 45% of eligible patients are enrolled in RCT’s of surgical procedures. The most commonly recorded reason for failure to enroll is a preference for one form of surgery. In the ALCCaS, about 1 in 5 accredited surgeons never recruited any patients and a further 29% ceased to be involved very early in the trial. There is a strong suggestion that systematic differences between enrolled and eligible but not enrolled patients do exist. There is a suggestion that a NRCS of surgical procedure may exaggerate the effect estimate compared with and a RCT but the evidence for this is weak. The results of the meta-analysis of 12 RCT’s (2512 resections) and those of the meta-analysis of 49 NRCS’s (6438 resections) for 13 variables common between the two meta-analyses, were more than 95% similar. Conclusion: There may be no need for us to bother with RCT’s for surgical procedures as the results of their meta-analyses are probably just as accurate or just as inaccurate as those of NRCS’s.
 

Speaker
Biography:

Diary Abdul Rahman is a Consultant Pediatric Surgeon and the Head of Prevention and Control of Infection at Latifa Hospital DHA, Dubai, UAE

Abstract:

It’s well known that the principle function of the gastrointestinal tract is to digest, absorb and propel food material along its length. Most intestinal infections will interfere with these functions. The symptoms might be simple as nausea, vomiting, bloating and abdominal pain or severe with features of intestinal obstruction and perforation. Hereby, I am presenting three cases of intestinal infection with severe impact on the patient’s life: 6-years old boy referred as a case of intestinal obstruction and peritonitis at laparotomy showed intestinal schistosomiasis; 11-years old girl admitted with history of fever and vomiting for 3 days duration with lethargy for 2-weeks prior to her admission. On day-7, started to pass frank blood and hypotension with state of shock. After resuscitation laparotomy revealed intestinal tuberculosis; 1-year old male who was previously healthy presented with abdominal pain, pyrexia and diarrhea. He deteriorated rapidly with necrotizing bowel disease and perianal ulceration requiring aggressive surgical intervention and massive bowel resection and diagnosed as community acquired pseudomonas infection with bowel involvement. Result: Intestinal schistosomiasis is not suspected as an underlying case of intestinal obstructions, therefore it’s recommended that in endemic areas, clinicians and surgeons to consider it as a differential diagnosis of intestinal obstruction; intestinal tuberculosis is considered rare in children, though having high mortality and morbidity if misdiagnosed; a high index of clinical suspicion is mandatory for early diagnosis of Pseudomonas aeruginosa gastro-intestinal infection, early diagnosis and treatment may improve prognosis.