Day 2 :
Sunburst Healthcare Pvt. Ltd., India
Sujata Malik is a seasoned hospital management professional with extensive first-hand experience of managing operations of large hospitals in India. She is currently the Head of the Healthcare Management Consulting Company. She is a Member of the American College of Healthcare Executives (ACHE). She is a Principal Assessor with National Accreditation Board for Hospitals and Healthcare Providers (NABH), India. Her experience with technology enabled home-care has given her further insight into the transformational potential of digitization of healthcare.
The use of technology in many parts of the world has been limited to use for administrative purposes, with Hospital Information Management Systems (HIMS) of all hues and calibers, being used by hospitals. Availability and use of Electronic Medical Records (EMR) and Electronic Health Records (EHR) are still very fragmented and not universally deployed in many countries. Access and adoption of technology for healthcare is lagging as compared to other industries. There are gaps in generation of epidemiological data in the developed world. Access to healthcare is a problem for rural and vulnerable sections of society in developing countries. There is an apparent demand-supply gap in availability of specialty and super-specialty healthcare experts. Quality in healthcare needs to be boosted through efficient use of technology to enable realistic bench-marking. Standardization and data security have been an issue in all developing countries and to an extent in the developed world as well. New possibilities are emerging through use of digital technologies in healthcare. Big data analytics and machine learning help in developing algorithms of care and providing standardized care globally. Planning of healthcare through predictive analytics is poised to enable efficient deployment of resources. Personalized healthcare is becoming a reality. Remote monitoring through wearable and interoperable devices will revolutionize access to high quality care. Cost of healthcare will also come down. Collection of healthcare quality data can be automated, making bench-marking of healthcare organizations a reality, through measurement of resources, processes and outcomes. Block-chain technologies can bring new transparency into the system. Finally, the patient will have control over how he chooses and accesses healthcare. Policy-makers, providers and users will make informed decisions.
TriSGuide Ltd, Japan
Keynote: Electronic water can reduce oxidative stress in cancer and diabetes patients for 3 weeks drinking
Time : 10:00-10:45
Masahiro Onuma pursued his Bachelors in Biochemistry from Tokyo University of Agriculture and Technology. He is the President for TriSGuide Ltd. He has expertise in oxidative disease prevention to use non-medical product based on GSK’s experience of allopurinol which is the strongest anti-oxidant in this world
Oxidative stress means a state where there is an imbalance between the oxidizing action and the reducing action due to Reactive Oxygen Species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal which is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of type-2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretion-inducing β cells of Islets of Langerhans in the pancreas, the amount of Superoxide Dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water which was developed to generate electrons in water was consumed for three weeks, after meals, between meals and before sleeping 6 times a day and according to the test subjects' possible time periods. The amount of drinking water was 750-1000 mL and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly
University of Venda, South Africa
Nditsheni J Ramakuela is a Healthcare Professional, Specialized in Community Health Care and Sexuality of Women. She is also a Lecturer in the University of Venda, South Africa. She has more than 20 years of clinical and teaching experience. Through her experience she developed passion for general nursing conditions and disorders. She is an active researcher who publishes papers every year in accredited journals and receives excellence in research awards yearly. She also empowers rural community women with reproductive health issues.
Statement of the Problem: Diabetic care is a lifelong responsibility, careful management and early treatment strategies may reduce the risk of complications. A profound need for an improvement in the awareness of diabetes management and its complications in the primary healthcare sectors is a dire requirement. Inadequate health literacy can cause difficulties in understanding diabetic chronic complications. Individuals with poorer health literacy have difficulty interpreting medication warning labels, following directions on a prescription label and identifying their complications. Difficulties in understanding and performing health-related activities may ultimately lead to poorer health outcomes. This study intended is to assess health literacy of diabetic mellitus chronic complications among diabetic patients at selected rural hospitals of South Africa.
Methodology: This study employed a quantitative, typically descriptive, non-experimental approach using cross-sectional descriptive designs. Seven hospitals, 3 health centers and 12 clinics were selected for the study. The population was 259 diabetic patients in the province. Patients diagnosed with diabetes above 18 years were admitted from April to November 2016 in medical units of selected hospitals. A self-designed self-administered questionnaire was used to collect data. Data were analyzed using SPSS version 20.0. Validity and reliability and ethical considerations were adhered too.
Findings: It was revealed that the accessibility to health services, treatment and behavioral factors were found to be challenges amongst diabetic patients and were perceived to be contributing to inadequate health literacy regarding diabetic complications.
Conclusion: Patients with diabetic complications require adequate knowledge and health services within their reach.
Recommendations: The use of mobile clinics to provide services to remote villages and home-care visits to diabetic patients in remote communities for continuing literacy.