Abstract
Based on the familiar idiom that “Laughter is the Best Medicine,” which is supported by 405 studies, LaughMD seeks to address the challenges described in the ARPA-H Proactive Health focus area by developing an innovative approach to improve cancer care by integrating humor therapy, aiming to not only elevate the quality of life for patients but also regulate the autonomic nervous system and promote overall wellbeing. Our invention is particularly designed for cancer patients grappling with post-traumatic stress disorder (PTSD), addressing their complex needs through a comprehensive and parallel treatment strategy. Our innovation is based on scientific evidence 1,2 showing that laughter represents a promising non-invasive and cost-effective intervention to alleviate stress and anxiety, foster post-traumatic growth, and even boost the immune system. While laughter-based therapy has demonstrated broad applications for general wellness 3,4, its impacts could provide particular value for a vulnerable patient demographic at the intersection of chronic disease, mental health challenges related to PTSD, and opioid use disorders, offering care teams an additional tool to break cycles of distress without further medication 5,6. Laughter's capacity to simultaneously reduce anxieties, inflammation, and promote overall well-being makes humor a promising means to delicately meet the multidimensional needs of this high-risk population.
Biography
Prof. Frank Chindamo, CEO, LaughMD™, oversees the implementation of the laughter therapy program, bringing his compassion born from personal losses and trailblazing entertainment industry success with SNL, HBO, Showtime, CBS, PBS and Comedy Central. Frank was an Adjunct Professor in Web Video at USC, UCLA, Chapman, Pepperdine University, and Emerson College. Frank has won 30+ awards for producing comedy videos. He launched the world’s first mobile comedy channel, was featured on the front pages of Forbes Magazine, the LA Times, the Wall Street Journal and the NY Times. He is a Certified Humor Professional of the Association for Applied and Therapeutic Humor
Abstract
Social nudism or naturism refers to being clothes free in a mixed gender group conducting wholesome activities of daily living in safe non-sexual environments. Throughout most of the world, thousands of individuals, couples and families embrace the culture of social nudism believing it offers physical, emotional, social and spiritual benefits. While social nudism or naturism is generally more accepted in European countries, it is less so in the United States. Unfortunately, because of lack of knowledge and preconceived erroneous notions, social nudism is frequently equated with sex and practitioners are stereotyped as swingers, exhibitionists, immoral deviants and pedophiles. These labels force secrecy and fear of discovery lest they be unjustly punished or have their judgments or reputations challenged. However, social nudists/naturists represent a microcosm of society. They are doctors, teachers, military, clergy, clerics, mechanics, etc They could be one’s co-workers or neighbors who deserve the right to live their authentic selves without fear of retribution. Until the world understands the truths and myths of social nudism, this diverse and growing population will remain a misunderstood, stigmatized and vulnerable group. The aim of this presentation is to enlighten learners to what social nudism is and what it is not and to increase public acceptance of this beneficial way of life. Additionally, it is a call for undertaking essential scientific research to validate the plethora of empirical data that exist.
Biography
Ronna E Krozy, a retired Associate Professor of Nursing with a doctoral degree in Health Education and sub-specialty in Sex Education, spent 47 years teaching Population-Community Health Nursing at Boston College Connell School of Nursing. She is a former Trustee and current Chair of Public Relations for the American Association for Nude Recreation (AANR). She has published numerous articles on social nudism and has been featured on radio and television. Her work focuses on nudism and body positivity, self-esteem, mental health, normalizing nudity, dispelling myths, destigmatizing, and promoting public awareness and acceptance. She’s been a nudist over 30 years.
Abstract
Dr. Gordon's presentation, titled "Health Literacy and the Palatable Consumption of Services," is rooted in scientific publication, clinical experience, and public health service. This discussion will delve into the definition of health literacy and underscore its essential role in achieving desirable health outcomes, particularly in disparate populations.
Key highlights of the presentation include:
- Health Literacy Definition and Importance: Understanding health literacy and its critical necessity for positive health outcomes.
- COVID-19 Impact Analysis: Reviewing the pandemic's effects on health literacy concerning public health preparedness and post-pandemic efforts to mitigate health disparities.
- Comparative Public Health Analysis: Concluding with a commentary on the role of public health in promoting health literacy, comparing strategies in the United States with those in high and low-income countries.
Biography
Dr. Linda Gordon offers leadership in the development of health strategies. Her professional experience as a physician, community leader, and advocate has culminated in the founding of Childverse, Inc., a public health consulting firm. Childverse leverages creative media and thought leadership to support parents and advocates of children dealing with anxiety and bullying. Dr. Gordon's diverse background includes contributions in academia as a clinical investigator, focusing on immunology, HIV, and the clinical effects of hypertension, diabetes, and lead toxicity. Additionally, she has a robust service record in the non-profit sector, including various board positions.
Abstract
Coronavirus reality
Is it a true pandemic or fabricated
The question had puzzled millions of people all over the world
The reality is let’s ask ourselves as educated people if I come and inform you that I have a virus that can travel to 6 feet distance and is lethaly potent, to the point of killing in few days, would anyone had believed me
The answer is puzzling and dangerous
But that’s what happened to the world from 2019-2023
The other question was , how did the media played a role in the situation
Let’s say there’s was no election in the middle, how was the disposition of the virus , as immediately what happened right after the election
The virus diminished
There’s no doubt that the media helped tremendously in educating the public, but also the fear that caused was magnificent to the point many people lost their life’s and their jobs out of fear.
The issue is still under investigation
There’s a medical group investigation of the situation
I would like to project ideas and thoughts of many health professionals
Biography
Minerva kelada MD a practicing physician in Southern California for more than 32 years, helping with health shortage areas Dr Kelada works as chief medical officer for imperial county medical group She’s the administrator of Deanzaclinic Dr Kelada worked as a medical consultant for the California Medical board as well as adjunct professor of medicine for UCSD
Abstract
Cardiovascular disease (CVD) remains the leading cause of death worldwide, creating a significant burden on individuals, healthcare systems, and economies. This presentation offers a thorough examination of the global CVD epidemic, discussing its epidemiology, risk factors, prevention methods, and the role of healthcare systems and research. The presentation goes into detail about the unequal impact of CVD in developing nations, emphasizing the intricate interaction of socioeconomic factors, lifestyle choices, and limited healthcare access. It highlights the distinct challenges women encounter in CVD prevention and management. Additionally, the presentation underscores the significance of addressing mental health and environmental factors as pivotal determinants of cardiovascular health. By analyzing the financial implications of CVD, the presentation stresses the necessity for robust prevention and control strategies. It emphasizes the role of worldwide initiatives, healthcare systems, and research in combating this epidemic. The presentation concludes with a call to action, urging individuals, policymakers, and healthcare providers to prioritize CVD prevention and control efforts to lessen its devastating impact on global health. This presentation seeks to increase awareness about the complexities of the CVD epidemic and encourage collaborative efforts to tackle this urgent public health challenge.
Biography
Rachna Valvani has completed her medical school from the Netaji Subhash Chandra Bose Medical College, Jabalpur, India. She has worked as a respiratory physician in India till 2015 then moved to the USA for further training. She did Internal Medicine residency training and Geriatric Medicine Fellowship from New York. She is a certified medical director (CMD) from the American society of post-acute and long-term care medicine. She has been actively working as a clinician, physician educator, internationally acclaimed speaker, she has published and reviewed for reputed journals and has been serving as the associate program director of the Internal Medicine residency program and director of continuity clinic at NAMC in Florence Alabama since October 2023.
Abstract
Avarice is defined as “extreme greed for wealth or material gain,” described as too much desire for wealth. An avaricious person will do “anything to achieve material gain.” In some religions and cultures, avarice concerns only an “excessive” desire for the kinds of goods interchanged for money. Covetous means to “desire someone else’s wealth,” and Greed is the desire to “gather and to hold on to wealth by any means necessary.” Current research has finally given due examination to Greed and its cousins as Commercial Determinants of Health. Greed is presenting threats at all levels of health care in the USA, including the ability for public health officials to affect positive change to an intentionally confused public. All health care corners are affected by Greed-the hospitals, the physicians, the nurses and other critical health care staff, the emergency health care personnel, investors, insurers, drug companies. Each have profit motives, higher ups with certain “expectations,” corners cut in the name of the bottom line. A global example finds many populations grappling with matters of equity and inclusion, as a golden arched global fast-food brand releases a “value” meal for a “low price” to “bring back” folks to consume their food--already proven to cause anxiety, weight gain, listlessness, cravings for more. Fat profits are more important than fat bodies. Who claims value in that meal? The nutritional “value” is worse than zero but for cranking up to attempt metabolizing unhealthy fat. Once news leaked the massive brand would go low, Greed dictated what happened next. Another business thrusting fast food injurious to all shouts out they will have an even “better” deal. Competition for who has the cheapest “value” meal heats up, coaxing stressed parents and others to succumb. The purveyors know the food consumed will not decrease but will instead increase metabolical stress on already stressed Hu systems aka the people. But…Salve Lucrum!
Biography
Sharon Fisher Roberts, a longtime local government and public health attorney, graduated cum laude with a Bachelor of Arts degree in Organismal and Systems Biology from the University of Tennessee at Knoxville, USA, and with a Juris Doctorate degree from St. Mary’s University in San Antonio, Texas, USA. She has been a writer, trainer, and speaker for local, state, and international associations, across sectors, in areas of governance, disability law, civil rights, administration of justice, environmental regulations, housing, nonprofit management, communication, and best business practices. She is currently writing a novel and lawyering for committed local leaders
Abstract
A warming planet is rapidly reshaping the landscape of disaster medicine. Climate change acts as a threat multiplier, intensifying the frequency and severity of natural disasters, and pushing healthcare systems already strained by resource limitations to a breaking point. This study examines the cascading effects of climate change on disaster medical resilience.
More frequent and intense heatwaves, floods, droughts, and wildfires will lead to a surge in heat-related illnesses, respiratory problems, waterborne diseases, and diverse traumas and injuries. Disruptions to critical infrastructure caused by these events will cripple communication networks, hinder emergency response efforts, and compromise the delivery of essential medical services. Furthermore, damage to transportation routes and agricultural land will disrupt supply chains, jeopardizing access to clean water, food, and medication.
The burden of these climate-fueled disasters will fall disproportionately on vulnerable populations, including low-income communities, geographically isolated regions, and indigenous groups. Existing social inequities will exacerbate health disparities, as those with limited resources struggle to access basic medical care in the aftermath of a disaster.
Building a more resilient disaster medicine system requires a multifaceted approach. Operational systems must be developed and implemented at every region for timely preventative measures and evacuations, prior of the disaster. Investments in healthcare infrastructure are crucial to ensure hospitals and outpatient clinics can withstand extreme weather events and remain operational. Stockpiling essential medical supplies and training a well-equipped workforce are also essential for effective response efforts.
Biography
Prof Colonel Rostislav Stefanov Kostadinov is Organizing and leading the educational process for Medical University of Plovdiv and Medical College of Plovdiv students. Delivering lectures, leading seminars and the students examine. Monitoring, organizing, and facilitating the International relations and Project activities of the Public Health Faculty academic staff. Organizing and leading Ph.D. and resident programs on Disaster Medicine and Disaster Medical Support at the Medical University of Plovdiv Planning, organizing, and managing courses for improvement of the population skills for healthy behavior in case of disasters and catastrophes. Leading and managing courses for disaster medical support (for medical professionals) and advance medical training for search and rescue team members.
Abstract
Based on a review of the Concluding Observations of the Committee on Elimination of All forms of Discrimination Against Women on Brazil, China, India, Russia and South Africa, this presentation argues that there are gaps between ICPD commitments on SRHR and achievements of governments in the BRICS block. These gaps stem from some lacunae in legislation and policies related to SRHR, as well as in addressing social determinants. It argues that the CEDAW has focused on 'rights' more than "sexual and reproductive health" other than safe abortion, maternal health, female contraception and antiretrovirals, Access to sex/gender/identity specific SRH issues like access to treatment for menstrual health, reproductive cancer, treatment for infertility and gender affirmation surgery has received little attention. Access of marginalized issues to SRH has been examined, and this could have been strengthened by looking at the interplay of gender, intersectionality and SRHR. It is recommended that all countries ratify the women's Convention and Optional protocol without reservation which will allow the CEDAW to get direct reports from civils society actors. Equally, it is recommended that one third of CEDAW members have expertise on SRHR. The CEDAW committee agenda should be asked to converge with Innternational Conference on Population and Development, and look at discrimination in all SRHR issues
Biography
I bring to the table around 25 years of experience in research, evaluation, e-teaching, training/toolkit development and mainstreaming on gender and development. My sectoral focus has been on of issues of economic health/SRHR, disaster-risk-reduction, adolescent girls’ economic empowerment, masculinities and international commitments like ICPD, SDGs, CEDAW, Beijing Platform for Action. My primary clients include UN organisations (including WHO and UNFPA), national governments, INGOs and NGOs. I was a Guest Tutor for the short course ‘Men, Women and Development’ as the Institute of Development Studies, Sussex for a year, and am a facilitator of two Modules in the course “Gender Transformative Evaluations in South Asia” organised by the Institute of Social Studies Trust, New Delhi. I combine global and regional reviews with field research, evaluations and training in India and Sri Lanka, Bangladesh, Afghanistan, Nepal, Moldova, Sudan, Mozambique, Cambodia, Indonesia and Vietnam. Before consulting, I was managing programs and leading an organisation on gender and development. I am on the editorial board of international journal Gender and Development, and on the board of three NGOs in India
Abstract
This study examines how gender identity acceptance influences suicide risk among transgender and nonbinary (TGNB) youth, based on an analysis of data from a 2018 national cross-sectional survey. The dataset comprises responses from 8,218 TGNB individuals aged 13-24. The investigation focuses on how acceptance from different sources—adults (such as parents, family members, school professionals, and healthcare providers) and peers (including friends and classmates)—affects the likelihood of suicide attempts. The analysis reveals that 29% of TGNB youth reported attempting suicide in the past year. It was found that high levels of acceptance from any adult were associated with a 33% decrease in the odds of suicide attempts, while acceptance from peers correlated with a 34% reduction in these odds. Parental and familial acceptance emerged as having a particularly strong protective effect. Peer acceptance was notably significant for transgender youth. The study also highlights variations in the effect of acceptance based on sex assigned at birth and gender identity, with a more pronounced impact observed for those assigned male at birth. These findings underscore the vital role of supportive environments in reducing suicide risk among TGNB youth. The research advocates for interventions aimed at increasing gender identity acceptance across familial, educational, and healthcare settings to improve the mental health and well-being of TGNB youth.
Biography
Prof. Ezra Lockhart, a professor at Yorkville University and a faculty member at the Colorado School for Family Therapy, brings two decades of expertise in mental health and addiction counseling in the U.S. With extensive board service, he is the current elected ethics chair for LAMFT and serves as a Minority Fellowship Mentor for NBCC. Prof. Lockhart has significant experience in ethical practice and suicide prevention. Since 2002, he has supervised professionals and trained adults, specializing in risk assessment and clinical supervision. He has completed over 15,000 suicide risk assessments and presents internationally on ethical practices in suicide prevention.
Abstract
This session will address the need for clinical supervision models to include more diverse and inclusive population experiences. Given the increased need for mental health services, there is a lack of scholarly works that address the clinical experience for both mental health professionals and patients/clients served. Understanding satisfactory and dissatisfactory experiences of mental professionals and populations served can provide vital awareness to professional self-efficacy and competence and client success.
Biography
Dr. Valerie McGaha is an Associate Professor of Community Health Sciences, Counseling and Counseling Psychology at Oklahoma State University. She is a Licensed Professional Counselor, Licensed Marriage and Family Therapist, and Licensed Alcohol and Drug Abuse Counselor. Her research interests center around multicultural counseling, psychosocial development, mental and addictive disorders, and suicide prevention and education. In her scholarly work, she has examined individual and collective factors related to academic, personal, and social success of various populations.
Abstract
In this genomic era of addiction medicine, ideal treatment planning begins with genetic screening to determine neurogenetic antecedents of the Reward Deficiency Syndrome (RDS) phe[1]notype. Patients suffering from endotype addictions, both substance and behavioral, and other mental health/comorbid disorders that share the neurobiological commonality of dopamine dys[1]function, are ideal candidates for RDS solutions that facilitate dopamine homeostasis, addressing the cause, rather than symptoms. Our goal is to promote the interplay of molecular biology and recovery as well as provide evidence linked to RDS and its scientific basis to primary care physi[1]cians and others. This was an observational case study with a retrospective chart review in which an RDS treatment plan that utilized Genetic Addiction Risk Severity (GARS) analysis to evaluate neurogenetic challenges was used in order to develop appropriate short- and long-term pharmaceu[1]tical and nutraceutical interventions. A Substance Use Disorder (SUD) treatment-resistant patient was successfully treated utilizing the GARS test and RDS science. The RDS Solution Focused Brief Therapy (RDS-SFBT) and the RDS Severity of Symptoms Scale (SOS) may provide clini[1]cians with a useful tool for establishing neurological balance and helping patients to achieve self[1]efficacy, self-actualization, and prosperity. Keywords: Genomic addiction medicine, precision medicine, neurogenetics, dopamine homeostasis, pro-dopamine regulation, genetic addiction risk severity (GARS)
Biography
Elizabeth Dale Gilley is completing her dissertation research in Reward Deficiency Syndrome at National University in San Diego, California, USA. She is the founder of the Elle Foundation, incorporated in Dallas, Texas in 1995. She currently leads the team efforts of Elle Research and Elle Resource in West Palm Beach, Florida. She has published in peer review consistently since 2017 and has produced primary source original research in family and individual psychological genomics since 2020. She created Reward Deficiency Syndrome Solution Focused Brief Intervention therapy, RDS paradigm psychoeducation and the Reward Deficiency Syndrome Severity of Symptom measurement scale.
Abstract
Complex Post-Traumatic Stress Disorder (CPTSD) is a severe psychological condition that predominantly affects women who have endured prolonged and repeated trauma, such as childhood abuse, domestic violence, and sexual assault. Women with CPTSD face significant recovery challenges, including pervasive emotional dysregulation, chronic feelings of shame and guilt, and profound difficulties in interpersonal relationships. The recovery journey is often complicated by co-morbid conditions like depression, anxiety, and eating disorders, which further intensify the emotional and psychological burden. Additionally, societal stigma and barriers to accessing effective treatment can hinder recovery, leaving many women isolated and struggling to manage their symptoms. Despite the availability of trauma-focused therapies such as Eye Movement Desensitization and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), many women face difficulties in fully engaging with treatment due to mistrust, fear of re-traumatisation, and the complexity of their symptoms. Economic hardship and lack of social support further exacerbate the challenges, often resulting in delayed or incomplete recovery. However, with tailored therapeutic interventions that address both the trauma and its broader impacts on identity and relationships, women with CPTSD can achieve meaningful recovery.
Biography
Candice Waldie has an MSc in Forensic Osteology, BSc in Crime Scene Science and comes from a diverse background shaped by a deep commitment to mental health advocacy. As she transitioned into the workforce, she found her passion for mental health advocacy through her role as a Mental Health and First Aid Trainer at St John Ambulance for over 6 years. She had the privilege of delivering training courses, facilitating supportive learning environments, and leading initiatives to promote mental health awareness and resilience. Her experiences in the role deepened her understanding of mental health issues and inspired her to advocate for greater support and resources for individuals facing mental health challenges. She is currently training to be a Therapeutic Coach and hopes to train as a Therapist dealing with Trauma. She is currently hosting her own PODCAST and establishing her wellbeing company called Recovering my Balance.
Abstract
Febrile neutropenia is an emergency condition demonstrating high mortality if not treated early with proper antimicrobial therapy. Ongoing clinical and laboratory evaluation of patients during hospitalisation is the cornerstone for its proper management and cure. It is very important to note that the infection-related clinical signs are greatly modified in neutropenic patients. Moreover, infections caused by atypical bacteria are frequent, as are infections by viruses and fungi or protozoa, such as Pneumocystis jirovecii. The role of the clinical physician is extremely important for its proper diagnosis and documentation, and for the administration of suitable treatment for the right period of time, and its possible modification if necessary.
Biography
Efstathios Koutsostathis is Medical Consultant at Sotiria hospital for Thoracic diseases ICU.He graduated from the Athens medical school in Greece and he has a Master degree in Public health.He is candidate PhD at the university of West Attica. He has many presentations in medical conferences and he has published medical articles in reputed journals.
Abstract
Rabies remains a deadly zoonotic disease in Ethiopia,across Africa and globally with significant public health implications.The eradication of rabies globally requires overcoming significant challenges related to access, awareness, surveillance, and coordination. The One Health approach and global public health alliances play a central role in addressing these barriers by fostering cross-sectoral collaboration, supporting mass dog vaccination, improving access to PEP, and enhancing public education. Achieving the goal of eliminating dogmediated rabies by 2030 will depend on sustained political commitment, robust funding, and the continued engagement of all stakeholders in the fight against this deadly yet preventable disease.
Biography
Immunologist; Certified Drug Safety Officer for Pharmacovigilance,Clinical Trials Specialist, Monitoring and Medical Writing as well as ICH/GCP and MedDRA coding expert.Former Scientific worker and Medical Advisor at Seramun Diagnostica Biotechnology Company in the Department of Research and development as a Research & Development Scientist as well as Medical Advisor in the field of Immunoassay, Immunodiagnostic, Autoantibody and Autoimmune Diseases. Completed PhD from Charite’-University of Medicine Berlin, Center for Internal Medicine and Dermatology, Internal Medicine Dept. of Rheumatology and Clinical Immunology; German Rheumatology Research Center Berlin; Institute for Immunology, Center for Infection Medicine of Freie University Berlin. Honorary lecturer and trainer for Pharmacy and Pharmaceutical Assistants in Germany. Ambassador of Brain City Berlin for Science and Technology. Delegate of Gonder University for international networking with German universities and academic institutions. Ambassador of Tedda Health Science College in Tedda-Gonder Ethiopia. Diaspora Expert for Developing Countries in relation to Health, Education, Research, Capacity Building and Consultation.Since 02/2024 International Diaspora Advisory Board Member of MEG at GIZ & BMZ (Federal Minster of Cooperation and Development). Co-advisor and lecturer for Master and PhD students & lecturer of undergraduate students in different Ethiopian Universities at Medical Colleges and Faculties. Board Member of Ethiopian Institute of Textile and Fashion Technology EiTEX & Biorefinery Research Center (BRRC of EiTEX) in Bahir Dar University-Ethiopia. Founder and Manager of Kess Waka Meskelo International Medical Center (KWMIMC) in Tedda-Gonder Ethiopia. Organizing Committee Member and Keynote Speaker of Global Webinar Conference on Public Health.Board Member and Co-Founder of two Diaspora Organizations in Germany. General Seccretary of Health for Ethiopia. Vice-President of Bridge Ethiopia Network for Science and Technology Transfer in Germany and Ethiopia. Member of different international and national academic Societies in German and beyond. Technical Advisory Board Member of TOG/VSF (Veterinaires sans Frontieres) in Germany. A Representative Committee for Ruminants of Federal Veterinary Chamber in Germany. Member of Global Hub Germany, Member of WHO Hub in Germany, Member of One Health Platform in Germany and etc. Currently,actively focusing on Global Public Health, Global One Health, International Health Protection against Infection Diseases and Capacity Building in developing Countries.
Abstract
Artificial intelligence (AI) is a technological breakthrough that is rapidly progressing all over the world. AI has a variety of uses in medicine and dentistry, ranging from data analysis to using neural networks for diagnosis. AI has received enormous attention and has gone through a transition stage from being a pure statistical tool to being one of the main drivers of modern medicine. We are at the dawn of a new era, and AI is undoubtedly the future of dental practice management. This aim presentation is to review the various applications of AI in all the specialties of dentistry.
Biography
DDS , DPD(Drodont)Dentistry for Children1988.Postgraduate taught course (two-years) in Oral Biology/Pathology, Dental Faculty, University of Athens 1998 .Master of Biostatistics,School Mathematics/Medicine,Athens2001.Postgraduate Bioesthetic Dentistry. OBI,International Faculty.Diploma. Roth/Williams Center for Functional Occlusion, Postgraduate Certificate Diploma in Restorative and Aesthetic Dentistry. He is currently a member of EAPD ( The European Academy of Pediatric Dentistry) and the IAPD ( International Association of Pediatric Dentistry). The American Academy of Pediatric Dentistry (AAPD).194publications as author or co-author in peer-reviewed journals/bookchapters .120 lectures and CE courses(Cleft lip/palate,Pediatric Dentistry) in many countries .
Abstract
Acute peritonitis is a relatively common intra-abdominal infection that a general surgeon will have to manage many times in his surgical carrier. Usually it is a secondary peritonitis caused either by direct peritoneal invasion from an inflamed infected viscera or by gastrointestinal tract integrity loss. The mainstay of treatment is source control of the infection which is in most cases surgical. In the physiologically deranged patient there is indication for source control surgery in order to restore the patient’s physiology and not the patient anatomy utilizing a step approach and allowing the patient to resuscitate in the intensive care unit. In such cases there is a clear indication for relaparotomy and the most common strategy applied is open abdomen. In the open abdomen technique the fascial edges are not approximated and a temporarily closure technique is used. In such cases the negative pressure wound therapy seems to be the most favourable technique, as especially in combination with fascial traction either by sutures or by mesh gives the best results regarding delayed definite fascial closure, and morbidity and mortality. In our surgical practice we utilize in most cases the use of negative pressure wound therapy with a temporary mesh placement. In the initial laparotomy the mesh is placed to approximate the fascial edges as much as possible without whoever causing abdominal hypertension and in every relaparotomy the mesh is divided in the middle and, after the end of the relaparotomy and dressing change, is approximated as much as possible in order for the fascial edges to be further approximated. In every relaparotomy the mesh is further reduced to finally allow definite closure of the aponeurosis. In the presence of ostomies the negative pressure wound therapy can be applied as
usual taking care just to place the dressing around the stoma and the negative pressure can be the standard of -125 mmHg. However, in the presence of anastomosis the available date are scarce and the possible strategies are to differ the anastomosis for the relaparotomy with definitive closure and no further need of negative pressure wound therapy,
to low the pressure to -25 mmHg in order to protect the anastomosis and to place the anastomosis with omentum in order to avoid direct contact to the dressing. The objective should be early closure, within 7 days, of the open abdomen to reduce mortality and complications.
Biography
Dr. Ioannidis is currently an Assistant Professor of Surgery in the Medical School of Aristotle University of Thessaloniki. He studied medicine in the Aristotle University of Thessaloniki and graduated at 2005. He received his MSC in “Medical Research Methodology” in 2008 from Aristotle University of Thessaloniki and in “Surgery of Liver, Biliary Tree and Pancreas” from the Democritus University of Thrace in 2016. He received his PhD degree in 2014 from the Aristotle University of Thessaloniki as valedictorian for his thesis “The effect of combined administration of omega-3 and omega-6 fatty acids in ulcerative colitis. Experimental study in rats.” He is a General Surgeon with special interest in laparoscopic surgery and surgical oncology and also in surgical infections, acute care surgery, nutrition and ERAS and vascular access. He has received fellowships for EAES, ESSO, EPC, ESCP and ACS and has published more than 180 articles with more than 3000 citations and an H-index of 28
Abstract
Strategic environmental assessment (SEA) process can be broadly defined as a study of the impacts of a proposed project, plan, project, policy or legislative action on the environment and sustainability. SEA process has been aimed in order to incorporate environmental and sustainability factors in to planning and decision-making process that included policies, programs, plans and legislative actions. Sustainable sanitation development is a kind of sanitation development that meets the needs of the present without compromising the ability and efficacy of future generations to meet their own sanitation needs. Sanitation Impact Assessment (SIA) process can be defined as the systematic study and check of the potential sanitary impacts (effects) of proposed projects, plans, programs, policies or legislative actions relative to the physical-chemical, biological, cultural, and socioeconomic components of the total environment. The objective of the study and check is to conceptualize SEA process. The primary purpose of the SIA process is to encourage the consideration of the environment and sustainability in Organizational’s planning and decision-making process and to arrive at actions that are environmentally compatible. SEA process should include the integrated consideration of technical or engineering, economic, environmental, safety, and health, social and sustainability factors to achieve sustainable environmental sanitation excellence.
Biography
Vijayan Gurumurthy Iyer has completed his PhD from the Indian School of Mines,Dhanbad, and postdoctoral studies from the World Scientific and Engineering Academy and Society, Athens, Greece. He has been working as a Faculty since 2001. He has published more than 460 papers in reputed journals and conference proceedings and has been serving as a Faculty (Climate Change) in Bihar Institute of Public Administration & Rural Development, Gaya, India .
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