38^th International Conference on Nursing & Healthcare Oct 16-18, 2017 New York, USA

Biography:

Jean D. Pawl is an Associate Professor and Chair of the Biobehavioral Department of Nursing at Augusta University. She completed her PhD in nursing prior to consolidation while teaching in the former Department of Nursing on the liberal arts campus. She served as the interim program director of the BSN program at Augusta State University after the program director resigned with the announcement of consolidation. She led the relocation of faculty and students to the Health Sciences Campus and participated in the weekly task force. She is a certified nurse educator with 20+ years of academic experience.

Lori S Anderson is an Associate Professor and Associate Dean for Academic and Student Affairs at Augusta University College of Nursing. As Associate Dean, she ensures quality and excellence of the College’s Nursing Programs and provides leadership and vision in the development, implementation and evaluation of all academic programs. During consolidation, she led various faculty teams with the creation of the BSN curriculum and was instrumental with the various accreditation requirements that ensued. She has over twenty-nine years of nursing experience in various roles ranging from staff to administration and academia.

Abstract:

Leading change to create a singular identity between two diverse cultures is challenging. During a consolidation of two Bachelors of Science in Nursing programs, the ADKAR change management model provided a framework for guiding and assisting individuals through the change process. By examining awareness, desire, knowledge, abilities, and reinforcement, leadership can foster the desired behavior by assessing individual needs to promote new ways of thinking and working. Each of the five sequential areas of focus presents with unique challenges that may need to be addressed by leadership. Behaviors exhibited in each element during this consolidation illustrate the concepts and measurements used by leadership to move the consolidation efforts forward. When the five elements are achieved, faculty are engaged and energized; however, if any element is weak or missing, the change progression can be undermined and halted. Lessons learned by leadership involved in the consolidation of these two programs included: respect and patience is needed as individuals move through transitional change at different paces; clear, honest and frequent communication is imperative; allow faculty to participate and help with problem solving; and to realize that losses continue in many forms, yet remember to celebrate the successes.

Biography:

Wanda M Williams is an Assistant Professor at Rutgers University School of Nursing-Camden. She received her PhD in Nursing from the University of North Carolina at Greensboro and completed a Post-Doctoral fellowship in the area of “Interventions to Prevent and Manage Chronic Illness” at the University of North Carolina at Chapel Hill. Her research focuses on improving health outcomes of Black women and youth through the implementation of physical activity interventions. She believes that promoting better health habits in adolescence will lead to better health outcomes in adulthood. She is also a Women’s Health Nurse Practitioner, with over 30 years of nursing experience.

Abstract:

The top three causes of death for Black women are coronary heart disease, stroke and diabetes. Contributing factors for these diseases are multifaceted; however, lack of physical activity (PA) has been linked to the growing incidence of these diseases, especially in Black women. There is sufficient evidence to support the benefits of being physically active. Yet, not being PA is significantly higher in Black women, starting with a significant decline during adolescence. A contributing factor for this decline may be attitude, which is shaped by one’s beliefs and cultural factors. The goal of this review was to identify the significance of Black Adolescent girls’ attitude toward PA with the aim to determine what factor may promote PA in this group. Regular PA can improve overall health and fitness, and reduce the risk for chronic diseases. The long-term goal is to use the information from this review to design effective PA programs aimed at Black adolescent girls. Maintaining regular PA into adulthood can improve overall health and fitness, and reduce the risk for chronic diseases. Four of the interventions identified in this review that focused on changing attitudes of adolescent girls regarding PA did see an improvement in PA. Overall, this review supports that more effective interventions targeting Black adolescent girls are needed that consider the cultural factors (beliefs, self-efficacy, and family dynamics) that shape one’s attitude toward being physically active.

Biography:

Migdalia Serrano Smith has obtained her MSN in Nursing Education from the University of Phoenix and her BSN from Ursuline College in Cleveland, Ohio, USA in 2013 and 1993, respectively. She has worked for the Cleveland Clinic as a Surgical Intensive Care Nurse and Critical Care Transport Nurse for their critical care transport team and for the past four years has held a position as a Nursing Professional Development Specialist for Nursing Education and Professional Practice Development. She is currently the Nursing Professional Practice Development Specialists for the Heart and Vascular Institute Intensive Care Units at Cleveland Clinic.

Abstract:

Simulation is an effective learning tool, it allows for repetitive practice training on complex issues. The airline industry has been training pilots with simulators for decades and that industry continues to be the gold standard for safety. As caregivers patient safety is our number one priority. Today there are many different tools in our tool belt that we may reach for in order to keep our patients safe. We can educate and train our staff using simulation and marry that with the many care bundles that have proven to increase patient mortality and outcomes. One such bundle that has proven to be effective is the sepsis care bundle. Sepsis treatment cost can range from $19,000 to $32,000. The CDC estimates that 450,000 cases of sepsis are reported in the US alone with greater than 100,000 deaths annually. The sepsis care bundle has proven to improve the mortality rate by 14%. This research set out to compare clinical knowledge retention among caregivers after a simulation exercise versus self-study education. The simulation was validated by experts across the country and the self-study was the sepsis care path developed at our hospital. The participants were given a pre and posttest immediately following the exercise and at three months post exercise. All participants were randomized as to which educational method they would receive and the final comparison was completed at three months.

Biography:

Ingeborg Ulvund is a nurse, midwife and senior lecture at Molde University College Bachelor's Program- Nursing.  She is engaged in the development of the nursing program, has written textbook chapters and published several papers.

Elin Mordal is a nurse, midwife and PhD candidate at Molde University College. She is engaged in the development of the nursing program.

Abstract:

Background: Offering nursing students’ international clinical placement during the educational program is one response to meet the need of cultural competence among nurses. This paper provides insight into the impact of clinical placement, in a developing country, on third year nursing students. In the study, we investigated how short-term international clinical placement impacted Norwegian nursing students’ development of cultural competency.

Design & Methods: In this study, we utilised a qualitative descriptive design and used individual interviews with eighteen Norwegian nursing students, who had all participated in an international clinical placement. The data were analysed using the principles of systematic text condensation.

Results: In spite, the international clinical placement only was four weeks, the findings suggested that real life experience culturally awakened the students and forced an ongoing process developing cultural competence. However, it is important to give students time to reflection.

Conclusions: Although increased cultural awareness and a growing cultural competence was identified by the students undertaking international clinical placement, further research is required. It is important to investigate the best methods to support the students’ reflection such that the experiences lead to learning.

Biography:

Jascinth Lindo holds a PhD from the University of the West Indies and is an Associate Professor at Barry University. She has extensive experience in the pedagogy of
epidemiology, public health, health promotion and research methods at Undergraduate and Graduate levels. She is a strong advocate for evidence-based practice and
has published 26 peer reviewed articles, Co-authored more than 60 abstracts and conference presentations. She is a Reviewer and Editorial Board Member for nursing
publications repute.

Abstract:

A modified participatory interactive model of knowledge transfer was used to guide an ongoing program of research at a Caribbean School of Nursing. Faculty members collaborated with clinical partners to identify challenges in practice which required evidence to be addressed. Through multiple team building activities and efforts, research projects aimed at generating relevant evidence, facilitating research capacity building among team members and exposing undergraduate students to nursing research were developed.

Process dimension: The collaborative relationship between faculty/researchers and clinical partners was mutually beneficial with significant outcomes. Team members welcomed the opportunity for research mentorship, and were desirous of improved relationships between the school and clinical institution. Finally, the projects facilitated the learning experience of nursing students by exposing them to the research process.

Content dimension: Nursing education students demonstrated adequate data collection skills and increased awareness regarding the principles and practice of research. Practice_major practice issues identified and addressed included the lack of adequate preceptors for student nurses and the quality of nursing documentation. Strategies to address both were pursued collaboratively with relative good success.

Implications for practice: The model for knowledge translation strengthened relationships with clinical partners and spawned future research opportunities. Findings related to the quality of nursing documentation and preceptorship were disseminated, discussed and relevant strategies to improve practice were implemented. Faculty successfully participated in the peer review publication process demonstrating increased research self-efficacy. Likewise, increase research interest noted among students could spur interest in the pursuit of graduate studies. Taken together, this approach is likely to strengthen the propensity for evidence based practice.

Biography:

Karen Parsons received her PhD in Nursing from Rush University, College of Nursing, in Chicago Illinois in 2005. She is currently the Associate Dean of Research at Memorial University School of Nursing in St. John’s, Newfoundland, Canada. She was the recipient of the President’s Award for Distinuished Teaching at Memorial University in 2014. Her main areas of research interest are caring for the older adult with cognitive impairment, pedagogical methods, and qualitative research design.

Abstract:

A qualitative research study using hermeneutic phenomenology was used to determine the meaning of caring in nursing for first and fourth year nursing students at Memorial University School of Nursing, Newfoundland, Canada. The specific objectives of the study were 1) To use art-based inquiry as an approach to facilitate reflection on the meaning of caring in nursing. 2) To understand the meaning of caring and the caring relationship in nursing practice for first and fourth year nursing practice. 3) To identify nursing behaviors perceived as caring by first and fourth year nursing students. 4) To identify how fourth year nursing students have experienced the nurse-patient caring relationship in their clinical practice. 5) To compare first and fourth year students’ perceptions of the meaning of caring and the caring relationship in order to assess overall change from years 1 to 4. 6) To identify sources of support for and deterrents to the development of the nurse-patient caring relationship in fourth year nursing students. 7) To inform nursing curricula in the development of a caring framework across all years of the nursing curriculum. Each student was asked to paint a picture that represented the concept of caring in nursing. After completion of the painting, each student took part in one semi-structured face-to-face interview with the resarcher. Data analysis followed the five-step method of textual analysis described by Diekelmann, Allen and Tanner (1989). From the data several themes were identified that addressed the study objectives.

Biography:

Kameka Totten, BSN, RN, MBA/MHA, NE-BC, is a Nurse Leader with 16 years combined Clinical and Progressive Leadership Experience and has skillfully practiced in the areas of Intensive Care, Telemetry, General Surgery, Gynecological and Bariatric Surgery, Medical/ Psychiatric and Flexible Resources at Cone Health System. Initially working as a Bedside Nurse and then swiftly climbing the clinical ladder, she is currently a Department Director. Her personal objective is to further her career and education while maintaining a supervisory role and continuing to have a direct impact on exceptional safe quality patient care and satisfaction.

Abstract:

Staff nurses experience dissatisfaction with nurse leaders and often leave their positions. Employee churn and vacancies create gaps in continuity of care and may negatively impact patient quality and safety. Empirical evidence exploring relationships between nurse leader emotional intelligence, work environment, and leadership performance is scant. This study will be conducted at a local Health System and will explore relationships between nurse leader emotional intelligence, employee engagement, and performance outcomes including registered nurse turnover and retention rates at Cone Health System. There are a total of 118 eligible nurse leaders (51 department directors and 67 assistant directors). The research questions that will be addressed are: (1) Is there a relationship between the nurse leader personal and professional characteristics, emotional intelligence, employee engagement, and performance outcomes? (2) Are there differences in employee engagement and nurse leader performance outcomes between nurse leaders reporting high emotional intelligence compared to nurse leaders reporting low emotional intelligence? Upon completion, the results will provide essential empirical data in a study that will evaluate the impact of Cone Health System nurse leader emotional intelligence on employee engagement and performance outcomes. The results may be used to enhance nurse leader self-awareness. Leader self-awareness may lead to the adaptation of emotional intelligence behaviors that promote improvements in the work environment and performance outcomes.

Biography:

Chiara Tosin is a PhD student in Human Sciences Department at University of Verona. Her research interests include pediatric chronic disease, pediatric/neonatal intensive care, research with children, ethics and nursing management. She works as a Nurse since 2006 in a PICU (Major Civil Hospital of Verona). She holds a Master’s degree in Nursing Sciences with magna cum laude and a Postgraduate course in health professions management, where she conducted research on “Lived experieces of children with chronic illness condition and their parents” and “Development of a Nursing Competency Assessment Tool in a PICU”.

Abstract:

Scientific development for treating life-threatening illnesses combined with an increase of home-based health support has contributed in reducing children mortality rates but it also increases the number of children with chronic condition (approximately 49% of hospitalized children have chronic illnesses). Hospitalizations and recurrent readmissions are dramatic experience for children and they also have a huge impact on their families. There are no evidences focused on lived experiences of chronic ill children and their parents. This study aims to explore the experience of children with chronic disease in PICU and the experience of their parents. This study adheres to a phenomenological–hermeneutic approach, suitable for exploring the meaning lived experiences. Children and parents involved in the research are recruited through the Paediatric Department of the University Hospital of Verona. Data are collected by semi-structured interviews and data analysis is developed through an inductive and recursive process, aimed to identify the overall sense of the described experiences. The analysis reveals four emerging dimensions: experiences, elements of value, problems and suggestions. Within these dimensions, I identify some common elements and some “protruding” elements that emerged as particularly relevant. They reveal that parents frequently a) experience miscommunication, b) are silenced c) feel the need to trust medical care providers. Children frequently described a) a particular mother’s proximity during hospitalization, b) hope. These findings should be considered in order to improve the quality of paediatric care and other services for children with chronic illness.

Biography:

Basbish Tsogbadrakh has completed her Master’s in Nursing Science from Chiang Mai University, Thailand. Currently, she is the 1^st year PhD Student in international program at Chiang Mai University in Thailand. She is the Lecturer of School of Nursing, Mongolian National University of Medical Science. She has published more than 3 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Introduction: The concept of quality is a highly complex, abstract and dynamic that it evolves as healthcare due to customer’s expectations (Barbosa, 2015 & Mhlanga, 2016). The purpose of this study is to describe the meaning of the “quality” in nursing care context and to clarify the main attributes, antecedents and consequences of quality associated with nursing care.

Method: Walker and Avant’s concept analysis method used and the CINAHL, Medline and Google scholar databases were searched for English articles using the keywords quality, quality care or quality nursing care. Articles were selected according to whether the concept of quality was defined or described and whether dimensions of quality care were discussed.

Results: The result of this analysis found five attributes which are appropriate care, attentiveness of nurses, meets the patient’s needs, meets the standards and safety. Antecedences included patient’s expectations and previous nursing care experience. Consequences were positive patient outcome and patient satisfaction with care. The meaning of the quality nursing care defined as providing appropriate and attentiveness care for the patient safety based on their needs or expectations by competent healthcare providers using latest guideline, standard and advanced technology, and resulted having positive patient outcome and satisfaction.

Conclusion: An operational definition of quality in nursing care context with antecedents, defining attributes, and consequences emerged through the process of concept analysis. Result of this study can help better understand, the notion of quality concept in nursing care context and can be used in healthcare. In addition, this analysis can be treated as the foundation for further rigorous instrument or research design.

Biography:

I am a faculty member at George Brown College and teach in a BSCN collaborative nursing program In Toronto, Canada. I currently teach in the classroom, simulation and clinical arena. Also, I have taught in Simulation in the hospital and education arena. In my graduate studies in nursing and my PHD studies in curriculum and pedagogy in nursing, I have focused on examining more deeply teaching and learning in nursing education. My area of expertise is in clinical nursing, ethics, teaching and learning.

Abstract:

Clinical practice is an essential component in undergraduate nursing programs and clinical nurse educators are primarily involved in teaching in the clinical arena. Clinical instruction is a pedagogical process, where the clinical instructor guides and instructs students in their learning about nursing in the clinical environment. The teaching practice of nurse educators is underrepresented in the literature in nursing education and the forms of knowledge that clinical instructors bring to their teaching practice is absent. A grounded theory methodology suggested by Charmaz in 2010, guided the study design. Exploratory, semi-structured interviews were conducted with twelve clinical nurse educator participants teaching in undergraduate nursing programs in a large metropolitan city in Ontario, Canada. The purpose of this study was twofold; to theorize the pedagogical practices of clinical nurse educators and to uncover the challenges that participants encountered while teaching in the clinical arena. The results revealed five important findings. In this presentation, the author discusses two of the study results. They are - The forms of knowledge that participants brought to their teaching in the clinical arena and the ethical practices that underpins their teaching. Teaching in the clinical arena in nursing is complex and multilayered. The practice of clinical nurse educators and how they contribute to student learning will be discussed in this presentation.

Biography:

Fatma Yasemin Kutlu completed her Nursing degree at Istanbul University Florence Nightingale School of Nursing and her Master’s degree and PhD degree in Istanbul University Health Science Institute. She is an Associate Professor of Mental Health and Psychiatric Nursing at Istanbul University Florence Nightingale Nursing Faculty. She has published more than 100 papers, chapters, abstracts/congress proceedings in national and international journal. She has been serving as an Editorial Board Member of the Turkish Journal of Psychiatric Nursing. She was the President of the Turkish Psychiatric Nurses Association (2009-2013). Also, she is a Member of the Horatio (European Association for Psychiatric Nurses) Expert Panel (Education Working Group).

Abstract:

This study was conducted as a research design with randomized controlled pretest, posttest, and control group with repeated measurement aiming to determine the effect of motivational interviewing on treatment compliance and quality of life in chronic hemodialysis patients. A total of 60 patients with hemodialysis (30 experimental and 30 controls) were included in the sample of the study. The data were collected between March 2016 and July 2016 by using the questionnaire form and End-stage Renal Disease Adherence Questionnaire with Short Form 36. Also, Biological/Biochemical values were obtained from medical records. After pretest, motivational interviewing consisting of four sessions was implemented to experimental group. Pre- and post-intervention and 3-month follow-up were performed in the experimental and the control groups. After intervention, there were detected meaningful difference posttest (Z=-4,217, P<0,05) and 3-month follow-up (Z=-3,074, P<0,05), when the pretest, posttest and 3-month follow-up End-stage Renal Disease Adherence Questionnaire scores of the patients in the experimental and control groups were compared. Short Form-36 subscales showed no significant difference between the experimental and control groups in the pretest, posttest and 3-month follow-up. However, there was a meaningful difference between the pretest-posttest and pretest-3-month follow-up averages of the experimental group. Of the biological/biochemical data; daily fluid intake and potassium values were meaningful different in post-test and 3 months follow-up in albumin values. As a result, the motivational interviewing method was found to be effective in improving adherence to treatment and quality of life in chronic hemodialysis patients.

Biography:

Zafar Iqbal Channa has completed his MS Nursing and also done adavanced Diploma in Hospital Administartion & HRM and diploma in Educational Planning & Management. He is currently working as Deputy Chief Nursing Superintendent (Dy. CNS) at Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU/PIMS), Islamabad. He has national and international exposure of attending nursing conferences as a participant and presenter. He is eager to do his PhD in Nursing and work for the development of nursing profession in Pakistan. He has research publications in his credit.

Abstract:

Rapid scientific and technological discoveries have increased demands of specialized nursing care. Knowledge and skills can be restored by engaging nurses in a set amount of continuing nursing education (CNE) program activities. Literature suggested that degree or license is not the end point of education after basic nursing study. Apparently, basic nursing education for practice becomes obsolete within five to ten years of graduation. This obsolescence can lead to the poor performance of nurses in clinical practice. Therefore, study was designed to investigate and compare barriers to participation among hospital nurses of two provinces in Pakistan. Cross sectional descriptive study approach used to collect data through convenience sampling technique of three hundred (n=300) nurses. “Barriers to Participation Questionnaire” (BPQ) was used as research tool. Quantitatively, result interpretation was set as “the lower the mean score in each type of barrier, higher the barrier was measured due to reverse Likert scale rating. Generally, administrative barrier was found higher and most prevalent barrier, work-related barrier was more predictive and financial barriers as predicting barrier as compare to family and personal barrier. Data also revealed that Punjab nurses have greater administrative with mean score of 2.16±0.87 and work-related barriers with mean score of 2.43±0.81 than the nurses from Sindh province with mean score of 2.26±0.75 and 2.81±0.90. Regarding financial barrier, both provincial nurses have equal level barriers than the family and personal barriers among nurses of two provinces. To keep nurses connected with advanced knowledge in rapidly changing health care environment, more opportunities of non-formal CNE programs should be provided for all employed nurses in all provinces.

Biography:

Abstract:

Background & Aim: Health Care Providers (HCP) are at high risk exposed to blood borne infections such as Hepatitis B (HBV), C (HCV) and Immune Deficiency Viruses (HIV). A huge number of injections are being administered in private clinics in Pakistan; majority of clinics run by unqualified quacks in a rural area. The risk exposures to HCPs in these clinics differ from those working in tertiary care hospitals due to accessibility of resources, infection control management, workshops, awareness, and qualifications. Many studies have shown strong association between transmission of blood borne pathogens and needle stick injuries. To determine the frequency and factors leading with unsafe injection practices at four major cities of district Sanghar (Sindh).

Methodology: A cross sectional study was conducted in HCPs running private clinics at four major cities of District Sanghar, Sindh Pakistan. By using multi stage sampling technique 370 clinics proportionately selected through cluster sampling and stratified sampling. A pre-tested questionnaire was used to determine the percentage of unsafe injection practices among HCP.

Analysis: Categorical variables were calculated in frequency with percentage, and continuous scale variables with mean and standard deviation such as age and years of experience. 95% confidence interval with proportion was used to calculate at least one needle stick injury in the last one year.

Results: Out of 370 clinics, 368 HCPs were interviewed; 37.8% paramedics, 29.9% quacks, 22.6% MBBS, 4.9% DHMS and 1.4% Hakeem. Mean age (SD) of HCPs was 39 (8.92) years, and with mean (SD) experience of 14.7 (7.2) years. 55.71% were collecting used syringes in dustbin, 22.01% in sharp container and 22.28% using needle cutter. At least one needle stick injury (NSI) in last one year among HCPs at clinics in District Sanghar Sindh was 27.4%.

Conclusion: HCPs running private clinics are at higher risk in acquiring blood borne infection (BBIs) due to reused needle stick injuries, and poor hepatitis B vaccination program. There is an emergency need in launching protective measure for HCWs, and shield them from epidemic of blood borne infections (BBIs).

Biography:

Nafessa Nomi working as a RN (nurse), done my nursing from Holy Family Hospital, Pakistan and a computer diploma holder from a reputable organization in Pakistan, Faculty at Seventh day Hospital, Pakistan. And my research is on Diabetes, and also medical consultant to the entire diabetic walking patient, emphasizing on daily excise with their diet plan and medicine. As a part time working and practicing critical cases or Emergency case with regards to the diabetes and surgery if required. Working in a church camp program on every Sunday with concern to the health program and awareness to all age groups, sharing note on common diseases and sharing healthy practice and precautions.

Abstract:

Diabetes is defined as the body's inability to produce insulin. There are two major types of diabetes: insulin dependent, and non-insulin dependent. Non-insulin dependent is the most common in adults. Those who have a history of this disease in their family are most at risk. They feel that heredity and diet have a great deal to do with it. These people should take care of themselves and watch out for the warning signs such as excessive thirst, extreme hunger and irritability, and unexplained weight loss. Alternative approaches to the treatment of diabetes is a general term for a disease caused by defective carbohydrate metabolism and characterized by abnormally large amounts of sugar in the blood and urine. Diabetes is considered a group of disorders with multiple causes, rather than a single disorder. The human pancreas secretes a hormone called insulin that promotes the entry of sugar glucose into all tissues of the body, providing energy for bodily activities. In a person with diabetes, however, the entry of glucose is impaired, either because of deficiency in the amount of insulin produced or of a blocking of the action of the insulin. Consequently, sugar builds up in the blood and is discharged in the urine. In a Type I diabetic, the problem is almost always a severe or total reduction in insulin production.

Biography:

Takashi Shiroko graduated from Gifu University School of Medicine Japan in 1985 and got PhD in 1995. He researched about cancer immunological system in Roswell Cancer Institute, Buffalo NY in 1996-97. He is a chief of Emergency Medical Center and the assistant Director of Takayama Red Cross Hospital. He did war surgery as a surgeon in Sudan (2002), Afghanistan (2004), Pakistan (2005) and Uganda (2010-11) as a member of ICRC (International Committee of the Red Cross, Geneva). In Japan, he did medical relief in Kobe (1995) and Tohoku (2011) earthquake.

Abstract:

Japan has 108 active volcanos which are about 7% of the one in the world. Mt. Ontake（3067m） is located 30km from Takayama, at the center of Japan, erupted without a precursor at 11:52 am on September 27, 2014. Many climbers on the summit were involved in the eruption, and 63 people were dead or missing. Early the next morning, a Disaster Medical Assistance Team from our hospital and Mountain Rescue Team carried out rescue and first aid operations for a group of 26 climbers who had been evacuated to a cabin located on the highest summit in Gifu Prefecture. Of the climbers, 3 who required medical treatment were transported by helicopter to our hospital. Case 1: A 39-year-old female had open fractures of the left clavicle, scapula, and ribs and underwent debridement under general anesthesia. Case 2: A 52-year-old male had an open fracture of the left humerus and underwent irrigation and fixation. Case 3: A 46-year-old male had serious bruising and swelling on the left side of his body due to extensive contusions with high serum levels of creatine kinase. All the patients had blunt injuries and penetrating injuries that were classified as secondary or quaternary blast injuries caused by the impact of high-velocity fragments of volcanic rock, debris and gas.

Although it is difficult to predict a volcanic eruption, it may be possible to reduce disasters by installing shelters and wearing protective clothing.

Biography:

Junko Shiroko has Graduated from Gifu University School of Medicine in Japan in 1984 and got PhD in 1994. She has researched for cancer immunological system in Roswell Cancer Park Institute, Buffalo NY in 1996-97. She is a Gastroenterologist and a Chief of Internal Medical Department of Takayama Red Cross Hospital. She has worked as a Physician in Cambodia (1995), Sumatra Tsunami disaster relief (2005), Pakistan earthquake (2005), Zimbabwe cholera outbreak (2008) Haiti earthquake (2010) as a Member of Red Cross.

Abstract:

Due to a mass population movement from Syria and Iraq to Greece and the closure of Balkan route February 2016, almost 57,000 are stranded in Greece. The Finland and German Red Cross Society jointly started Basic Health Care Emergency Response Unit for providing medical assistance to immigrants and refugees. The team was consisted of doctors, nurses, midwives, mental care personnel, interpreters and technicians from various countries. And each member of the medical staff of 20 persons served for 4 weeks to be succeeded by a new member. I participated in this mission as a physician and we treated 50~70 patients/day at the general outpatient tents in three refugee camps each, with interpreters who speak Arabic or Kurdish. Since more than 40% of residents are children, we had many upper respiratory tract infections. Unlike natural disasters, as people lived in a camp longer, we were forced to respond to chronic diseases such as diabetes or heart diseases. There were cases of region-specific diseases such as Familial Mediterranean fever or Leishmaniasis. Some special drugs needed were not available at the basic healthcare level. There were relatively many cases of patients whose symptoms were thought to have been caused by mental stress. We sometimes sent patients to a Greek hospital who needed close examination and treatment. While the future is still unpredictable for refugees, I hope things may turn for the better to any extent.