Scientific Program

Conference Series Ltd invites all the participants across the globe to attend Annual Nursing Congress: The Art of Care Istanbul, Turkey.

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Scientific Program Day 1
Scientific Program Day 2

Day 1 :

Keynote Forum

Claude Billeaud

CHU Bordeaux, France

Keynote: A new High Hydrostatic Pressure destroyed all pathogens including spores while preserving the Bioactive proteins of Donated Human Milk

Time : 10:00 - 11:00

Conference Series Nursing and Healthcare 2018 International Conference Keynote Speaker Claude Billeaud photo
Biography:

Claude Billeaud has completed his MD degree from the Medical University of Bordeaux, France. He has been the Clinical Assistant Director of Bordeaux University in the Departments of Pediatrics, Neonatology and Intensive Care since 1983. He currently serves as a Pediatrician in the Neonatal Unit at the Children’s Hospital of Bordeaux, as a Scientific Manager of Bordeaux-Marmande Human Milk Bank, as a Lecturer and Head of Research in Neonatal Nutrition at the Medical University of Bordeaux. He has served as the President of the Association for Pediatric Education in Europe and he is a Member of European Academy of Pediatrics. He is currently carrying out several researches on the composition of human milk. As an expert in nutrition and perinatal medicine, he is also the author and co-author of numerous scientific publications.

 

Abstract:

Background & Aim: The main process used to pasteurize human milk is the low-temperature, long-time Holder method HOLDER and recently investigated, the high-temperature, short-time method. Both processes lead to an appropriated inactivation of vegetative forms but are ineffective versus the bacterial spores. Research aim is to find a method accomplish two main objectives, inactivation of all pathogens, including spores and preservation of the activity of milk components.
 
Method: Recently a novel approach of the high hydrostatic pressure processes has been developed by HPBioTECH. We compared the effect of human milk treatment on the same samples (raw human milk, holder and our novel high hydrostatic pressure) on vegetative and spores forms of pathogens and on bioactive components (lipase activity, immune proteins).
 
Result: Pathogens destructions, two main microbial strains have been selected: Staphylococcus aureus (as reference for the vegetative forms) and Bacillus cereus (as reference for spores). This research led process adapted to the microbial decontamination of 6 log, either for Staphylococcus aureus or Bacillus cereus; human milk bioactive components: The main components of human milk is preserved. Activity of the lipase after this treatment is close to 80% and that of several additional components (α-lactalbumin: 96-99%: Casein: 98-100%, Lysozyme: 95-100%; lactoferrin: 93-97% and sIgA: 63-64%).
 
Conclusion: This novel high hydrostatic process generates microbiologically safe human milk could potentially result in important benefits for preterm infants: (1) Improved assimilation of human milk, leading to daily weight and (2) improved resistance to infections (3) to avoid discarding 10% of contaminated by Bacillus Cereus human milk collected.

Keynote Forum

Nina Ng

Northwell Health Syosset Hospital, USA

Keynote: A Nurse’s Role in Iraq During the Battle for Mosul

Time : 11:15 -12: 15

Conference Series Nursing and Healthcare 2018 International Conference Keynote Speaker Nina Ng photo
Biography:

Nina Ng is currently working as an Assistant Director of Nursing at Northwell Health Syosset Hospital. She has completed her Master’s degree from Mercy College and Bachelor’s degree in Nursing from New York University. She has worked at NewYork-Presbyterian/The Allen Hospital as an emergency room Registered Nurse, Nurse Coordinator, Patient Care Director, and Nurse Administrator. She also served as an Assistant Coordinator with NYCMedics in Iraq during the Battle for Mosul and took on the role of Wellness Coordinator, conducting debriefs with volunteers post-deployment. She has authored several publications in various journals and books, including articles on leadership and participation in IRB-approved research projects. Her interests are in leadership, nursing, global health, disaster response, and emergency care.

Abstract:

People who live in Iraq, not because of how they look or what they wear, but because of their strength and grace. In early 2017, the civilians of Mosul were suffering tremendously during an unforgiving war between the Iraqi Government Forces/ allied militias and ISIS. The team of selfless humanitarians who traveled overseas to care for trauma victims in Erbil and Mosul. It witnessed horrors beyond human comprehension. Soldiers were carried into medical facilities with gunshot wounds to their heads, terrorists presented as patients that could not be turned away and children, innocent children sat quiet and still on stretchers as we Nursed their broken bodies and bleeding souls. The previous work experience as an emergency room Nurse and hospital administrator provided the tools to apply in this difficult setting. From there, using critical thinking skills and clinical judgment to facilitate movement of patients in the pre-hospital setting and tapped into my management hat to interview, hire and manage staff in Iraq. Nursing is a powerful entity. When coupled with humanitarian aid, the possibilities are endless. Our planet is in need of more individuals who are willing to apply their valuable skills to work that defends those who cannot speak and act for themselves. It is the collective responsibility to shed light on the inhumane global conflicts that continue to occur today.

  • Women Health and Midwifery Nursing | Education and Management in Nursing | Innovation in Nursing
Location: Akdeniz 2
Speaker

Chair

Ahmed Abujaber

Hamad Medical Corporation, Qatar

Session Introduction

Abdulqadir J Nashwan

Hamad Medical Corporation, Qatar

Title: Translation of Evidence Into Clinical Outcome, Quality Improvement, Health Policy, Education, and Leadership

Time : 12:15-12:45

Speaker
Biography:

Abdulqadir J Nashwan is the Director of Nursing for Education and Practice Development at HMGH and is a Member of Hamad Medical Corporation (HMC) in Qatar. He is also the Senior Adjunct Instructor, Faculty of Nursing at the University of Calgary in Qatar (UCQ). His current research interests include research utilization, evidenced-based practice, hematology/oncology, nursing informatics and cancer immunotherapy. He has published more than 50 research articles in reputable peer-reviewed journals. In November 2015, he has received Award of Merit for Placing HMC at the Cutting Edge of Cancer Research as a part of Stars of Excellence Program introduced by HMC. In October 2016, he has completed a Cancer Biology and Therapeutics (CBT) Program, provided by Harvard Medical School.

Abstract:

In the past, Nurses used to provide clinical care, even though no solid evidence supported this practice following basic logical assumptions. Usually, Health Care Providers (HCPs) including Nurses often follow outdated policies and procedures without questioning their current practices in terms of accuracy, safety, feasibility and applicability. The aim of this presentation is to provide an overview on the applications of translating evidence on patients’ clinical outcomes, safety, quality of care, leadership and management, education and health policy. Nurses are collaborating with other healthcare providers to develop new and innovative ways to translate evidence into practice to provide the best quality of care while maintaining the highest levels of safety standards. Nursing leaders need to build the infrastructure (policies, processes, resources, etc.) for transfer of knowledge into practice through empowering environment for Nurses. Education is primarily aims to move evidence from the generation phase through dissemination and into implementation, in order to address the unmet needs.

Hrønn Thorn

Regions Hospitalet Horsens, Denmark

Title: Effect of preoperative intervention on anxiety and pain in women undergoing hysterectomy

Time : 13:45-14:15

Speaker
Biography:

Hronn Thorn has completed her Master of Public Health from Aarhus University. She is currently working as a development Nurse at the department of gynecology and obstetrics at Regions Hospitalet Horsens in Denmark. She is a board member of the Danish Nursing Society Research Council and the Society of Gynecological and Obstetric Nurses.

Abstract:

Background & Aim: High level of preoperative anxiety is common among gynecological patients and may affect the need for opioids in the post-operative period. The study aims to evaluate the effect of individual preoperative information and dialogue on anxiety level and post-operative pain in women undergoing hysterectomy.
 
Method: A sample of 46 women scheduled for hysterectomy was randomly assigned to either the Study Group (SG) or the Control Group (CG). Two weeks before the surgery, the SGs were given individual information and dialogue at a preoperative consultation. The CGs received information as usual on the day of surgery. Anxiety level was assessed an hour before surgery
and six and 24 hours after surgery. The main outcome, postoperative pain, was assessed at six and 24 hours and four weeks after surgery.
 
Result: Baseline characteristics of both groups were comparable except for type of surgery and anesthetic technique. 40 participants were analyzed, 20 in each group. This study was not able to demonstrate any statistically significant difference in anxiety level or postoperative pain between the groups.
 
Conclusion: Preoperative individual information and dialogue did not result in significant effects in reducing anxiety level nor did it result in lower postoperative pain score. Implications for Practice: Patients with elevated anxiety level might benefit if Nurses are more aware of preoperative anxiety
level and act on high levels.

Karin Minnie

North-West University, South Africa

Title: Women's views and experiences of continuous support during childbirth: a meta-synthesis

Time : 14:15-14:45

Speaker
Biography:

Karin Minnie is the director of NuMIQ and professor with the School of Nursing Science at the North-West University in South Africa. She has supervised 26 postgraduate students and published 16 articles in peer reviewed journals and 6 chapters in academic books.

Abstract:

Despite the known benefits of continuous support during childbirth, the practice is still not routinely implemented in all maternity settings and women’s perspectives might not be considered. This study aimed to provide midwives and other healthcare professionals with summaries of best available research evidence on women’s views and experiences regarding continuous support during childbirth. The review question was, what were the views and experiences of women regarding continuous support during childbirth as reported in qualitative studies and in studies that adopted mixed research methods with a qualitative component that used semi-structured, in-depth or focus group interviews or case studies? A detailed search was done on electronic data bases, EBSCOhost: Medline, PsychINFO, SocINDEX, OAlster, Scopus, SciELO, Science Direct, PubMED and Google Scholar. The data bases were searched for available literature using a predetermined search strategy.
Reference lists of included studies were also searched. Predetermined inclusion and exclusion criteria were applied during the selection of eligible sources. In total, 12 studies were included in the data analysis and synthesis. Two categories were identified namely, the role and attributes of the support persons and challenging aspects regarding continuous support during childbirth. Women’s perspectives about continuous support during childbirth were influenced by culture, traditions and values, relationships with specific support persons as well as institutional practices, forms of supportive care received and the attributes of the support person. Continuous support during childbirth was valued by most women. Health care institutions should include continuous support during childbirth in their policies and guidelines and birth plans.

Sefika Yarar Foster

University of Akdeniz ,Turkey

Title: Women's views and experiences of continuous support during childbirth: a meta-synthesis

Time : 14:45-15:15

Speaker
Biography:

Sefika Yarar Foster has completed BSN at Dokuz Eylul University. She has worked in Dokuz Eylul University as a General Surgery and Transplant Nurse. She was into the clinical research and worked as a Site Coordinator and Clinical Research Nurse. She has experience in transplant nursing, clinical research and patient education. She is currently working in the Akdeniz Transplant Unit Education Department.

 

Abstract:

Post-transplant education has a direct effect on the patient’s new life. Because of this it bears a great influence on the success of the transplant. In fact many transplant centres give patient education but there is a lot of non-compliance with medication usage and follow-up care. The recipients of an organ transplant worry about using drugs, rejection, infection, complications, diet and their daily life etc. Experience has shown that we need new approach to education in this regard. The organ transplant department’s patient education program should be of an adequate length, tailored to the patients’ needs and be ongoing. Using new technologies and educational materials gives more self-confidence to the organ transplant recipients. Patient support after transplantation should aid the patient and their family in many ways, more active cooperation, life coaching and motivation. Our centre has completed 232 kidney transplants (202 living, 30 cadaveric), 48 liver transplants (33 living, 15 cadaveric) in 2017. Patients before discharge from the hospital were given a detailed education program such as the importance of drug use, infection control, diet, daily life, etc. During their follow-up visits after any medication changes, incorrect drug use, a changed prescription, pregnancy, diet or any other concerns they are given ongoing education and advice. The aim of the organ transplant coordination education department is to support the patients after their transplant and increase their quality of life in many ways.

 

Ahmed Abujaber

Hamad Medical Corporation, Qatar

Title: Promoting research utilization among Nurses: Barriers, facilitators, and strategies

Time : 15:30-16:30

Speaker
Biography:

Ahmed Abujaber is a Registered Nurse in Qatar. He has completed his Bachelor degree in Nursing and a Degree in Business Administration. He has also completed PhD in Business Administration. He has experience in Emergency and Trauma settings in both Jordan and Qatar. He has special interest in Professional Trauma Education being a Regional Directror and Coordinator for the ATLS and ATCN programs. He is currently working as an Assistant Executive Director of Nursing at Hamad Medical Corporation. His research interest is in the applications of predictive big data analytics in healthcare specifically in chronic disease prevention.

Abstract:

Throughout the history, nursing profession played a distinct leadership role in improving care through the application of research findings in practice. Therefore, Research Utilization (RU) is considered a pillar in nursing practice. Some nursing scholars describe research utilization as the use of research findings in any and all aspects of one’s work as a registered Nurse. Others define research utilization as the use of research findings to support clinical decision-making. However, despite the plethora of studies that aim to explore the reseach utilization from various perspectives, still there is a significant ambiguity surrounds the process of transforming research knowledge into practice. This may explain why the time lag between the generation of evidence and putting it into clinical practice is 15-20 years as described by the Institute of Medicine report (2001)-Crossing the Quality Chasm. The workshop is to identify the perceived barriers and facilitators (system-related, Nurserelated, and research-related) to successful research utilization as well as to present up-to-date, evidence-based strategies to overcome the most commen barriers.

Abdulqadir J Nashwan

Hamad Medical Corporation, Qatar

Title: Promoting research utilization among Nurses: Barriers, facilitators, and strategies

Time : 15:30-16:30

Speaker
Biography:

Abdulqadir J Nashwan is the Director of Nursing for Education and Practice Development at HMGH and is a Member of Hamad Medical Corporation (HMC) in Qatar. He is also the Senior Adjunct Instructor, Faculty of Nursing at the University of Calgary in Qatar (UCQ). His current research interests include research utilization, evidenced-based practice, hematology/oncology, nursing informatics and cancer immunotherapy. He has published more than 50 research articles in reptuable peer-reviewed journals. In November 2015, he has received Award of Merit for Placing HMC at the Cutting Edge of Cancer Research as a part of Stars of Excellence Program introduced by HMC. In October 2016, he has completed a Cancer Biology and Therapeutics (CBT) Program, provided by Harvard Medical School.

Abstract:

Throughout the history, nursing profession played a distinct leadership role in improving care through the application of research findings in practice. Therefore, Research Utilization (RU) is considered a pillar in nursing practice. Some nursing scholars describe research utilization as the use of research findings in any and all aspects of one’s work as a registered Nurse. Others define research utilization as the use of research findings to support clinical decision-making. However, despite the plethora of studies that aim to explore the reseach utilization from various perspectives, still there is a significant ambiguity surrounds the process of transforming research knowledge into practice. This may explain why the time lag between the generation of evidence and putting it into clinical practice is 15-20 years as described by the Institute of Medicine report (2001)-Crossing the Quality Chasm. The workshop is to identify the perceived barriers and facilitators (system-related, Nurserelated, and research-related) to successful research utilization as well as to present up-to-date, evidence-based strategies to overcome the most commen barriers.

Gul Cankaya

NHS Marmara University Pendik Training Hospital, Turkey

Title: Self care management for the patients with cancer

Time : 16:30-17:00

Speaker
Biography:

Gul Cankaya  is a surgical nurse at Marmara University Pendik Training Hospital in Istanbul. She has worked mostly in pediatric critical care unit, cardiovascular surgery operating room, general surgery operating room.  She has attended international certification for breast cancer nursing programme (MEHEM). She has completed her thesis on ‘’self care in breast cancer patients undergoing modified breast surgery’’.

 

Abstract:

Cancer is an important cause of mortality in all ages in population and is categorized as  a chronic disease that is treatable in many situations, especially when diagnosed earliar. World Health Organization declared that (WHO, 2009): “Self-care is the ability of individuals, families and communities to promote health, prevent disease, and maintain health and to cope with illness and disability with or without the support of a healthcare provider”. Selfmanagement, however, outlines an interactive process where individual responses and behaviour focusing at managing physical and psychosocial consequences of symptoms and treatment. It has been reported that self care by patients diagnosed as cancer improves quality of life, symptom management, and patient satisfaction. Nurses are the members of treatment team against cancer. They  have an important role during diagnosis, treatment, and caring. The patients feel  better, physiologically and psychologically, when the symptoms  managed effectively. Main symptoms are Fatigue,  Eating problems,   Nausea,    Fever,   Respiratory problems,  Pain,   Numbness in fingers and/or toes ,  Bleeding,  Hair loss,  Skin changes,  Constipation, decreased  interest in sexual activity. We have to build up spesific self care programmes for each spesific cancer , because symptoms differ widely between them. Breast cancer and prostate cancer will need much different self care programmes not because of the systems involving but the gender , age group matters.

 

  • Pediatric Nursing| Gynaecology and Obstetrics Nursing | Diabetes and Dermatology Nursing | Community Nursing
Location: Akdeniz 2
Speaker

Chair

David Sergio Salas-Vargas

Autonomous University of Baja California, Mexico

Session Introduction

Nina Ng

Northwell Health Syosset Hospital, USA

Title: Integrating sectors of healthcare and humanity: Nursing; humanitarian aid; leadership
Speaker
Biography:

Nina Ng is currently working as an Assistant Director of Nursing at Northwell Health Syosset Hospital. She has completed her Master’s degree from Mercy College and Bachelor’s degree in Nursing from New York University. She has worked at NewYork-Presbyterian/The Allen Hospital as an emergency room Registered Nurse, Nurse Coordinator, Patient Care Director, and Nurse Administrator. She also served as an Assistant Coordinator with NYCMedics in Iraq during the Battle for Mosul and took on the role of Wellness Coordinator, conducting debriefs with volunteers post-deployment. She has authored several publications in various journals and books, including articles on leadership and participation in IRB-approved research projects. Her interests are in leadership, nursing, global health, disaster response, and emergency care

Abstract:

In nursing, the continuously pursued experiences that strengthen, gives the opportunity to grow and develop and most importantly, allow to provide care to most vulnerable populations. It will provide a preview of work and volunteer experiences as a Nurse, Nurse leader and international aid worker with the intention of showing what is possible in the healthcare field. Based on the interests of those who attend, then the it will be geared towards navigating healthcare networks, positions, roles in humanitarian aid and how it all fits together. The objective, is to share how it is able to apply the skills acquired over the years to each existing and new sector. It believes that all fields are relative-hospital operations and leadership techniques in the United States share similarities with field missions (on differing scales, of course) and there is tremendous opportunity to integrate these entities.

Ahmed Abujaber

Hamad Medical Corporation , Qatar

Title: Data Science is Shaping the Future of Healthcare
Speaker
Biography:

Ahmed Abujaber is a Registered Nurse in Qatar. He has completed his bachelor’s degree in Nursing and a Degree in Business Administration. He has also completed PhD in Business Administration. He has experience in Emergency and Trauma settings in both Jordan and Qatar. He has special interest in Professional
Trauma Education being a Regional Directror and Coordinator for the ATLS and ATCN programs. He is currently working as an Assistant Executive Director of Nursing at Hamad Medical Corporation. His research interest is in the applications of predictive big data analytics in healthcare specifically in chronic disease prevention.

Abstract:

In an article published in the journal Science, Bell et al. (2009) claims that after Newton`s motion law, the experimental research, and the computer simulation paradigms, the techniques that generate knowledge from data (i.e. data science) should be considered the fourth research paradigm. The huge technological advancement in the healthcare industry and the growing adoption of the electronic health records led to the availability of high volume, high velocity and high variety health data. Nonetheless, this exponential growth in health data collection and storage isn’t coined with a simultaneous growth in our analytical capacity which limits our ability to uncover potentially useful information from this massive data. Unlike other industries, the adoption of data science analytics is still in its infancy. This limited adoption of data science approaches in healthcare is multifactorial. The decision to invest in data science is strategic and requires deep understanding of the full potentials of these solutions. However, reviewing the literature, majority of the published health data science research is theoretical and presents the authors opinion not necessarily reflective of an institutional position. More importantly, there is very little research about how data science techniques (e.g. big data mining) can help provide clinical evidence and inform the clinical decision making in the era of evidence-based medicine. Therefore, to reap the full benefits of data science approaches, health policy makers, scholars and practitioners have to realize what data science approaches can do economically and clinically and how they can help clinicians make decisions that improve the treatment outcomes and help prevent and cure diseases.

Adriana Carolina Vargas-Ojeda

Autonomous University of Baja California, Mexico

Title: Nurses, community health promoters, and mobile technology can make a difference to improve glycemic control in type 2 diabetes
Speaker
Biography:

Dr. Adriana C. Vargas-Ojeda graduated from UNAM as a Medical Doctor, and completed her residency in pediatrics at the Hospital Infantil de México, UNAM.  Additionally, Dr. Vargas obtained her master’s degree in Educational Management at UABC and a PhD in Educational Sciences at UIA-Noroeste. She served as the Dean of the School of Medicine from 2000-2002, and as Vicerrector from 2002-2006. at the Universidad Autónoma de Baja California She is a full-time professor and has been recognized as a level 1 Investigator by the National Research System of Mexico.

Abstract:

Diabetes is a global epidemic and a huge public health problem in Mexico, where almost 75% of the adult population over 20 years old, is considered to be obese or overweight and diabetes prevalence is almost 10%, according to the 2016 National Health and Nutrition Survey. (ENSANUT). The role of the Nurse working together with the community health promoter has resulted in an operational strategy that has benefited patients with type-2 diabetes in the control of their Hemoglobin A1c (HbA1c) levels through the Dulce Wireless Tijuana program (DWT). The use of mobile application on 3G phones allowed patients to send a questionnaire to monitor how they were controlling their diabetes. The patients responses were sent through their 3G mobile phones and immediately entered into the database, which allowed the Nurses and medical doctors to consult and review them at once. The community health promoters and Nurses who participated in the study sent voice and text messages to the patients. Alerts were sent to medical personnel when patients reported extremely out-of-range levels or when the system detected lack of attendance at appointments, tests or educational sessions. These alerts appeared in the database of Nurses and doctors for immediate review and follow-up. The significative results of DWT suggest that integrating Nurse coordination, peer-led education and mobile technologies is an effective approach for improving diabetes outcomes in highrisk populations. Final results of DWT were published in the April 2016 issue of Diabetes Technology and Therapeutics.

David Sergio Salas-Vargas

Autonomous University of Baja California, Mexico

Title: Nurses, community health promoters, and mobile technology can make a difference to improve glycemic control in type 2 diabetes

Time : 11:45 - 12:15

Speaker
Biography:

Dr. Adriana C. Vargas-Ojeda graduated from UNAM as a Medical Doctor, and completed her residency in pediatrics at the Hospital Infantil de México, UNAM.  Additionally, Dr. Vargas obtained her master’s degree in Educational Management at UABC and a PhD in Educational Sciences at UIA-Noroeste. She served as the Dean of the School of Medicine from 2000-2002, and as Vicerrector from 2002-2006. at the Universidad Autónoma de Baja California She is a full-time professor and has been recognized as a level 1 Investigator by the National Research System of Mexico.

Abstract:

Diabetes is a global epidemic and a huge public health problem in Mexico, where almost 75% of the adult population over 20 years old, is considered to be obese or overweight and diabetes prevalence is almost 10%, according to the 2016 National Health and Nutrition Survey. (ENSANUT). The role of the Nurse working together with the community health promoter has resulted in an operational strategy that has benefited patients with type-2 diabetes in the control of their Hemoglobin A1c (HbA1c) levels through the Dulce Wireless Tijuana program (DWT). The use of mobile application on 3G phones allowed patients to send a questionnaire to monitor how they were controlling their diabetes. The patients responses were sent through their 3G mobile phones and immediately entered into the database, which allowed the Nurses and medical doctors to consult and review them at once. The community health promoters and Nurses who participated in the study sent voice and text messages to the patients. Alerts were sent to medical personnel when patients reported extremely out-of-range levels or when the system detected lack of attendance at appointments, tests or educational sessions. These alerts appeared in the database of Nurses and doctors for immediate review and follow-up. The significative results of DWT suggest that integrating Nurse coordination, peer-led education and mobile technologies is an effective approach for improving diabetes outcomes in highrisk populations. Final results of DWT were published in the April 2016 issue of Diabetes Technology and Therapeutics.

Claude Billeaud

CHU Bordeaux, France

Title: Feeding Lactating Women And Composition Of Breast Milk Of Interest
Speaker
Biography:

Claude Billeaud has completed his MD degree from the Medical University of Bordeaux, France. He has been the Clinical Assistant Director of Bordeaux University in the Departments of Pediatrics, Neonatology and Intensive Care since 1983. He currently serves as a Pediatrician in the Neonatal Unit at the Children’s Hospital of Bordeaux, as a Scientific Manager of Bordeaux-Marmande Human Milk Bank, as a Lecturer and Head of Research in Neonatal Nutrition at the Medical University of Bordeaux. He has served as the President of the Association for Pediatric Education in Europe and he is a Member of European Academy of Pediatrics. He is currently carrying out several researches on the composition of human milk. As an expert in nutrition and perinatal medicine, he is also the author and co-author of numerous scientific publications.

Abstract:

Background & Aim: The Mediterranean Diet (RM) was likened to olive oil consumption which contains no α-Linolenic Acid (ALA) precursor of DHA (docosahexaenoic acid) and only brings the precursor of the line n-6 Linoleic Acid (LA). The latest recommendations are designed to increase intakes of Polyunsaturated Fatty Acids (PUFA) n-3, especially DHA, which with Arachidonic Acid (ARA) are essential to the neurosensory development of the newborn. The study aims to evaluate the effect of RM made of olive oil and 2/week fatty fish (mackerel 170 gr) on composition of breast milk lipids, in 80 lactating women for 15 days and for 30 days in a sub-group of 22 patients.
 
Method: Prospective, nutrition intervention, multi centric study. The Human Milk (HM) fatty acid (mature HM: 1-3 months nursing, taken in the morning between 8-10 hours) was determined by transesterification direct and analyzed by GC-FID and compared by ANOVA. Dietary surveyed were analyzed by the BILNUT software.
 
Result: From D15 RM, the rate of ALA is significantly decreased (0.96% to 0.75% of total Fatty Acids (FA)); the DHA significantly increased by 66% (from 0.29 to 0.44% FA), while ARA remains stable (0.36% FA). The surveys of food show that, feeding our population is normal-caloric, normal protein intake, high fat and slightly hypo-carbohydrate. Similarly, there is a
low intake of water, calcium, iron, magnesium, zinc and vitamin A, D, E, foliate, B5 and B6.
 
Conclusion: This study emphasizes the importance of consuming oily fish 2/week. This is not oil olive (which does not contain ALA, DHA precursor) that increases the DHA milk, but the consumption of two times week of mackerel (500 mg/day of DHA).

Gul Cankaya

NHS Marmara University Pendik Training Hospital, Turkey

Title: Postoperative nursing care for patients undergoing bariatric surgey

Time : 13:15-13:45

Speaker
Biography:

Gul Cankaya  is a surgical nurse at Marmara University Pendik Training Hospital in Istanbul. She has worked mostly in pediatric critical care unit, cardiovascular surgery operating room, general surgery operating room.  She has attended international certification for breast cancer nursing programme (MEHEM). She has completed her thesis on ‘’self care in breast cancer patients undergoing modified breast surgery’’

Abstract:

The term ‘’Bariatric surgery’’  is derivated from  the Greek alphabet “baros”and  “iatrikos” meaning “weight”, and  “medicine” respectively. Bariatric surgical procedures help weight loss by  three  mechanisms. These are Restriction,  Malabsorption and  Combination.  The two commonly performed restrictive procedures are  Adjustable Gastric Band and Vertical Sleeve Gastrectomy procedures. Common Comorbid conditions in obese patients are Type 2 diabetes, Heart disease, Dyslipidemia, Hypertension, Stroke, Obstructive sleep apnea, Obesity Hypoventilation Syndrome , Asthma , Certain cancers (breast, endometrial, prostate, and colon), Gallbladder disease, Gastroesophageal reflux, Pulmonary hypertension, Depression, Osteoarthritis. Atherosclerosis, Congestive heart failure  , Cardiomegaly. Postoperative Bariatric surgery patients are at increased risk for deep vein thrombosis and pulmonary emboli secondary to venous stasis and polycythemia (elevated red blood cell count) because of obesity hypoventilation. Highly lipophilic (lipid affinity) drugs, such as narcotics, have a higher volume of distribution in obese persons, which may lead to longer elimination half-lives. Early complications  may occur within one to six weeks after  surgery. These complications are  Deep venous thrombosis , Pulmonary embolism , Bleeding , Anastomotic leaks ,  Cardiovascular and pulmonary compromise. the nurse is an active member of the multiprofessional team.