Day 1 :
Keynote Forum
Gerred Popejoy
Gerred Popejoy, Nordic Walking Nations, USA
Keynote: Nordic walking nations exercise rehabilitation program: Medicine of the 21st century
Time : 09:50-10:40
Biography:
Gerred Popejoy is the Director and Founder of Nordic Walking Nations, the first Nordic Walking medical exercising program in the US. He has been involved in lifestyle (treating the whole body) and functional medicine for over 30 years. He is an international speaker before healthcare professionals, business and community organizations. His company was launched in September 2016 at the renowned Plantrition Project Conference in Southern California and his program is being used by doctors, therapists, and other organizations.
Abstract:
Nordic walking nations exercise rehabilitation program: Medicine of the 21st century
Gerred Popejoy
Director & Founder, Nordic Walking Nations
USA
Abstract
Its human nature for us to choose the easiest route first to make a change. Since most everyone walks and doctors has been recommending this form of exercise for years due to simplicity, our Nordic Walking program should work for you. Most people tend to focus on one activity or type of exercise and think they’re doing enough. The goal, however, is to be creative and choose all four types of exercise – Endurance, Strength, Balance and Flexibility that gives you a complete “Full Body Workout”. Nordic Walking includes all four types in one simple walking exercise that can be worked into anyone’s busy schedule. Nordic Pole Walking provides twice the health benefits as regular walking in half the time. It is a Full Body Aerobic Resistance Exercise creating a cross motor function benefit, all in one walking exercise. Anyone at any age even with disabilities, who can walk can participate. People in wheel chairs can still do our stretching, strengthening and breathing exercises as well! We also have a Special Program for Children and Adults with disabilities. Nordic Pole Walking engages up to 90% of your body muscles compared to 40-60% with regular walking. It also relieves 26% stress off your lower back, hips, knees and ankles because it redistributes the stress equally throughout your body, not just into you lower back and legs. This allows you to walk 2-3 times further and experience less discomfort then you were able to do before.
Our Nordic Pole Exercises provides you the added support with the poles that enables you to do our exercises without assistance giving you greater range of motion, balance, flexibility and strength in your spine and extremities. These exercises will create new neuromuscular pathways to the brain giving you better balance and stability over time and helping to prevent falls. This is also a great exercise for weight loss burning up to 46% more calories than regular walking.
Keynote Forum
Dennis P Meloney
Nordic Walking Nations, USA
Keynote: Nine principles of the blue zones: Reverse engineering longevity
Biography:
Dennis. P Meloney is a Life Style Educator and has vast professional experience. He pursued his education from University of Colorado and presently he is a Certified Nordic Walking Instructor and National Speaker on Nordic walking and the nine principles of the blue zones.
Abstract:
Nine principles of the blue zones: Reverse engineering longevity
Dennis.P Meloney
Nordic Walking Nations, USA
Abstract
Life expectancy of an American born today averages 78.2 years. But this year, over 70,000 Americans have reached their 100th birthday! What are they doing that the average isn’t (or won’t).We will explore the nine Principles of the Blue Zones and see how they can be incorporated into anyone’s daily lives, which can add an additional 12 years of healthy living to your life. The 9 principles are; 1. Move Naturally, 2. Purpose, 3. Down Shift, 4. 80% rule, 5. Plant Slant, 6. Wine, 7. Belong, 8. Loved Ones First, 9. Right Tribe. To make it to age 100. You have to have won the genetic lottery. But most of us have the capacity to make it well into our early 90’s and largely without chronic disease!
We will spent a little time on the #1 principle of the Blue Zones which is Natural Motion. This is an area that we can add a simple and easy Nordic Walking program for people of all ages with a 75% compliance rate giving them purpose and hope to recovery.
- Clinical Diabetes Management
Location: Merchant Villa 1
Chair
Gerred Popejoy
Nordic Walking Nations, USA
Co-Chair
Dennis P Meloney
Nordic Walking Nations, USA
Session Introduction
Mahdi Asadi
Iran University, Iran
Title: Aesthetic medicine in diabetic foot management
Biography:
Mahdi Asadi has received Aesthetic Medicine fellowship from American Academy (A4M) and is boarded in Emergency Medicine from Shahid Beheshti University. He is completed his medical degree from Tehran University, Tehran, Iran. He is currently working in the Department of Emergency Medicine of referral center of Iran University, Tehran, Iran. His clinical and research interests involved in the wound management of both surgical and non-surgical methods.
Abstract:
Aesthetic medicine in diabetic foot management
Mahdi Asadi
Iran University, Iran
Introduction: The anti-infective properties of CO2 were described by Boyle in the 17 the century and by Lavoisier in the 18th century. Laloue+e, in 1777 proposed a serial application of CO2 for the treatment of chronic skin ulcers. The hemodynamic effects includes: increased blood flow and dilatation of precapillary arterioles, capillaries that were functionally closed are open once again, angiogenesis is induced due to transient ischemia, and release of growth factors leads to tissue regeneration and rejuvenation.
Indication: Indications of carboxytherapy includes: cellulite, localized adiposities, stretch marks, acne scars, skin laxity and wrinkle reduction, under eye dark circles, hair loss, poor healing leg ulcers, in patients with peripheral diabetic complications. Since optimal ulcer-healing requires adequate tissue perfusion, it is considered that carboxytherapy could be useful in the treatment of diabetic foot ulcer. A recent prospective clinical study included 40 patients with different sizes and types of chronic DFU. In addition to cleaning of the wound, antibiotics, and debridement as necessary, the treatment protocol included blood sugar control, medication, healthy habits, no weight-bearing, and carboxytherapy. The results showed that this treatment that included carboxytherapy promoted wound-healing and prevented amputation.
Application: For the application itself the parameters (gas flow in ml/min, overall volume in ml) are selected and set individually depending on indication and site. Injections are made using a 30G mesotherapy needle, which may be 4, 12 or 13 mm long. The gas installation is controlled by using a foot pedal. The injection angle is of great importance. In the superficial subcutaneous application, the angle comprises 30°. In the deeper intradermal application of gas, the injection angle comprises 45°.
- Diabetes
Location: Merchant Villa 1
Chair
Gerred Popejoy,
Nordic Walking Nations, USA
Co-Chair
Dennis P Meloney
Nordic Walking Nations, USA
Session Introduction
Yagya Laxmi Shakya
Tribhuvan University, Nepal
Title: Knowledge about complications of diabetes among diabetic patients attending in general health checkup, Nepal
Biography:
Yagya Laxmi Shakya has done MD in General Practice from Institution of Medicine, Tribhuvan University, Kathmandu, Nepal in 2003. She is working as a faculty in the Department of Emergency and General practice for the last 13 yrs. Now she is designated as Associate Professor since 2014. She has the responsibility of clinical works, teaching-learning activities, guidance for medical officer MD resident, intern, junior intern, supervises elective students from a European and South Asian country. She is a general practitioner works in general practice outpatient department and also in General Health checkup where different types of the patient come for screening and regular checkup and for required treatment. She acted as a guide for MD resident for their thesis/research. She has done various researches such as geriatric problems, patterns of diseases in Nepali women, causes of self-harm in Nepal. She is doing Distance Fellowship in Diabetes (DFID) management from Vellore, India.
Abstract:
Knowledge about complications of diabetes among diabetic patients attending in general health checkup, Nepal
Yagya Laxmi Shakya1, Mandira Shahi2, and Ranga Raj Dhungana3
1Tribhuvan University Teaching Hospital, Nepal
2National Centre for Health Professions Education, Tribhuvan University, Nepal
3HASTI, Nepal
Statement of the Problem: Diabetes Mellitus (DM) has risen exponentially over the last three decades, with a resultant increase in morbidity and mortality mainly due to its complications. The study aimed to assess the knowledge about the complications of diabetes and its management among diabetic patients attended in general checkup.
Methodology & Theoretical Orientation: A cross-sectional observational study was conducted among 100 diabetic patients in Tribhuvan University Teaching Hospital with written informed consents. The data were entered in Microsoft Excel version 2010 and analyzed using SPSS version 20.
Findings: Majority of female patients (78.8%) had knowledge of diabetes mellitus (DM). Over half (51.9%), (53.8%) and (57.7%) had knowledge that diabetes can cause the problems of CVS, kidney failure, and retinopathy respectively, but identified lacking comprehensive management. Moreover, the majority (92.3%) of the patients with more than 5 years duration of diabetes had knowledge of diabetic complications. Out of them, slightly over four-fifths (82.1%) had the knowledge that the diabetic patient have to do eye check-up annually and approximately seventy-two percent (71.8%) knew about the kidney failure as the complication of diabetes.
Conclusion: Female diabetic patients had slightly more knowledge in comparison to their male counterparts that was generally higher among 40 years of age above patients with more than 5 years duration of diabetes. Sex and age were not associated with the knowledge of diabetic complications such as eye check-up annual, kidney and CVS problem, hypoglycemia, neuropathy, foot problem, retinopathy, DKA, and stroke. However, duration of patient’s diabetics was associated with CVS problem, eye check-up, and retinopathy, but was not associated with a kidney problem, hypoglycemia, neuropathy, foot problem, DKA, and stroke. In order to make patients along with their family know about diabetes and its complications, Comprehensive Diabetic Management (CDM) including peer educations and counseling can be implemented.
Mandira Shahi
Tribhuvan University, Nepal
Title: Prevalence and factors associated with obesity among adult women of Nepal
Biography:
Mandira Shahi is currently working as a Professor in the National Center for Health Professions Education (NCHPE) Tribhuvan University, Institute of Medicine. She has done her Master of Health Professions Education (MHPE) from the University of Maastricht, The Netherlands in 2001. She also did her M. Phil in Education from 'The Global Open University Nagaland', India in 2010. Now she is a PhD Scholar in Singhania University, Rajasthan, India and also holds the title of PhD in Distance Education in Nepal: Its Application. She became the Coordinator of the Clinical Elective Programme for Foreign Medical/Nursing Students and Coordinator for Faculty Development Training as well as facilitator/resource person to develop and revise curriculum of various levels in health professions education. Similarly, she has had experience in various educational health-related research and module development as well as dedicated herself to teaching medical education for numerous levels in the health profession from Bachelors to Masters level
Abstract:
Prevalence and factors associated with obesity among adult women of Nepal
Mandira Shahi, Laxmi Rai, Raj Devi Adhikari, and Muna Sharma
Tribhuvan University, Nepal
More than 1.4 billion adults, 20 years and older, were overweight, of these overweight adults, over 200 million men and nearly 300 million women were obese. The objective of the study was to explore the prevalence and factors associated with obesity among adult women of Ramkot VDC (Village Development Committee), Kathmandu district of Nepal. A cross-sectional descriptive study was used to explore the prevalence and factors associated with obesity among adult women of the age group between 20 to 59 years. Five wards were selected randomly on the lottery is drawn and quota sampling basis. 22 samples were drawn from each selected wards and there were 110 sample sizes. A questionnaire guided interview method was incorporated BMI was calculated by following the formula: weight in kg/height in m2. The prevalence of obesity and overweight is 24.5% and 1.8% respectively. There is no association of BMI with caste, education, and age. 81.7% of respondents, who consumed fruits more than five times a week had low BMI, whereas 44% of respondents, who consumed fruits less than once a week, had high BMI indicating overweight and obesity. The significant difference between consuming fruits daily or not was shown by the chi-square (p-value) i.e. 0.013. The finding of this study shows that the prevalence of overweight and obesity among women was 24.5% and 1.8% respectively. Overweight and obesity of women was not associated with physical activities, vegetarian or non-vegetarian diet nor the frequency of food they usually took. But the women who consumed fruits frequently in their diet had a low body mass index than women who consumed fruits less frequently. To conclude, overweight and obesity among adult women in Nepal were associated with scarce fruit intake.
Sanaa Alsubheen
Western University, Canada
Title: Does diabetes affect functional outcomes after shoulder arthroplasty
Biography:
Sanaa Alsubheen is a physical Therapist with 10 years of clinical experience. She completed her master’s of science in kinesiology (exercise and work physiology) from Memorial university of Newfoundland, Canada on October 2016. Currently she is a PhD candidate at Western university, London, Ontario, Canada. She is interested in investigating the association between diabetes and adhesive capsulitis of the shoulder joint
Abstract:
Does diabetes affect functional outcomes after shoulder arthroplasty
Sana'a A Alsubheen1, Tom J Overend, Joy C MacDermid1,2, and Kenneth J Faber 2
1Western University, Canada
2St. Joseph’s Health Care London, Canada
Background: Shoulder arthroplasty improves shoulder function in patients with severe arthritic changes. Diabetes is a known risk factor for postoperative complications. However, the impact of diabetes on functional outcomes after shoulder arthroplasty is uncertain.
Purpose: This prospective cohort assessed whether diabetes affects functional outcomes after shoulder arthroplasty.
Methods: Diabetic patients undergoing shoulder arthroplasty (n=140), were evaluated at baseline, at an early follow-up visit (between 3-6 months) and at the late follow-up visit (between 1-3 years). The American Shoulder and Elbow Surgeons (ASES) assessed shoulder function and the Short-Form-12 (SF-12) assessed physical health status. Shoulder goniometry and dynamometry were used to assess motion and strength.
Results: Despite significantly poorer ASES and SF-12 scores at baseline in diabetic patients, later scores were not different than those without diabetes. For patients with diabetes, ASES pain [7 (3) to 2 (2)], ASES function [5 (5) to 18 (6)], and physical health status [27 (6) to 38 (8)] scores improved significantly over time similar to patients without diabetes [ASES pain: 6 (3) to 2(2); ASES function: 8 (5) to 18 (8); physical health status: 31 (8) to 40 (12)]. However, all these scores remained below the normal values for both groups.
Conclusion: Patients with diabetes achieve a large benefit from shoulder arthroplasty, with follow-up outcomes similar to those without diabetes