Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd International Conference on Neurological Disorders and Stroke The Oberoi Dubai, Dubai, UAE.

Day 3 :

Keynote Forum

Hosam Al-Jehani

Dammam University, Saudi Arabia

Keynote: Multi-faceted stroke care

Time : 10:00-10:45

Conference Series Stroke 2016 International Conference Keynote Speaker Hosam Al-Jehani photo
Biography:

Abstract:

In recent years, acute stroke therapy suffered from a cautious halt in progress in fear of adding more harm. The stems from the heterogeneity of stroke patients and the inability to predict the behavior of the majority of cerebrovascular accidents. With refinements in the acute stroke care as well as neurocritical care concepts and modification of clinical imaging protocols, acute stroke care is showing significant promising improvements that are materializing to a positive impact on the patients\' outcomes. We will present an overview of these concept from the monitoring side, to the clinical decision making side as well as some predictive approaches to acute stroke care

  • Corporate Sponsored Session; Amanda Healthcare Group

Session Introduction

Robert Dorsett

Amana Healthcare, UAE

Title: Patient and Family education in Stroke Rehabilitation

Time : 11:10-11:40

Biography:

Robert Dorsett achieved his Master’s Degree in Neurological Rehabilitation from the University of Cardiff, South Wales in 2014. Robert has over 15 years of experience as a Physiotheraapist in stroke rehabilitation in South Africa and the UK. Robert currently works for Amana Healthcare Abu Dhabi treating a wide variety conditions in a post acute and long term setting

Abstract:

Stroke is the third leading cause of mortality and the second major cause of long term disability in the world. The clinical signs and symptoms as a result of stroke may have a major impact on the Quality of Life of the stroke survivor and the wider community. Their ability to participate in community activities are hampered not only as a direct result of the stroke but also due to the amount and quality of support available in the community. One of the major roles for Rehabilitation services is to provide education and information to family members and caregivers so that they can cope and deal with the long term consequences of stroke. Research has indicated that participation, particularly active participation, improves knowledge about stroke and reduces depression and anxiety in the stroke survivor and family members. How patient and family education is conducted is very much dependant on the service provided. It remains a challenge for multi-disciplinary teams to get it right particularly considering the cultural environment one works in.

Khalid Anwar

Amana Healthcare, UAE

Title: Role of Rehabilitation in Multiple Sclerosis

Time : 11:40-12:10

Biography:

Khalid Anwar trained as a PM&R in UK and worked as a Lead Consultant in Neurorehabilitation at a University Hospital in UK for a number of years before joining Amana Hospital last year. He has worked in NHS in UK for more than twenty years. He was an Executive Committee Member of British Society of Rehabilitation Medicine for three years and sat on the education committee. He has a number of publications to his credit and has contributed to book chapters. His area of special interest includes Traumatic brain injury rehabilitation, neurorehabilitation, spasticity management including botulinum toxin therapy and prosthetic rehabilitation.

Abstract:

Multiple sclerosis is a progressive, complex, heterogeneous neurological disorder associated with long-term disability. While current treatment and drugs aim to reduce multiple sclerosis (MS) exacerbations and slow disease progression, there is a need for comprehensive rehabilitation interventions in order to reduce sequels and symptoms of the disease, improve functional ability and quality of life. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps and to improve participation. Inpatient and outpatient multidisciplinary rehabilitation has been shown to be beneficial in improving disability, participation and quality of life despite progression of the disease. Timing and setting of rehabilitation interventions should be selected individually depending on disease phase, functional deficits, personal requirements, as well as specific goals. The problems may be related to weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, fatigue and activities of daily living (ADL) such as dressing, eating, bathing, and household chores. Good evidence exists for different specific interventions improving physical and cognitive performance. Rehabilitation should be an integral part of the management of this disease and should be available to the patient at all stages of the disease.

Biography:

Ruairί has completed his Bachelor of Science (Hons) from Trinity College, University of Dublin, Ireland 9 years ago. He has also completed numerous post graduate courses related to neurological rehabilitation. He is an occupational therapist working full-time with complex neurological cases from all over The UAE. He runs a monthly spasticity and pain management clinic with specialist physicians and other members of the MDT

Abstract:

Spasticity is muscle hyperactivity associated with damage to the central nervous system. The severity of spasticity depends on a number of factors including location, age and size of injury. Harmful effects of spasticity may include pain, reduced function, and deformity. As stated in the literature, spasticity is often misunderstood, sub-optimally treated, and complex. In the rehabilitaion facility, there is a high prevalence of brain injury, including TBIs, CVAs, hypoxia, dementia as well as those related to congenital difficulties. Spasticity is prevalent across the wide spectrum of said injuries. The task was to manage many difficult cases, both adult and paediatric. This was done through a combination of education, advocacy regarding medical and surgical interventions, as well as intensive therapy. A committee of the MDT was formed to assess the management of spasticity across the hospital. A plan of action was drafted, and implemented hospital wide. A comprehensive medical review included detailed assessment of spasticity related medications. For more complex cases, referrals were sent to acute hospitals for specialist input by rehabilitaion consultants, neurologists and interventional pain specialists. A botulinum toxin treatment programme was commenced. New ITB pumps were inserted, with others reviewed. A monthly spasticity and pain management clinic was initiated with a rehabilitaion medicine consultant from our sister facility in Abu Dhabi. Education regarding the importance of MDT cooperation in managing the issue across the 24 hour cycle was provided through workshops and in-services. Standardised assessments were completed prior to, and post interventions. These included the Tardieu Scale, Modified Ashworth Scale, and the FLACC. Data collected after the commencement of our comprehensive and holisitc treatment programmes clearly indicated statistically and clinically significant differences between pre and post intervention.

  • Corporate Sponsored Workshop II; Amanda Healthcare Group
Location: Grand Hall A
Speaker
Biography:

Abstract:

It is estimated that at least 10% of the worlds population lives with a disability (1). People with disabilities are among the most vulnerable and least empowered groups in the world. They often experience limited access to health care, education and livelihood opportunities. Rehabilitation can be defined as the restoration, to the maximum degree possible, of an individuals function and/or role, both mentally and physically within their family and social networks and within the workplace where appropriate. Referral to community therapy can be triggered by either post acute or chronic illness. The main objectives of community care are to improve the quality of life of people with disabilities or impairments; and working with the patient and the community to create positive attitudes towards people with disabilities, to motivate communities to support and encourage participation within the community. This workshop looks at the current community therapy situation within the UAE and discusses the challenges it is faced with. It discusses the necessity of home modifications and participation and accessibility within the community. The workshop also discusses the cultural nuances within the UAE and how they may impact community rehabilitation. It discusses the availability of support groups within the community and the availability of services which encourage those affected to return to work or productive activity. There are many international guidelines and pathways developed supporting the implementation of community rehabilitation; during the workshop such international practices are discussed and recommendations are derived from this for the UAE moving forward.

  • Neurological and degenerative disorders
    Stroke and its Management

Session Introduction

Oleksandr Makarenko

Taras Shevchenko National University of Kyiv, Ukraine

Title: Morphological changes of the peripheral nerve of rats after damaging and pharmacological corrections by neuropeptide agents

Time : 14:10-14:40

Biography:

Makarenko O.M. has taken PhD degree at the age of 30 at the Moscow medical stomatological institute, M.D. degree at the age of 40 at the Institute of higher nervous activity in Moscow. He carries out his post-dock researches at the Institute of higher nervous activity and T. G. Shevchenko national university of Kiev. He is a professor of the psychology department, the author of more than 100 articles in reputed journals and 5 monographs (Lambert Academic Publishing).

Abstract:

The aim of this work was comparative morphological analysis of the peripheral nerve of rats after its damaging without pharmacotherapy. Studies were made on 3 groups of rats, 10 in each. 1st – group with the crossed left sciatic nerve in the field of the middle third; after 10 days these animals had some repeated surgery, crossed nerve processes were found, refreshed and sutured up by the epineural stitch. 2nd – recreated above mentioned model of the peripheral nerve damaging in the conditions of Cerebrolysin application, which was administrated 21 days. 3rd – recreated model of the peripheral nerve damage in the conditions of Cerebral appication which was introduced three days. Both drugs were used since third day after surgery. The materials for research were the central, peripheral parts and a neuroma of a sciatic nerve injury in 3,6 and 12 weeks after reproduction of a peripheral nerve damage. In the first group of animals the processes of regeneration, proceeds poorly evident and starts only after the 6th week of post-traumatic restoration. Second group showed the regeneration of nervous fibers, gradual restoration of it’s ultrastructural organizations. Was observed the increase of the quantity of blood vessels and haemomicrocirculation improvements. Third group showed most positive changes compared with the other groups. It was shown that the proximal piece of the injured nerve had only insignificant phenomena of irritation of nervous fibers. The phenomena of inflammatory infiltration, edema and destruction of the processes of damaged fibers decreased.

Biography:

Assistant Professor and consultant of Neurosurgery Consultant interventional Neuroradiology Consultant Neurocritical care Head of the surgical ICU Head of the neurovascular program King Fahad hospital of the university King Fahad specialist hospital-Dammam Section head, Saudi Neurocritical care chapter Secretary General, Saudi Arabian neurosurgical society Dammam University, Saudi Arabia

Abstract:

There is recent refinement of both endovascular and microsurgical techniques for treatment of neurovascular disorders, namely aneurysms and arteriovenous malformations. These aim at reducing morbidity and mortality of the intended procedures. Durability is a major concern facing the decision making process. Clinicians and patients alike, face this ambiguity as to the so called “best” modality of treatment. We present several cases to illustrate the intersecting rather than parallel nature of the arms of treatment, highlighting the principles behind each decision-making process.

Mohammed Hmoud

King Saud bin Abdualziz University for health Sciences, Saudi Arabia

Title: Tumefactive Multiple Sclerosis in a Pregnant Lady: Diagnostic Enigma and Therapeutic Challenge
Biography:

Abstract:

Tumefactive multiple sclerosis (TMS) is an inflammatory demyelinating disease characterized by lesions measuring more than 2 cm. TMS may occur at any age, however, it is more frequent between the second and third decades of life. Some studies state that TMS has a female gender predilection, while others deny any gender predominance. The incidence of the disease is 1 to 2 per 100 cases of MS and 3 cases per million per year in the general population. TMS commonly behaves as a mass occupying lesion. Hence, the clinical presentation varies according to the location and size of the lesion. The most prevalent symptoms at presentation are motor, cognitive (memory deficit, attention disorders and mental confusion) and sensory dysfunction respectively. Pathologically, TMS is characterized by hyper-cellular lesions with demyelination and foamy macrophages which indicate a myelin phagocytosis. Magnetic resonance imaging is considered the modality of choice to diagnose this rare demyelinating disease. However, TMS presents a diagnostic challenge as it mimics several neoplastic and inflammatory conditions. The majority of patients with TMS respond to corticosteroid therapy. Unfortunately, some may have suboptimal results with corticosteroids. Hence, other immunomodulatory modalities would be indicated. Surgical intervention might be beneficial to some patients presenting with high intracranial pressure and severe swelling. In this paper, we describe a case of tumefactive multiple sclerosis in a pregnant lady with its clinical and radiological features, with a demonstration of a new approach to steroid resistant aggressive cases.

  • Corporate Sponsored Workshop III; Amanda Healthcare Group
Location: Grand Hall A

Session Introduction

Michael Redmond

Amana Healthcare

Title: Advanced Homecare - Prothrombin Time (INR) Testing in a Home Setting

Time : 15:30-16:30

Speaker
Biography:

Abstract:

INR testing and warfarin management is one of the most fundamental components in the prevention of stroke in patients with Atrial Fibrillation and coagulation disorders. Attendance to an INR clinic can be laborious resulting in reduced compliance and achievement of targets. There is evidence to suggest that self-testing or home testing of INR has the following benefits:- • It has been seen that it Increases the time to the first primary event as it was longer in the self-testers than in the clinic-testing setting • It has similar rates of clinical outcomes • It has been seen that over the entire follow-up period, the self-testers had a small but significant improvement in the percentage of time during which the INR was within the target range • It helps patients feel better too, as self-testers also seem to have a small but significant improvement in their satisfaction levels with the anticoagulation therapy itself and their perceived quality of life Our workshop will show the ease of process which can be used to monitor INR and the subsequent control of medication with the fundamental core of quality of life maintained for the patient while adhering to international standards of evidence based practice. The workshop will allow for the exploration of the various steps that need to be taken while performing this activity. Additionally, the information materials that will be used with patients and their families will be covered in the workshop in order to complete their education process to help them self-manage their disease and maintain their functional independence.