30^th International Conference on Psychiatry and Mental Health November 12-13, 2018 Dubai, UAE

Biography:

Ayukta Thakur is the Co-Founder and the Head of Education/SEN Educator, Integreat Center for Special Needs, UAE. She has completed her Undergraduate studies in Communication and Media Studies from Northeastern University, Boston, United States of America. She has completed her Master’s in Science in Mental Health Psychology from the University of Liverpool. She is the Board Member of the Special Olympics UAE organizing committee.

Abstract:

While families are a critical source of support for individuals living with disabilities, even these family members require external support to cope with the various added responsibility that comes with having a family member with a disability. Although support systems and interventions exist for parents of individuals with special needs, limited research has been conducted and little attention has been given towards the support and interventions that the siblings of individuals with special needs require. While parents bear the majority of the responsibility of raising a child with special needs, once they get older or pass away, neurotypical siblings often become their primary caretakers, making this the longest familial relationship. The aim of this paper is to explore the experiences of neurotypical individuals who grew up with a sibling with special needs and determine how, if at all, these experiences affected their psychosocial well-being and overall mental health. The research question that this study seeks to answer is, what psychosocial impact does grow up with a sibling with special needs have on a neurotypical individual? A qualitative study was conducted to explore the experiences of ten individuals who grew up with a sibling with special needs, after which a thematic analysis was conducted. Consistent themes that emerged through this study include recalling happiness, recalling difficult times and stress and anxiety for the future. The participants consistently reflected on past and current experiences as a means to share their current psychosocial state. Results from the study indicated that although participants did not feel their psychosocial well-being was affected by having a sibling with special needs. They nonetheless acknowledged that they did have experiences that affected them negatively, although the effect was often temporarily. The participants’ main concerns regarding their siblings with special needs revolved around finding ways to ensure their siblings with special needs are happy, independent and productive.

Biography:

Jimmy K Mody is a Psychotherapist in Mumbai. He is also a certified Reiki and Pranic healer, who brings to his psychotherapy practice a healthy mix of spirituality. He has given many talks at various Rotary Clubs in Mumbai, Sophia College, Indus Women’s Association, as well as many other venues.

Abstract:

The most serious crisis facing the world today is that of growing fragmentation. Fragmentation, a form of violence, seems to be the most common way in which humanity has learnt to deal with conflicts in relationships. Consequently, the pattern repeats. No problem is really solved, only managed for the time being, if at all. When you read this does this sound familiar? Does it ring a bell? Perhaps it does because all of us have experienced it in some way ourselves, in our own lives. We have all seen and been a part of this process of fragmentation within the confines of our own homes, families, those of our friends, as well as our corporates, etc. Yes, it seems to be everywhere. The pattern that ceaselessly repeats. A pattern that we might readily see in others, but not ourselves.

Biography:

Aram Hasan has completed his studies in Ukraine . He is specialized in Trauma Treatment. He is the Founder of Foundation Psychiatrists without borders (in 2012) and CoTeam in 2017.

Abstract:

Treatment is not simple to put the diagnostics and treatment into the right context, diagnostically there seems to be more frequent over- or under-reporting of complaints culturally oriented psycho education over PTSD and in the context of traumatization is very important in order to be more receptive to the treatment and to be able to rational relationships and look contacts with others, in conjunction with the influence of the traumatization. Trauma focus therapy using culturally oriented approach, drawing and letter writing and patient support has helped to discuss grief, anger and subsequent incorporation. The 3 most important things are, the way to approach the people, orientation and generate their full motivation. If they don’t understand what they can get then they are not motivated, they will avoid contact, they are not going to make contact. This is understandable. When we look at confidence, the clients need to really accept what you tell them to understand about their feelings. If they believe you care and listen to them they will better understand you and be more motivated to be treated. That is why we focus on the education of these patients regarding psychological aspects with colleagues from centrum 45 and CoTeam has developed a new method for simple screening and diagnoses and instructions to start with treatment, called Intervention toolbox for PTSD. Psychoeducation first, if they understand, believe and trust you, then they become more motivated to be treated. Refugees have often experienced traumatic events. Some of them might develop a PTSD and will need specialized mental health care. As loss of former status, their family, friends as well as feelings of disappointment and rejection, might lead to a low self-esteem and faith in the future.

Biography:

Dr.Sohal is a well-rounded Pediatric Neurologist with experience as a Consultant in major tertiary/ quaternary hospitals in the U.K with includes Birmingham Children’s Hospital and Leicester Royal Infirmary. Dr Sohal moved to the UAE in 2015 and has worked as a Consultant Pediatric Neurologist at Sheikh Khalifa Medical City, Abu Dhabi, which is a large tertiary pediatric referral center since September 2015 prior to moving to Neuropedia Childrens Neuroscience Center.

Abstract:

Introduction: Studies of Ventricular Assist Device (VAD), used in children as a “bridge” to transplantation, report favourable survival outcomes. However, neurological and neuropsychological outcomes are unknown.

Participants: A cross-sectional, single centred, pilot survey reviewing neurological and neuropsychological outcomes in surviving children with VAD insertion between July 1999 and February 2011.

Methods: Patients were identified using “Freeman Paediatric Cardiology Database” and neurological and neuropsychological assessments (WPPSI/WISC/WAIS >4 years, Bayley’s assessment <4 years) performed between January 2011 and January 2012.

Results: Thirty-six children identified, 21 participated in survey. Median age (range) 5.75 years (1-16.4). Mean (range) of: VAD insertion 4.6 years (0.2-15.9); VAD support, 46.3 days (4-187); 20/21 underwent cardiac transplant,

Neurological assessment –8/21 (38%) had gross motor abnormalities, 3/21 (14%) fine motor, 6/21 (28%) speech and language issues, 10/21 (47%) feeding issues.

Neuropsychological assessment- 14 assessed, 7 refused. Mean full scale IQ (SD) in Weschler’s group 98 (+/-17). Bayley’s mean composite score (SD): cognitive 106 (+/-24), receptive language 100 (+/-28), expressive language 66 (+/-27), gross motor 32 (+/-32), fine motor 84 (+/-11). Parental concerns- Behaviour (23%), motor skills (9%), speech and language (9%) Provision of appropriate local services: Paediatrician 8/17 (47%), physiotherapist 8/11 (73%), Speech therapist 9/10 (90%) and psychology 7/10 (70%).

Conclusion: This pilot study in a small cohort demonstrated good neuropsychological outcomes, but difficulties in expressive language and gross motor skills were identified. There is a need for improvement in liaison services between specialist and local services. Long term studies of outcomes for these children are needed.

Biography:

Zainab Adenwalla has completed her Masters Degree of Science in Clinical Physiotherapy in Cardiorespiratory Physical Therapy from Coventry University, U. K. and Bachelors Degree of Physiotherapy from Gulf Medical University, U. A. E. She is practising currently at Al Zahra Private Hospital, Dubai, U.A.E. She has conducted many lectures and workshops for promotion of physical activity and exercise for Cardiorespiratory Health. She is active in many community health camps within Dubai to promote Post Surgical Rehabilitation.

Abstract:

Role of Strength Training Exercise Regime to improve cognitive function in children and young adults with Intellectual Disabilities: A literature review was done to analyse the positive effects of Strength Training exercise on cognitive function in children and young adults with Intellectual Disabilities, collecting research articles and data from difference sources including PubMed. There is already substantial evidence that physical activity and exercise have positive effects on congnition and brain function in children with or without Intellectual Disabilities. But in the population of Intellectual Disabilites, exercise proves essential so as to regress the progression of cognitive impairement.Traditionally exercise was used as treatment for children with Intellectual Disailities for improving cardiovascular fitness and reducing obesity. But there is strong evidence that suggests changes in cognition at the molecular, cellular, systems and behavioural levels that could improve their academic performance and better access to employment in the future. It is also observed in the data that strength training proves superior to aerobic exercise as it involves constant change in parameters as well as better inclusion of cognitive functions like decision speed, memory and visual processing. Neuroimaging studies have shown changes in Cerebrum and Basal Ganglia areas that are involved in cognitive control of stimulus-response challenges. Also post exercise, significant changes in hippocampus is seen especially in terms of spatial memory. Future research in this area is needed as the adolescent age is crucial to introduce exercise as treatment for better changes of physical and cognitive health in the population of Intellectual Disabilities.

Biography:

Shubhangi Gaikwad has completed Master of Physical Therapy from Ayushmann college, Barkatullah university, India. She is currently working as senior Physiotherapist in Saudi German Hospital, Dubai. Having vast experience of more than 8 years dealing with musculoskeletal, neurological and lifestyle disorders. Expertise in ergonomics, manual therapy, fascial & functional training and Certified Dry needling practitioner.

Abstract:

A healthy life is all about ‘Balance’. By WHO health is defined as a “state of complete physical, mental and social wellbeing, and not merely absence of disease. Every human has own individual characteristic, and own capabilities to handle any sort of condition. Stress is largely defined as a disturbing factor which can disturb the homeostasis between physical, mental and behavioral wellbeing. Researches has shown how stress bring out various hormonal stimulation and bring out physiological changes from increased heart rate to sleep apnea to poor immunity to anxiety in behavioral trait. Recent studies also show stress of any nature work, socio-economic etc can trigger musculoskeletal issues such as low back pain, neck pain, stiffness, myofascial trigger points, postural changes, and play crucial role in increasing anxiety and depression. To combat stress and maintain balance between physical and behavioral wellness, tools such as physical training, muscular & fascial release, relaxation etc can be beneficial.

In this workshop we will be discussing the effect of stress on physical and behavioral health, how to modulate between these two aspects and use of various tools such as muscular & fascial release technique, relaxation, meditation, use of various available supportive devices to break the vicious cycle of stress-pain-behavioral dysfunction and provide relief to muscular and nervous system. Hence helping the patients to resolve the stress and maintain total health.

Biography:

Steve is a multi-award winning senior leadership coach recognised and respected across the Middle East. With his intimate understanding of human psychology and performance management, he has an unparalleled ability to bring out the very best in each person he works with. Steve holds Faculty positions with a number of globally recognised coach training schools. He has also held elected Board level positions in the International Coaching Federation, Dubai Chapter. Steve is also the resident Chief Scientist for People Acuity, Inc. based in the USA and is an integral part of the research team exploring the application of strengths focussed solutions to increase organisational performance, trust and Work Joy. Steve is completing Doctoral level research into the application of shared leadership within organisations.

Abstract:

Evolving leadership requires a shift in mindset! Specifically, a shift from an external individual perspective to an internal integrated view. This transition parallels conceptual shifts in our understanding of leadership, moving from the internal traits of a ‘Big Man’ to our modern, multifaceted understanding that addresses authenticity, charismatic/transformational, shared and relational definitions of leadership. As a researcher and executive coach, I am seeing this shift emerging from a cognitive redefinition of leadership and leader identity. Working with a model of Strategic Interdependence, we will explore how it empowers individuals to identify and select a mindset that supports adaptive and positive responses to emerging situations. As individuals evolve their mindset, possibilities open up to build trust, connection, authenticity and to increase work joy

Biography:

Najiha Syeda is a CDA Certified International Counselor who has worked in Saudi Arabia, Australia and UAE. She has completed her Bachelor’s study in Psychology and Post Graduate Diploma in Child and Youth Counselling. She has also studied M.sc in Counselling and Psychotherapy. She is a Member of American School Counselor Association, International Association for Counselling and Affiliate Member of Psychotherapy and Counselling Federation of Australia (PACFA).

Abstract:

While the focus on raising awareness in the UAE on mental health is ever relevant, there is some good news. Over the last five years, more people are ditching the stigma attached to seeking help for psychological problems and getting their lives back on track. As the many instances of celebrities and even non-celebrities committing suicide due to mental issues prove, the times we live in do not offer us the luxury of being in denial of what is troubling you. Any such denial comes with a heavy price to pay. Although stigma exists (about mental health), there is an increase in awareness about it thanks to the availability of knowledge resources (especially media). Probably, this is why more people are reaching out to the professionals. Another reason for the increased awareness is that few insurance companies have started covering psychotherapies. There is an increase in the number of parents bringing children to get help for various reasons such as academic difficulties, poor focus and concentration and overuse of gadgets. There are a number of issues among young adults and teenagers including poor emotional regulation, poor time management, delayed task initiation, following through on tasks, behavioral regulation, perfectionism and exam phobia. Anxiety in children is the most common issue that we see, followed by depression. Parents are more likely to bring their children in for treatment and invest in the child’s well-being than to do it for themselves. Parents of school-going children often come stressed that is related to their children’s poor academic performance. Children develop anxiety about exams from 9th grade when the pressure to perform well starts. This peaks in grades 11 and 12. Children were seen attending schools with certain curriculums which are very demanding. The whole family goes through stress during exams. Traits of perfectionism and anxiety in the child coupled with unrealistic parental expectations worsen the scenario. The stigma associated with mental health issues is making children bully/tease their peers who need care and psychological support. The child with a mental health issue is probably coming from a culture/family where seeking psychological help is perceived as a weakness. These factors reinforce stigma.

Biography:

Gopika Govindan completed her master’s in clinical and Abnormal Psychology from Swansea University, UK. She holds an MPhil in Clinical Psychology from Manipal University, India. In addition, she has certificates in Dance Movement Therapy, Psychological Counselling and Neuro linguistic programming. She has worked in UK, UAE and India. She is currently the Child and Adolescent Clinical Psychologist at Neuropedia Children’s Neuroscience Center, Dubai.

Abstract:

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neuropsychiatric disorders in childhood that often persists into adulthood. Recently new innovative art-based psychotherapies such as painting, dance, drama, art and music therapy offer ADHD children more treatment alternatives in reducing symptoms. In India till date there have not been any study that has evaluated the effectiveness of dance movement therapy (DMT) in reducing symptoms of ADHD children.

After having screened for ADHD across 3 different schools, 60 children were randomly allotted to either DMT group or sham dance group. Sham dance group was kept as the control group. The intervention and the control groups had 30 participants each. Measures of ADHD were obtained using ADHD Rating Scale – IV wherein both parent and teacher versions were used. A related deficit commonly found among children with ADHD is emotion dysregulation. Hence emotion regulation was also measured using Emotion Regulation Checklist (ERC). The two scales were administered before and after children underwent 12 weeks of respective interventions.The findings of the study concluded that DMT as a psychotherapeutic intervention was found to be effective in reducing the symptoms of ADHD.

Biography:

Malak Kamel is a licensed psychotherapist, university instructor, and frequently sought after government advisor in child development and youth mental health. She served the Canadian government in child and family services, has developed international child protection trainings and welfare policies, and has collaborated in research ventures with McGill University, Columbia University, and Harvard University. Ms. Kamel is a member of the American Psychological Association, the Canadian Psychological Association, and the Middle East Psychological Association. She enjoys balancing her contributions to the field between private practice therapy, university teaching, and community engagement in psychology and social work.

Abstract:

Complex trauma is defined as the experience of multiple, chronic, and adverse traumatic events that are of an interpersonal nature and most often occur in early development. When exposed to repeated traumatic experiences, a great amount of emotional and mental energy is expanded to deal with the event(s). The brain becomes wired for survival, altering patterns of neural connections in the limbic system or emotional brain, thus derailing normal neurocognitive development. Research also shows that the early years of children’s lives are crucial to their development; and that exposure to chronic neglect and to maladaptive attachment styles can contribute to complex trauma. Working in parallel during this crucial period is the brain’s ability to change its own structure in response to experiences and the eniviornment (known as brain plasticity), continuing throughout childhood and well into adulthood. This makes it imperative that practitioners act swiftly in assessing trauma and providing the necessary supports at the earliest possible. Research shows that building on empowerment and resilience with a strong focus on self-concept can foster brain plasticity and thwart the effects of complex trauma. During this brief talk Ms. Kamel will discuss the primary types of child neglect and maladaptive attachment styles, reviewing their impacts on cognitive development and touch upon various tools used to assess for complex trauma. Most importantly Ms. Kamel will discuss implications in practice and ways to foster empowerment and resilience, providing examples from her years of practice in Canada, Trinidad and Tobago, Egypt, and the U.A.E.

Biography:

Dr. Reza Nejat is a board certified Anesthesiologist and FCCM. After graduating from Tehran University of Medical Sciences (TUMS) as a general practitioner, he could achieve the ECFMG certification and also attained board certification in Anesthesiology from Iran University of Medical Sciences. He passed the fellowship programme in Critical Care Medicine at Sina Hospital, TUMS. During this period he was inclined to study molecular medicine in the field of sepsis and neurocritical care medicine in which the relationship between cytokines and mental status at ICU has attracted his attention. Dr. Nejat has published 4 books in the fields of cardiology, nephrology, fluid and electrolyte, nutrition, metabolism and endocrinology. Recently, he contributed to the chapter of “Acute Heart Failure” in the reference book “Comprehensive Textbook of Therapeutics” studied by post-doc residents of pharmacotherapy.

Abstract:

Statement of the problem: Brain, assumed to be an immune-privileged organ, has been shown to be invaded by immune system in response to various injuries. Discovering the presence of lymphatic system in the meninges and special T helpers in the cerebrospinal fluid, scientists have speculated that immune system itself may have a great impact, sometimes of refreshing fashion, on the brain activities.

Methodology:Over 70 relevant articles were reviewed systematically in Pubmed, Clinical Key and Science Direct. Analyses were conducted for different cytokines with special insight on IL-1, IL-β, TNF-α, TGF-β, IL-6, IL-8, IL-10, other cytokines and their receptors, and their effects on the brain.

Results: According to the reported studies an intricate relationship between CNS and the immune system and dysregulation of cytokines could be found in different types of neurological disorders including psychiatric diseases, Alzheimer’s disease, dementia, and specially sepsis encephalopathy.

Conclusion and Significance: Over the past decades CNS was thought of as an immune-privileged organ. It is now obvious that immune system has an intimately functional relationship with the neurons, neurovascular units and neurites. Cytokines as signaling molecules are involved not only in various injuries in the brain but also in mood regulation, anxiety, learning ability, memory, appetite and sleep pattern modulation and even in mental status. Even in septic encephalopathy the imbalance between good and bad cytokines might play a crucial role in modulation of the level of patient’s consciousness at ICU. Cytokines seem to be regulatory mediators with great impacts on CNS. Manipulating these immunotransmitters may open new horizons in treating some disabling neurological disorders.

Biography:

Kanan Khatau Chikhal is deeply committed to reigniting the humanness of human beings. Her focus is on coaching individuals towards their zenith by capitalizing on their whole. She strongly believes in creating endless opportunities using whole brain activation. She has been re-wiring the human brain for individuals, business owners, corporate leaders and students using science of ontology. She has more than 16000 hours of coaching and counseling experience for 17 years and helps people to excel in their personal and professional life. She is a Homeopathic Doctor, Psychologist and internationally Certified Coach. She is the founder of life cures wellness clinic and a Consultant at whole brain consulting which is co-founded with her partner. Being a two time TEDx Speaker on human pollution and how to strengthen your grit, she is a non-conventional woman who presented the strategy to increase women participation in Indian sports on the NDTV platform in the presence of the Australian high commission.

Abstract:

Everything in nature is designed to be limitless, including the human brain and its potential. Yet no one teaches us how to be limitless in life. There is research to suggest that we use only 10% potential of the mind and the rest 90% is idle. At the same, latest neuroscience research suggests that human mind has limitless potential. The gap had to be bridged between these paradoxes to measure and harness limitlessness by using a tangible tool. The speech for the participants will center on the integration of 5 competencies that function as quotients to build limitlessness. After there is an awareness of one’s blind spot, the next step is to work towards overcoming it. Managing and exploring one’s full potential is the key essence of grit. If each quotient is present in balanced amount these become a catalyst to build grit. Grit once understood as a concept, becomes a truly potent weapon for participants to unlock higher value. The speech is going to be interactive with playful activities leading participants to realities of current world and concept of grit. The concepts of building grit is explained and shared through compelling story telling. We will also allow participants to write their queries post the workshop to us for one to one solutions if required. To enable participants to audit and be aware of their blind spots impacting performance. To demonstrate and make participants accept the concept of limitlessness of mind and human potential. It is used to assist and help in developing elements of grit with practical tools and recommendations and making participants aware of limitless potential in human mind and building grit.

Biography:

Mustafa Afifi has completed MBChB, MMed, 3 PG Diplomas, a Doctorate in Public Health and a Masters in Medical Education. He has worked as a Consultant for the Ministry of Health in Oman and UAE and worked as an Assistant Professor in RAK Medical University. He is currently working as an Associate Professor in Jumeira University. He has many publications in gender issues, women health, adolescents health and non-communicable diseases and mental health.

Abstract:

Introduction & Objectives: Procrastination has its negative impact on the learning process as well as the academic achievement. Our aim is to investigate the association of psychological empowerment, assertiveness and/or anxiety symptoms with academic procrastination among medical students.

Methods: Our sample comprised of 99 MBBS students, of the total of students in RAK Medical University chosen randomly based on their online responses to questionnaires sent to their e-mails. The sample answered a self- report questionnaire including demographic data, the Academic Procrastination Scale (APS) developed and validated by McClosky 2012, the Rathus Assertiveness Schedule (RAS), the Generalized Anxiety Disorder Assessment (GAD-7) and the Psychological Empowerment Scale (PES) constructed by Spreitzer.

Results: Around 73% of the sample were females, 74% non-Arabs and the mean (SD) age was 20.13 (1.45). The mean (SD) scores of the APS, RAS, GAD-7 and PES were 73.92 (19.46), -2.86 (24.64), 6.98 (5.42), 50.18 (9.14), respectively. There were no gender and no nationality differences found for any of the aforementioned constructs. APS was significantly positively correlated with GAD-7 (r= 0.255), significantly negatively correlated with RAS (r=-0.299), and significantly negatively correlated with PES (r=-0.347) and three of its subscales (competence, self-determination and impact). In stepwise linear regression only PES predicted APS (standardized Beta=-0.282) controlled for sex, age and nationality.

Conclusion: Improving the psychological empowerment of the medical students through coaching is recommended to change their procrastination habits during the academic year.

Biography:

Narges Pachenari is a PhD student at Tarbiat Modares University. Her major is physiology and she is currently working on her thesis. Transgenrational effect of morphine addiction on pain perception, morphien analgesia and electrophysiological properties of Locus coeruleus neurons is her main field of study. She is so interested in cognitive science area and wants to continue her research in this field.

Abstract:

The number of adolescents who use illicit drugs has increased dramatically. Adolescence is a critical period for brain development and maturation. Studies have confirmed that environmental stimuli such as drugs and stress can make long lasting changes not only in the same person but also in the next generation. Among transgenerational studies of substance abuse, there is a lack of studies on the electrophysiological properties of different parts of the brain. Locus coeruleus is the main noradrenergic nucleus in the brain and supply most of the noradrenalin of the prefrontal cortex, the area which is involved in the cognitive control. So, in this study we aimed to investigate transgenerational effect of morphine administration during adolescence on electrophysiological properties of the locus coeruleus neurons of the offspring. Male rats received escalating doses of morphine for 10 days during their adolescence. 20 days after the last morphine injection, male rats were mated with intact female rats and whole cell patch clamp recording was performed in the LC neurons of the offspring. The results demonstrated that some electrophysiological properties of LC neurons of morphine sired animals have changed dramatically compared to saline sired ones. These changes include half width, maximum decay slope and antipeak amplitude of the action potentials. This data suggest that morphine administration lead to subtle alteration in the kinetic of some channels of the LC neurons in the offspring which can affect noradrenalin release in other parts of the brain.

Biography:

Abstract:

The presentation will include the different components of the Attention and the executives functions that are assessed in neuropsychology in a clinical setting. The auditory attention selective and simultaneous, the visual attention, the denomination, the inhibition, the switching abilities are all components that affect the learning, can be assessed and treated. The functional treatment of these components will be reviewed. Four study cases will be presented showing the effect of the functional treatment in the Attention Deficit Disorder. The quantitative assessment using international tools comparing these skills pre and post-treatment will be exposed. Qualitative analysis of the improvement in the daily life will be presented. The difficulties faced in the arab world by the clients and the therapists to assess and treat the attention deficit disorder will be demonstrated.

Biography:

Galina Odintsova has completed her PhD from Institute of human brain of RAS in 2012. She is the senior researcher of Almazov National Medical Research Center. She has published more than 100 papers in journals and has been speaker of 30 russian and foreing congresse

Abstract:

The significance of epilepsy reproductive questins is provided by medical social aspects of the disease.

Purpose was to research reproductive behaviour (RB) and fertility rate(FR) in women with epilepsy (WWE).

128 WWE aged 20 - 45y.o. were included in the prospective observation research of antiepileptic drugs (AEDs) reproductive side effects. 3 groups were allocated: 1gr. - AEDs monotherapy, 2 gr. - polytherapy, 3 gr. - without AEDs. FR was accounted. RB was investigated by interview.

Results: 1gr. - 58 (45%), 2gr. - 53 (42%), 3 gr. - 16 patients (13%). Average age of the surveyed women made 25 years with prevalence patients in optimal reproductive age (20-30y.o.)- 62%. 47% women were marriage. 31% had children without differences in groups. Only 18% children were born before mother's disease. Fertility rate- is the average number of children that would be born to a woman over her lifetime. Fertility rate for simple generations replacements should be 2, 15. Fertility rate was 0, 3 in cohort. Women planning pregnancies were 45%. Majority patients planned to have one child. New RB tendency was presented by early repeated pregnancies. New generation AEDs (lacosamide, perampanel) allowed achieving remission in first and second polytherapy but weren't resolved in monotherapy. It was real problem for women in reproductive age. RB “without children” remained actual problem for epilepsy.

Conclusion: Reproductive behaviour was changing at the present time. Fertility rate among women with epilepsy was lower optimal due to medical and social reasons.

Antiepileptic therapy during pregnancy remained a legal problem.

Biography:

Mohammed Anas is a Undergraduate student who is studying Bsc Psychology with Counselling skills in Middlesex University Dubai. He is planning to finish his Undergraduate and research on Parenting and Education in Psychology. He also reads motivational books and self guidance books to understand himself and also to help others to succeed. He is also tryinng to practice meditation and also help others to calm their minds.He also participate in events to collect different ideas and suggestions. He havent published any journals or articles.Trying to establish ideas on different fields to enhance and upgrade peoples life with ease by making the mind strong.

Abstract:

Psychology is a scientific field which researches on different aspects of human mind and behaviour. Psychology is a very vast subject which is very interesting and necessary to beings in this universe. Education is enlightening the brain with the knowledge which is required to survive in this world. Psychology is connected with Education since both are related with empowering brain. Education and Psychology is so related that there is a branch in psychology which is termed as Educational Psychology which focuses on scientific research on human learning. Education is misunderstood by most of the schools and universities in this world. Schools and universities think that Education is something which has to be forced into students to be successful in their life. Forced education is a factor which created a lot of psychological problems in students. Parenting if done precisely and beautifully can create wonders in the life of the child and the child will become wonderful individual in this world. Right parenting can be only done by understanding the child both psychologically and emotionally. Parenting is related with Psychology. Proper parenting is more difficult in this timeline since most of the parents use the mobile phone and also promotes the usage of mobile phones to the children which creates lot of psychological and physical problems. This presentation shows in detail how Psychology, Education and Parenting are related to each other for the development of children. This presentation also shows how wrong parenting and educational methods can affect a child both psychologically and physically

Biography:

Abstract:

Autism is a complex neurodevelopmental disorder characterized by deficits in social communication and/ or interaction and repetitive patterns of behaviour, associated with different levels of cognitive impairments. The exact cause and the pathogenicity of autism are still poorly understood. Recent studies suggest that peptide hormones which act as neurotransmitters on neurological systems may be implicated in the pathogenicity of autism.

In this investigation, we measured serum levels of leptin, ghrelin, and growth hormone (GH) in 40 age-matched Bahraini children, 20 with autism (16 males and 4 females) and 20 healthy children (13 males and 7 females) using enzyme-linked immunosorbent assay method.

Leptin levels were found to be significantly higher in children with autism (78.05±17.99) than in healthy control children (19.96±11.20), (P=0.038). Conversely, ghrelin levels were lower in children with autism (62.40±16.98) than in controls (91.50±36.30), however, without reaching statistical significance (P=0.32). Similarly, GH levels were lower in children with autism (0.63±0.02) than in controls (0.72±0.09) but didn't reach statistical significance (P=0.33).

Multivariate regression analysis confirmed a direct association between higher leptin levels and autism incidence (OR: 0.896, 95% CI: 0.816-0.984, P=0.021), and this association remained significant after adjustment for age, sex and body mass index (OR: 0.800, 95% CI: 0.669-0.956, P=0.014).

The significantly higher levels of leptin in autistic children may suggest an important role of this hormone in the pathophysiology of autism. While the levels of ghrelin and GH seemed to be low in autistic children, both were not significantly different than in controls. These initial findings were based on a small group of children and further validation studies with a larger sample size are required to clarify the relation of these hormones with autism

Biography:

Briliya Devadas is working as an Assistant Professor at the Fatima College of Health Sciences, UAE. Her use of the socio-constructivist model has helped to gain insight in the culture of the nursing profession. Her investigations are in recruitment and retention within the organization, in nursing education and the role of nurse education leaders in dealing with the issue.

Abstract:

Background: The nursing profession today is facing significant global challenges in the area of workforce imbalances and underlying this multifaceted problem is one of decreased supply and increased demand, with negative impacts affecting health care systems around the world. The situation is true in the UAE as well. The purpose of this poster presentation is to critically explore the issue through a social constructivist lens, with a view to broaden understanding on the phenomena and highlight the complex web of inter-related socio-cultural circumstances that surround the Emirati nursing students’, their families and their immediate local community’s perception of the nursing profession in the United Arab Emirates.

Method: Review of existing literature and a hermeneutic phenomenological interview, conducted with an Emirati nurse currently pursuing a post-graduate bridging nursing degree in Abu Dhabi while working in the Emirate, to elicit some empirical findings on the issues.

Findings: Select socio-cultural factors influencing the profession in the country include the changing face of nursing and the nursing student, night shift duty, disapproving family members and relatives, lack of awareness among the local population, poor media portrayal and limited role models. Islamic factors having a bearing on the societal perception of nursing include contrasting values such as strict ethical and moral principles in society. Political factors influencing the local perception include poor governmental resources for nursing and nursing schools and approval of licensure for immigrant workers. Professional factors contributing to the phenomenon includes nursing being a developing profession.

Conclusion: Each of the factors, by themselves contribute to the poor societal recognition of nursing in the UAE, together they form a formidable web of interrelated factors demonstrating the uphill battle that leaders in nursing face, in professionalizing nursing in the country.

Biography:

Hadi Eltonsi a Medical graduate trained in group psychotherapy, hypnosis, Silva mind control, NLP, reiki master, pranic healing, life couch, mantra yuga meditation, psychic powers, family constellation. He has performed many TV, radio interviews and seminars apart of two short American films about his work or inspired by his skills which were shown in international film festival.

Abstract:

Statement of the Problem: Clients receiving psychotherapy requires several sessions even if with drugs and use of will power over time. The aim is to achieve immediate non medicinal effortless, painless healing without complications. For personality development, relief of neuorotic disease, psychosomatic symptoms and diseases, treating emotional obesity and smoking.

Method: After joint analysis with client and definition of psychological and physical goals of treatment, the healer as a trained behavioral, cognitive and logo psychotherapist arrives with client to a new corrected understanding of the case and roots of conflicts in childhood, taking around 2 hours, then in less than an hour performs nonverbal interpersonal hypnosis with transfer of energy and telepathy to client till deep sleep when he implants the required personality, ideas, emotions, motives and attitudes into the subconscious embodying the required state. The subconscious and conscious mind will be agreed upon analysis and targets for immediate results in that session of 3 hours.

Results: The healer got patent in Egypt 2016 for his discovery of the immediate healing for personality development and for mentioned purposes. Up till now treating more than 700 cases aging between 12 and 80 years with relief of more than 80% of cases either totally or mostly.

Conclusion: Immediate non medicinal revolutionary life transforming healing for a wide spectrum of cases achieving higher grades of maturity, insight, harmony and efficiency saving client time, effort, interests and complications. Also it is used to maturate community leaders to be trouble shooter model efficient leaders with team spirit.

Biography:

Daniela Silva has background in Pedagogy with Post graduation in People Management and Neuroeducation. Currently contributes as educational writer and researcher in Neuroeducation, developing articles and educational materials for parents, students and teachers. The article themes involves brain and child development, behavior and addictions, multiple intelligences, andragogy, learning disorders, homeschooling. Working in collaboration with The New Heights Educational Group, she has just published Unraveling Reading, a book on literacy education and learning disabilities in reading and writing. In addition, Mrs Silva has her academic monograph "Developing the creative potential of children by stimulating the window of opportunities," published by MoreBooks.

Abstract:

The theme developing the creative potential of children by stimulating the window of opportunities was prepared in order to demonstrate how it is possible to develop the children's creative potential during the critical neuroplasticity, reflecting on the role of windows of opportunity for the child's learning as well as about practical examples of stimulus for the improvement of these learning. This work presents the relevant topics such as neuroplasticity child; development practices of neuro-learning in childhood; neuroeducation and creativity, addressing the creative practice during sensitive periods of child development. It is noted that during the critical neuroplasticity, the brainchild windows are more susceptible to change, and for this reason a stimulus-based education and challenges of learning is essential for the acquisition of new knowledge and skills, including thinking and the creative act. Creativity is a characteristic of childhood, which can be enhanced more effectively during sensitive periods of the child's learning through the plasticity of the brain, in a way that each new stimulus or acquired experience becomes new brain connections by the nervous system, and therefore different abilities. In this way, the creative practice can be improved by the multiple intelligences of children, which concern the different skills dispersed in different brain regions. Take advantage of the opening of the infant brain windows, is to provide for the child a world of new experiences and learning, through the experimentation of multiple stimulus and opportunities offered by the environment.

Biography:

Dr. Huma Iram graduated from Gulf Medical University in Ajman, UAE, in 2009. She is a licensed, board certified psychiatrist, currently working in the position of a Clinical Fellow in Consultation Liaison Psychiatry in HMC. She finished her Residency in Psychiatry from HMC as well. Her area of expertise includes treating patients with psychosomatic illnesses presenting to the emergency department as well as consulting on patients with psychiatric/behavioral symptoms in the medical and surgical floors. She is active in various ongoing research projects in her institution.

Abstract:

Introduction: Psychiatric boarding is a major contributing factor for emergency department crowding which is associated with increased morbidity and mortality. Emergency departments are acting as a safety net for boarding psychiatric patients, due to difficulty securing the already limited inpatient psychiatric care and they frequently need to be transferred to another hospital. This study was done to look at the length of stay for psychiatric patients boarding in the emergency department at Hamad General Hospital which is the largest government hospital in the state of Qatar. Several parameters like the number of psychiatric patients who leave the ER against medical advice or absconded, whether they return afterwards within a week or not and also, how many of the boarding patients were treated and discharged without being transferred to the psychiatry hospital, were also looked into. According to Zellar et al (2014), the factors contributing to the psychiatric boarding include lack of screening tools or evaluations by qualified psychiatric clinicians and a lack of appropriate levels of outpatient care. Psychiatry consultation liaison team in Hamad Medical Corporation was established in the ED in 2014 who reviews boarding patients on a daily basis including weekends. This study also looked at whether the C-L team helped to reduce the number of psychiatric boarding patients in the ED.

Method: Facility-based descriptive analytical cross-sectional retrospective study was carried out between the months of January 2017 and April 2017 for the boarding psychiatric patients at Hamad hospital emergency department, to determine the length of stay and consequences after admission order by psychiatry medical staff. All patients regardless of their gender, age or nationality were included. Excluded patients were the patients for consultations only and no admission order was issued for them. Data was analyzed using SPSS software.

Result: Our study showed that 97 (27.2%) of the patients were of Qatari origin, 138 (38.7%) were of Asian origin, followed by African as 63 (17.6%) and the rest from other countries. 95 patients (26.6%) spent less than 12 hours in the emergency prior to being transferred to psychiatry hospital. 147 (41.2%) spent between 12-23 hours, 31 (8.7%) spent between 24-35

hours, 26 (7.3%) spent between 36-47 hours, 16 (4.5%) spent between 48-59 hours, 16 (4.5%) spent between 60-71 hours and 26 patients (7.3%) spent more than 72 hours. It was found that out of the 357 boarding patients, only 95 (26.6%) spent less than 12 hours in the ED while 262 (73.4%) patients spent more than 12 hours. On an average, patients on either kind of risk precautions (suicide or absconding) spent less time in the ER and were transferred earlier than those not on precautions. From the patients who left the ED it was found that from the 65 patients discharged by the liaison team 3 came back with in 1 week, from the admitted transferred patients 16 come back from the DAMA patients (Discharged against the medical device) zero come back from the 19 absconded patients 5 came back P value is 0.001

Recommendation: To ensure a safer and more secure alternative to psychiatric patients boarding in the emergency room, along-with equipping emergency department with well-trained nursing staff and doctors to care for these patients when they do require boarding at the ED. To increase bed capacity for acute patients who do need admission in order to move them swiftly out of the emergency room. To ensure greater use of community resources for safe disposition of these patients.

Conclusion: Study by Nicks and Manthey (2012) found that the total length of stay of psychiatric patients waiting in ED was 18.2 hours and for non-psychiatric patients was 5.7 hours. Majority of the patients in our study stayed in ED for more than 24 hours. Our study found the majority of the patients discharged by the C L team did not return back to E R hence were considered clinically appropriate and reduced the burden of boarding patients in the ER. Qatar mental health strategy highlights plans for expansion of psychiatric services including increasing the number of psychiatric beds and community services, which is likely to improve the current situation of boarding patients.