Biography:

Kiyomi Sakata has his expertise in epidemiology of chronic disease such as CVD, cancer, and osteoporosis and passion in preventing infectious disease such as influenza. He had studied epidemiology at the Epidemiology Research Center, School of Public Health, The University of Texas Houston Health Science Center. Awarded the degree of Master of Public Health in epidemiology for a thesis entitled “Changes in cardiovascular disease risk factors in three Japanese National Surveys 1971-1990.”Work supervised by Professor Labarthe. Now he is a professor at the Department of Hygiene and Preventive Medicine, Iwate Medical University School of Medicine in Japan.

Abstract:

The aim of this study was to determine whether there was a difference of obesity prevalence among people living in temporary housing and people living other types of housing in the tsunami-stricken area during the recovery phase following the Great East Japan Earthquake and Tsunami. A total of 10,198 participants aged 18 years or older who provided written informed consent in 2011 comprised the original cohort. In this study, we analyzed the data of 6,157 participants (Yamada Town 1,935 participants, Otsuchi Town 1,186 participants, Rikuzentakata City 2,894 participants, Kamaishi City 142 participants) who received the health check-up in 2016. We classified living conditions into three groups, which are same housing as before the earthquake group, temporary housing group, and others group. Anthropometrical examinations (body weight (kg) and height (cm)) were performed (body weight: AD-6400, A&D Co., Ltd, Tokyo, Japan; BWB-200, TANITA Corporation, Tokyo, Japan; height: AD-6121A, A&D Co. Ltd, Tokyo, Japan; YG200D, YAGAMI INC, Nagoya, Japan). Body weight was measured with an accuracy of +/- 0.1 kg using a standard scale while dressed in very light closing without shoes. Body mass index (BMI; kg/m²) was calculated as body weight (kg) divided by height (m)². Obesity was defined as 25kg/m² or over.

Biography:

Dr. Shobhit Swarup is Emergency Medicine consultant at Khoo Teck Puat Hospital, Singapore. He has studied Medicine in India and done specialty training in Emergency Medicine in Singapore. He is attached with National University of Singapore as Senior Lecturer and faculty of Emergency Ultrasound under Alexandra Academy for clinical and emergency sonography. He is currently the lead for Emergency Medicine Observation unit and has widened scope with multidiscipline involvement. His area of interest includes identification and prevention of diagnostic dilemma in Emergency Medicine. He is actively involved in improvement of health care in with use of telemedicine in emergency department and providing acute and home care at community

Abstract:

Telemedicine gained popularity and is going through constant innovation in providing medical care in Medical emergencies and chronic conditions. It has emerged as important modality in time sensitive conditions including Stroke and Heart attack, were it can help emergency physicians to directly interact and discuss with specialist and proceed with early intervention. In major trauma, the timely and systematic guided approach online by emergency physicians within early golden hours has been found to have significant impact in saving life threatening emergencies. Studies have shown improved outcome on cardiac emergencies, arrhythmias, sepsis management via online consultation. In oncology patients as well, telemedicine is an important bridge in providing optimal palliative care with pain control in terminal illnesses.

With the aging population, frail elderly patient which can be managed best at home, reducing readmissions and healthcare burden integrated community based multidisciplinary approach under supervision of Geriatrician can be achieved. In big and developing countries with large rural population and geographical area there are limited health resources and doctors. With easy availability of internet and mobile phone, various satellite clinics have been established in rural setup linking specialist service to primary care. There is still wider scope both in Emergency and Community care. The concept of “hospital at home” with doctor-online and nurse-onsite is the need of time. This is not only cost efficient but also keep patient at home preventing hospital acquired disease and de-conditioning. Minor injuries, stable acute medical conditions and chronic diseases can be managed at community-level, with expertise of trained nurses and online consultation with doctors. This includes examination using various digital equipment, investigations and treatment with e-prescription based on doctor recommendation. There is huge potential for further improvement in telemedicine aiming towards saving time, resources and life.