15^th International Conference on Dementia and Alzheimers Disease March 25-26, 2019 Osaka, Japan

Hilary Woodhead started her career in dementia specialist residential care and has since gained nearly 30 years’ experience working across

adult social care and health services in the UK. She has held a range of Dementia Specialist roles and in recent years has focused on

developing the skills of the workforce.

Dementia awareness and practice: The role of dementia education and training in improving dementia care awareness and practice in the UK a review of dementia care by the Care Quality Commission (CQC) found that the unacceptable gap in the quality of care means it is likely that someone living with dementia will experience poor care. The report stated that the variation in how care is delivered puts people living with dementia at risk of experiencing poor care. Commenting on the findings, Andrea Sutcliffe, chief inspector of adult social care, said: People living with dementia, their families and cares have every right to be treated with respect, dignity and compassion. At support in dementia we work with a range of providers who deliver good and sometimes excellent person-centered dementia care. overall, we meet staffs who are committed,

skilled and dedicated. Occasionally we meet services where this is not the case, where people with dementia are in receipt of poor care and support. Although a wealth of guidance exists to drive delivery of better care, at support in dementia we endeavor to develop a model of good practice in service improvement that really makes a difference to the lives of people living with dementia. This will explore the current agenda regarding the role of dementia education and training and will reflect on a model of service improvement that aims to ensure service quality, which includes; collating the views of family cares, observing and analyzing the lived experience of people living with dementia, rating staff competence in delivering person centered care, comprehensive training programmers, reflective practice for staff and compliance with regulations.

Adel Mahmoud is a Senior Consultant Pediatric Neurologist and Director of the Ketogenic Diet program of National Neuroscience Institute, King Fahad Medical City. He got Fellowship of Pediatric Neurology in Hospital for Sick Children, Toronto, Canada, 2002 & Membership of Royal College & Diploma of Child Health of Ireland. Since 13 years he is working in King Fahad Medical City. He has more than 30 study and case report articles to his credit and he has been a speaker in many national and international meetings. He runs a ketogenic diet program including two dieticians, a clinical pharmacist, a social worker and a coordinator.

Few centers in the Middle East offer ketogenic diet as an option for epilepsy treatment. The diet has been widely used and the purpose of diet usage is widely expanding. The field of trying the diet has included but not limited to weight reduction, mood improvement, psychiatric diseases, autism spectrum disorders and tumors. In Saudi Arabia, King Fahad Medical City initiated the ketogenic diet program in November 2008. Studies were conducted on Saudi patients who were mostly tried on the diet for resistant epilepsies. The results of the diet on seizure control, alertness, ambulation and continuation of Antiepileptic Drugs (AED) were evaluated. The differences between patients (test) in Saudi Arabia and those reported internationally were documented. Retrospective study includes 180 patients ages ranged from 7 months to 17 years of different etiologies for intractable epilepsy. Follow up was made at least for 6 months and longer. Retrospective analyses of pediatric epilepsy patients on ketogenic diet since November 2008 were included.

Udit Nindra is Neurology and Stroke Registrar and Researcher, completed his Medical training from the University of New South Wales. Currently he is pursuing his Master’s degree in Medicine (Internal Medicine) from the University of Sydney.

We retrospectively analyzed 656 stroke admissions over 3-years from a major regional referral center in Australia to determine factors which influenced the Door-To-Needle (DNT) time for Intravenous Thrombolysis (IT). Factors analyzed included age, gender, baseline National Institute of Health Stroke Scale (NIHSS) score, onset time, arrival time, arrival to CT time and CT reporting time. From 656 stroke admissions, 70 cases underwent IT with the mean DNT of 108 minutes (ranging from 33 to 232 minutes), with mean onset to hospital arrival time of 85 minutes and mean arrival to CT completion time of 31 minutes. Multiple regression analysis showed a linear inverse correlation between DNT and onset to arrival time (p<0.01). For every 30-minute delay in hospital arrival, there was a reduction in DNT of 13 minutes (95% CI 4–22 minutes). Our results parallel other trials which have showed similar inverse relationships between onset to arrival time and DNT. This relationship remained statistically significant when accounting for the patient’s age, gender, NIHSS score and arrival to CT time (p<0.01). Past experience has shown that part of this result can be attributed to a lack of urgency for initiating IT when patient’s present sooner to hospital. This can be explained by a rotating roster of low experience medical workforce with only some training into acute stroke management. To compensate, a prospective education trial is being conducted to stress the importance of the time equals brain motto to attempt to reduce DNT to less than 80 minutes. The results are anticipated to be available in 2019.