Website: http://www.um.edu.mt/healthsciences; E-mail: healthsciences@um.edu.mt; Tel: 23401830 FHS Monthly Newsletter: October 2013 RESARCH, PUBLICATIONS & PRESENTATIONS Ms Marjorie Bonnello`s Presentation, September 2013, UK. Ms. Marjorie Bonello, Assistant Lecturer within the Department of Occupational Therapy, FHS and a doctoral candidate at the Brighton University, UK, delivered an oral presentation during the 4th European Conference on Interprofessional Practice and Education held in Ljubljana between the 11th and 13th September 2013. The theme of the conference was “Quality of Life in Health and Social Care: An Interprofessional matter”. Marjorie’s presentation which was entitled “Interprofessional Education in Malta: Seeing the bigger picture” focused on Marjorie’s current research and emergent findings. Being a member the European Interprofessional Practice and Education Network, Marjorie also attended the Members meeting held prior to the start of the conference. Research Publication by Dr Vasilis Valdramidis, Department of Food Studies and Environmental Health. Title : Estimation of surface temperature and thermal load in short-time heat treatment of surimi through reflectance spectroscopy and heat transfer modeling 1|Page Authors: Torstein Skåra, Svein Kristian Stormo, Dagbjørn Skipnes, Alain Kondjoyan, Agnar Sivertsen, Geert Gins, Eva Van Derlinden, Vasilis P. Valdramidis, Jan F.M. Van Impe Abstract: Documentation of surface temperature is challenging for short food surface pasteurization treatments, particularly in steam environments. In this study a spectroscopic approach is investigated for estimating thermal load while heat transfer modeling is used to estimate the surface temperature of a model fish product when heated in steam or immersed in water. Reflectance spectroscopic measurements show that visible spectroscopy (400–550 nm) has potential for assessing the thermal load of surimi heated in water in the temperature range between 70 and 95 1C. For treatment times >10 s, robust models (r2P0.9) with acceptable prediction errors (<3 1C) were achieved. A similar development in the absorption was seen in steam treated surimi, for short (<10 s) processing times. Heat transfer modeling confirmed the thermal load indicated by the measurements, and demonstrated the large temperature gradients that occur with short time, high temperature treatments. Mr Martin Ward, Mental Health Nursing – Guest Speaker In August2013, Mr Martin Ward gave a plenary session entitled "Psychodermatolgy: diagnostic implications" at the South African Dermatology Association congress in Cape Town. Held in the magnificent Cape Town Convention Centre (see photo) the three-day event was attended by approximately 400 multi-disciplinary delegates from all around Africa. Martin's paper addressed the second of the three classifications of psychodermatological conditions, namely those with no physiological symptoms, only psychiatric ones. In discussion with dermatologists during the event it was evident that the problems they face with these patients go far beyond the scope of medicine to deal with effectively. There was general agreement that delusional infestations and morbid hair removal needed a multi-disciplinary team approach in which psychiatric nurses using counselling techniques were as helpful to clinical outcomes as psychopharmacological treatments. 2|Page The role of caregivers in assisting patients with head and neck cancer: MsSusan Mercieca presented this research project as part of her final year examination for the MSc in Radiotherapy and Oncology. The degree was carried out following the award of a Strategic Educational Pathways Scholarship. This scholarship was part-financed by the European Union - European Social Fund. Abstract: Objectives: Family and friends (caregivers) of cancer patients maybe key in the provision of care and may also contribute significantly to patient’s adherence to and acceptance of treatment. For patients with head and neck cancer (HNC) in particular, the treatment and its effects can lead to severe functional impairment and impact on the psychosocial wellbeing of both patients and caregivers. This study was conducted to explore the psychosocial impact of caring for people with HNC. Methodology: Using a phenomenological approach, face to face interviews were conducted with a purposive sample of 6 caregivers at an Oncology hospital in Malta. The interviews were transcribed verbatim. Framework analysis was then used to interpret the qualitative data. Key results: From this study it emerged that there were two factors affecting the carer’s ability to cope with their role; Primary Stressors that result from the characteristics of the disease and the consequent treatment demands and Secondary stressor that arise from the ability of the carer to cope with the distress. Conclusion: Study findings highlight the important role of caregivers in supporting HNC patients. Although, the caregivers were deeply affected by the patients’ illness their psychosocial needs were not always addressed. Therefore more research is required so as to develop effective interventions aimed at supporting the caregivers throughout the cancer trajectory. These interventions should be aimed at providing emotional support to the caregivers, reducing the burden of symptom management and at improving the social support network. Dr Michael Galea, Peer-reviewed Journal: Galea, M. (2013). The Role of Extraversion in predicting Burnout, Psychology of Extraversion. NOVA Publ. Abstract: Burnout and personality are two increasingly relevant variables in research studies related to the holistic well-being of individuals when faced with stressors in life. In this correlational study, we targeted registered nurses working in highly stressful units at three different hospitals in Malta (N=241). A cross-sectional design was employed. A self-report questionnaire was adopted, measuring the Big Five Inventory personality measure, Maslach Burnout Inventory, Subjective Well-Being, Positive and Negative Affect, together with demographic information. 3|Page Results: Maltese professional nurses suffer from high levels of burnout, namely high depersonalization and emotional exhaustion, and low professional accomplishment. As expected, burnout negatively correlated with wellbeing. Of particular relevance to counter burnout among health care professionals in stressful jobs is the active consideration of extraversion in the equation. Results indicate that extraversion predicted 24% of the variance of burnout, even after partialing out other relevant variables including working environment and affective wellbeing. Implications and recommendations were discussed. John Xerri de Caro`s presentation in Brazil In September, 2013, Mr John Xerri de Caro, Department of Physiotherapy was in Brazil on an invitation by the University of Sao Paulo to participate in a workshop and address the 23rd National Forum on Education in Physiotherapy. He spoke on ‘Perspectives and state of the art of Physiotherapy Curricula within a competency based education’ at a workshop organised by the Sao Paulo University and he also delivered a keynote speech entitled ‘The influence of the Bologna Process on physiotherapy education across Europe’ during the National Forum on Education in Physiotherapy. Teaching at the Pontifical Catholic University (PUC-PR), Curitiba, Brazil by Professor Donia Baldacchino: 27 July – 23 August 2013 Professor Donia Baldacchino was invited by Professor Mary Esperandio from the Theology Department at the Pontifical Catholic University in Curitiba Brazil, to teach on the spiritual dimension in life, illness and spiritual care to various groups of students undertaking undergraduate courses such as social work, psychology, tourism, and post-graduate courses like Masters in Pastoral Care & Counselling and Masters in Bio-Ethics and two research groups. The current population at the university is 30,000 students coming from Brazil, Latin America and other countries. Lectures start at 7.30am till 10.45pm! This gives the opportunity to students to continue with their work life. Thus, late at night, the university was full of life! 4|Page The Administration Building of the University is surrounded by trees, fountains and a river During the sessions in Portuguese, an interpreter facilitated teaching and learning. A two day seminar was conducted in English to a group of 22 post-graduate health-care professionals consisting of nurses, medical doctors, psychologists and social workers. A 2-day seminar with Postgraduate health care professionals undertaking the MSc Bio-Ethics coordinated by Professor Mario Sanches and MSc Pastoral Care & Counselling (coordinated by Professor Mary Esperandio). While considering the existing research on the greater attention being given to the technology in patient care rather than on the individual person, a new Department of Humanisation was developed in an attempt to promote holistic care. Donia delivered a session on ‘Spiritual issues in the care of the dying’ to a group of 110 psychology students and psychologists at the Small Prince Faculty of Health. Before the session, Donia visited the ‘Small Prince’ Paediatric Hospital which includes also an ITU and a Dialysis Unit. She also gave a two-hour seminar on ‘The spiritual dimension in becoming a care-giver’ to a group of post-graduates undertaking pastoral education at the Catholic Seminary in Curitiba. On reflection it was realised that while Donia has given a lot to students in Brazil she has also received a lot. This reinforced the notion of the importance of counting personal blessings in life!! Science in the City Students of the Faculty of Health Sciences, Ms Emily Sammut (Department of Food Studies and Environmental Health) and Mr Karl Montebello (Department of Applied Biomedical Science) participated at the last Science in the City festival that was held in Valletta on the 27 September. The students had the chance to introduce people that visited the festival about the nutritional value, the processing, the genetics and the history of the production of popcorn. Emily and Karl have been guided during the preparation of their poster material by Dr. Vasilis Valdramidis. 5|Page The event took place at Merchant Street in front of a giant popcorn sculpture created by the artist Rune Bo Jakobsen. Dr. Edward Duca coordinated the whole event. The event was repeated for the Notte Bianca on the 5 October 2013. ANNOUCEMENTS Professor Helen Grech, President of the International Association of Logopedics and Phoniatrics (IALP) Professor Helen Grech was elected President of the International Association of Logopedics and Phoniatrics (IALP) for the next three years. The IALP was established in Vienna in1924 and is the oldest international organisation representing professionals and scientists who work in the field of communication sciences and with individuals exhibiting voice, speech, language, hearing and swallowing difficulties. The IALP serves more than 150,000 members and has 58 Affiliated Societies from all continents of the world. The Association has consultative status with the World Health Organisation (WHO) of the United Nations. It also has an established scientific journal Folia Phoniatrica et Logopaedica published by Karger, which is gaining popularity and increasing its impact factor. The Association organises a triennial World. Website: www.ialp.info Well done Helen! Dr Roberta Sammut and Dr Rita Borg Xuereb – PROMOTED! Dr Roberta Sammut, Department of Nursing and Dr Rita Borg Xuereb, Department of Midwifery, have been promoted to senior lectures during last council meeting held in September 2013. Congratulation to both Roberta and Rita. 6|Page Government representatives on the FHS Board Ms Rita Grima and Ms Caroline Sant have been appointed by the Minister of Education and Employment on the FHS Board for a period of two years. Medical Physics Unit – A Department within FHS At its meeting of the 21 June, 1013, Council agreed that the Medical Physics Unit became a department within FHS and Dr Carmel J Caruana was appointed as Head of Department up to 30 September, 2014. Dr Claire Sillato Copperstone – Awarded a Ph.D. Ms Claire Sillato Copperstone, a member of the Food Studies and Environmental Health Department, successfully defended her Ph.D. thesis. Claire graduated as a pharmacist from the University of Malta in 1991 and then proceeded to study for her Masters degree in Human Nutrition and Metabolism at the University of Aberdeen which she obtained in 1994. She has been an academic member of staff at the University of Malta since 1994, first on a part time and then on a full time basis. She has also worked at Zammit Clapp Hospital and within the food industry as a nutritionist. PhD in Human Nutrition, Institute of Applied Health Sciences, University of Aberdeen Supervisors: Prof Geraldine Mc Neill, Dr Diane Jackson, Dr Lorna Aucott, Dr Flora Douglas, Dr Leone Craig Title: A novel dietary assessment tool and a feasibility study to improve sugar and water consumption in Maltese school children. Abstract: Obesity in children is a major public health concern in Malta with prevalence statistics placing 11-, 13- and 15- year old Maltese children at the top of the scale, when compared to other Westernised countries. Obtaining valid information on diets is therefore vital to improve aspects of dietary behaviour in this age group. The main aim of this project was to carry out a feasibility study to improve sugar and water intakes in Maltese school children using a validated dietary assessment tool, REALITYMALTA™. This is a novel 7|Page internet-based tool originally developed at the Rowett Institute for Nutrition and Health (RINH) and further upgraded, by incorporating local food and drink, for use in Maltese school children aged 9-11 years. Comparative results obtained using the new tool and a one day 24hr MPR showed non-significant differences between the two tools for sugars, NMES and water, suggesting that it can be used with reasonable confidence to measure these nutrients in Maltese school children. Focus groups carried out in the pre-intervention period guided towards the development of a combined educational and environmental feasibility study carried out for a 12-week period in three local state schools. Educational sessions for parents and children were held, an educational leaflet was distributed, and free bottled water was supplied to the participating classrooms in the intervention schools. Nutrient results comparing the preintervention and post-intervention periods using the REALITYMALTA™ tool showed a significant reduction in caloric intake and a decrease, although non-significant, in sugars and NMES consumption. There were no statistically significant changes for water consumption. These encouraging results could provide baseline information for a future full scale trial. Further development work of REALITYMALTA™ is required to ensure the active participation of all those involved and to successfully improve dietary behaviour and reduce obesity in Maltese school children. We congratulate Claire on her achievement. Dr. Vasilis Valdramidis co-supervisor of PhD Thesis. Dr. Vasilis Valdramidis co-supervised the PhD Thesis of Torstein SKÅRA who was awarded the degree of Doctor of Engineering at the Catholic University of Leuven, Belgium on the 30th of August 2013. 8|Page