Symposium 10

Health Related Strategies for Physical Wellness: Prevention, Treatment and Enhancement 

This symposium joins together specialists from four countries: Turkey, Macedonia, Philippines and Romania. The topics of these presentations are focused on various aspects of health and physical wellness and are based on the experience and knowledge of the selected professionals. The first presentation Romanian Models of Intervention in Promoting Health and Quality of Life from the Perspective of Globalization is focused on the analysis and the perspective of developing community health as an effect of globalization and expansion of population migration. Important are projects developed and implemented by the international GCH team, which can lead to the extension of health promoting network and also new collaborations and partnerships by involving schools institutions, universities communities and policy makers. The second presentation Physiotherapy to Promote of Health and Wellness is related to the coronavirus disease (COVID-19) wich requires very specific patient care. Physiotherapy aims to promote health and wellness by improving the Post-Covit-19 patients’ functional level and quality of life. This therapy may support them to recover soon and return to normal life routine as earlist possible.The third presentation Medical Implications of Youth Participation in Sports present the effects of training on the musculo-skeletal development. Traumatic injuries on the developing structures on young may have life-long consequences. Preventive measures make sports participation and physical activity safer and more enjoyable among children and young adults. The fourth presentation The Role of the Sports Pharmacist for the Integrity of Sport and the Appropriate Use of Drugs: A Perspective on the Global and National Scope present Sports Pharmacy as an emerging field globally that has developed in connection with health, economic and social sectors. Students and young professionals increase their interest in the area of health protection during sports activities and including simultaneous use of stimulant and drug enhancement substances.

Chairperson and Presenter

Prof. Dr.  Luminita GEORGESCU, MD.,Ph.D. 
Board of Directors, Foundation for Global Community Health (GCH)
University of Pitesti,
Romania

Prof. Dr. Luminta Georgescu, MD is a well reputed profesional from the University of Pitesti, Romania. Having more than 24 years of experinece in Sports Medicine and Sports Scince Domain, she is the author/co-author of 5 books and over 100 scientific publications and conference papers at national and international level. She serves as scientific adviser for doctoral studies in Sport Science and Physical Education and also as Sports Medicine physician, and scientific reviewer/collaborator for international scientific journals.Besides being involved in activities promoted by prestigious international organizations like the Foundation for Global Community Health (GCH) – as member of the Board of Directors; IASK – as Presidium Member and ICSSPE – former Executive Board Member, the professional experience of Prof. Georgescu includes also: Regional Expert Assessor for the National Council for Adult Vocational Training and the Romanian Agency for Quality Assurance in Higher Education; former member of Board of Directors of the World Leisure Organization (WLO) President of the Medical and Anti-doping Commission at Judo World Cup, Bucharest (2005-2008), Sports Medicine Physician of the Judo Male Olympic Team (2002-2008).Her sustained professional work resulted in: coordinating or being a member in many research projects; being invited/keynote speaker, member of the scientific committee/participant at important scientific conferences, as well as winning national and international awards and distinctions.

Romanian Models of Intervention in Promoting Health and Quality of Life from the Perspective of Globalization

Globalization is primarily an economic process of interaction and integration among people companies, and governments worldwide (Guttal, 2007). In respect with health promotion, we can mention the new European Health Policy Framework (Health 2020) of WHO which aims to support actions at large scale in order to help reducing health inequalities and improving governance for health in accordance with the principles of universal rights, equitability and sustainability. Starting from the strategic objectives promoted by the WHO and UNSDG, we consider as most relevant for our domain of practice those reffering to Global School Health Initiatives, Healthy Municipalities and Communities, and Health Promoting Universities. Examples of programs that achieve these goals are those promoted by GCH in partnership with HOPSport US. We can mention also the examples of projects developed and implemented by the international GCH team, especially those regarding the involvement of people from vulnerable cthegories, which can lead to the extension of health promoting network, and also new collaborations and partnerships, by involving schools, institutions, universities, communities and policy makers.Nowadays there are many changes in our daily life, and the globalisation of epidemiology as well as public health challanges, especially in the context of recent pandemy are primary concerns in Romania too. In this framework it is important to point a few aspects of change that should be addressed: the approach of individual and global health, the education vision, the international collaboration and partnership.Therefore recent researches focus on the analysis and the perspective of developing community health as an effect of globalization and expansion of population migration. Universities play an important role in coordinating the scientific research activities which propose and demonstrate the value and efficiency of the intervention models.

Presenters

Prof.Dr. Serap INAL
Faculty of Health Sciences
Department of Physiotherapy and Rehabilitation
Istinye University
Turkey

Prof. Dr. Serap Inal is a professor and heading the Department of Physiotherapy and Rehabilitation and was the previous head of the School of Physical Education and Sports in Istanbul University where The APA Certificate Program was structured during her time. She thought physical (motor) disabilities in European University Diploma in Adapted Physical Activity (EUDAPA) in Vierumäkue, Finland through Erasmus Program in 2010-2016. She is a member of ICHPER-SD, IFAPA, Turkish Neuromuscular Disorders Society and Turkish Physical Therapy Association. She has three books written in native language in the areas of sports biomechanics, upper extremity prosthesis, orthotics in neuromuscular disorders and four chapters internationally on geriatric rehabilitation, physical features of athletes with intellectual and physical disabilities, proprioceptive assessment and APA education. She is also teaching on supported employment of people with severe disabilities, and she has the ACRE certification as a supported employment specialist.

Physiotherapy to Promote of Health and Wellness

The coronavirus disease (COVID-19) recently entered to our life and required very specific patient care and chest physiotherapy since it presents severe acute respiratory syndrome and multiple organ dysfunction. If the condition is moderate to severe patients are under constant monetarization for pulmonary disease and the physiotherapists also be in contact with the patient for their respiratory and pulmonary assessments and treatment procedures with specific preventive hygienic cautions. Early mobilization including neuromuscular stimulation, therapeutic exercises, and early verticalization is essential in these patients, if they presents suitable clinical conditions. These may support muscle strength and cardiorespiratory capacity that are diminished due to immobilization and decreased activity level. If the patients have mild form of the disease   the breathing exercises and also light-intensity exercises are given to maintain minimal functional capacity and endurance. The fear of movement , and fear of fall in relation to severe musculoskeletal pain, posture and muscle strength and endurance are essential to be assessed prior the exercise interventions. These are general assessment tools that are indicated for patients with different health conditions requiring physiotherapy. However, regarding to the classification of the functional status of the patients ‘The Post-COVID-19 Functional Status Scale’ is used to test how much they are affected in their daily life as a result of Covid-19 infection. This is a 0-4 likert type classification as 0: no functional limitation, 1: negligible functional limitation, 2: slight functional limitation, 3: moderate functional limitation and 4: severe functional limitation. Thus, physiotherapy aims to promote health and wellness by improving the Post-Covit-19 patients’ functional level and quality of life. This may support them to recover soon, as we all expect and wish, to return normal life routine as early as possible.

Prof. Dr. Mario IMSON, RPT, MD
Co-Founders and Immediate Past President, Asian Council of Exercise
& Sports Science (ACESS)
Orthopedic Surgery- Sports Medicine
Baguio Medical Center
Philippines

Dr. Mario Imson, MD is a practicing Orthopedic Surgeon with a sub-specialty in Sports Medicine.  He obtained his Bachelor of Science in Physical Therapy from the University of the Philippines and subsequently his medical degree from the University of the East Ramon Magsaysay Medical Center.  He topped the licensure examination for Physical Therapist and completed his training in Orthopedic Surgery at the Philippine Orthopedic Center. Dr. Imson has served as a faculty member of the College of Human Kinetics and at the same time the sports physician of the University of the Philippines, where he established the university sports injury clinic, and the Philippine Basketball Association, the professional league of the Philippines.  He was also the Dean of the College of Physical Therapy of Dominican College and the University of Baguio and a faculty member of the University of the Cordilleras.  He is currently a consultant in Orthopedic Surgery and the supervising physician of the rehabilitation section of the Baguio Medical Center.  As one of the four founders of Asian Council of Exercise and Sports Science (ACESS), he has chaired the organizing committee for the 2005 and 2019 Southeast Asian Games Scientific Conference. He has served as ACESS President in 2009 – 2011 and 2017 – 2019.  Dr. Imson has delivered lectures in various national, regional and international conferences on sports medicine.

Medical Implications of Youth Participation in Sports

A significant number of children are in competitive as well as recreational sports activities despite the many that are less physically active or sedentary due to their preoccupation to electronic gadgets.   We are still witnessing young athletes getting involved in organized sport activities at an early age.  Young athletes however must be given a special attention as they may be considered unique. Their uniqueness in participation in sports may be in terms of physiological, psychological and anatomic make-up. The effects of training may likely affect not only their musculo-skeletal development but also their total development which may have long-term implications into adulthood.  Traumatic injuries on the developing structures on young may thus have life-long consequences if proper training measures and techniques for young athletes are ignored. In terms of their musculo-skeletal development there are unique injuries in this age group which are totally different from their adult counterparts.  The mechanisms of trauma result to specific injuries that may have a different clinical presentation in different age groups in children and adolescents. This paper shall describe these injuries, their clinical picture or presentation, and the unique physiological process of healing in children and adolescents together with the current trends of management to facilitate their return to previous level of activities.  To fully appreciate these special concerns clinical cases of actual injuries are presented. Likewise probable effects on the structural and functional capacity of the child and their long term implications shall be presented.  Preventive measures are also discussed with the intention of making sports participation and physical activity safer and more enjoyable among children and young adults.

Prof. Dr. Emilija JANEVIK-IVANOVSKA
Faculty of Medical Sciences
Goce Delcev University Stip
Republic of North Macedonia

Prof. Dr. Emilija Janevik-Ivanovska is a professor in pharmacy and a specialist in pharmaceutical technology. She is President of Doctoral School in the Faculty of Medical Sciences and is teaching pharmaceutical chemistry and radio pharmacy. Prof. Janevik has worked in radioisotope and radiopharmaceutical production, synthesis and application since 1987 and has contributed in the establishment of PET (positron emission tomography) production and clinical facility in the country (2009-2018).  She is an IAEA expert and auditor from 2008 in the new drugs/active molecules. As Vice-Rector for Education (2010-2015) and President of the Executive Board of the University Sports Centre, she is extensive experience in e-learning teaching with a  current project from IAEA related to e-learning platform for African and developing country . Prof. Janevik is the member of European Directorate for the Quality of Medicines and Healthcare since 2015 and Member and President of the commission for Drug registration in the National Agency of drug (MALMED). She rreceived Francophone Pharmacy Prize for 2019 from the French National Academy of Pharmacy and served as the main coordinator and/or member of the core team of 12 project and author of more than 200 publications and presentation of the national and international meetings and conferences.

The Role of the Sports Pharmacist for the Integrity of Sport and the Appropriate Use of Drugs: A Perspective on the Global and National Scope

Emilija Janevik, Viktorija Zorbovska

Faculty of Medical Sciences, University Goce Delcev – Stip, Republic of North Macedonia

Sports are one of the dynamic forefronts of healthcare, economic and sociopolitical supports globally and thus considered an important part of the society. Athletes experience significant social and commercial pressure to win and succeed in sports. This drives them to enhance their performance. Some resort to illegal performance-enhancing substances and/or prohibited methods. The use of medications, dietary supplements, and other performance-enhancing substances is a widespread and challenging phenomenon. Performance-enhancing and image-enhancing drugs are used widely in society and more specifically within sports. Pharmacists have a potentially significant role to play in doping prevention and in promoting the rational, safe, and effective use of medications in sport. Sports Pharmacy is an emerging field globally that has developed from in connection with health, economic and social sectors. The main reason of its importance has been taken into account for research and implementation in the prevention of doping, delivery systems, compounding medications and dietary supplements. Sports pharmacy involves the education and training of pharmacists to enable them to play an active role in anti-doping. The study program of Pharmacy in our university included from the last year the elective course and one Thesis related to Sport Pharmacy. This shows that students and young professionals increase their interest in the area of health protection during sports activities and the simultaneous use of stimulant and drug enhancement substances.