Day 1 :
Semmelweis University, Hungary
Keynote: Geno- And Immunotoxicity Studies In Hospital Nurses Occupationally Exposed To Volatile Anesthetic Gases
Time : 10:00-10:40
Anna Tompa is working as a Professor at Semmelweis University Faculty of Medicine 1964-1970 she worked as Assistant Professor in Institute of Pathology and Cancer Research, Anna Worked as Visiting Scientist at Eppley Institute Omaha NE from 1976 to1978, she is a Cheif Scientist during 1979 to 1998 at National Institute of Occupational Health, Presently Anna working as Deputy Director.
Prof: Anna Tompa had a membership in: The International society for Preventive Oncology, European Association of Public Health, Fellow of Collegium Ramazzini, European Association of Oncology, European Association of Mutagenesis.
Health professionals chronically exposed to anesthetic gases in the operating rooms are at higher risk of lung diseases, hematological, immunological and reproductive alterations. Anesthetic gas exposure often exceeds the safety limits, especially in the case of pediatric anesthetists, or when no proper ventilation has been installed in operating theaters. In the present study we assessed the health risk among anesthetics exposed nurses and measured genotoxicological and immune parameters in the presence or absence of confounding factors such as smoking. The investigations were carried out in 127 subjects exposed to anesthetic gases from health services. The data was compared to healthy, non-exposed controls. The measured biomarkers were: clinical laboratory routine tests, completed with genotoxicological (chromosome aberrations and sister-chromatid exchange), and immunotoxicological monitoring (ratio of lymphocyte subpopulations and activation of lymphocytes). In the group of health personnel exposed to anesthetic gases, we did not find significant changes in the frequency of chromosome aberrations or sister-chromatid exchanges. However, there was a statistically significant increase in the ratio of CD25+/CD8+ cells - activated cytotoxic T cells - compared to the control. In workplaces where protective measures were strictly adhered to (with quality assurance) the activation of lymphocytes was at control level. However, where there was no quality assurance, activation of lymphocytes increased significantly compared to the control. In the anesthetic gas exposed smokers, there was a statistically significant shift in the T cell subpopulations: the percentage of helper T cells increased, while the percentage of cytotoxic T cell decreased, leading to an elevated Th/Tc ratio compared to the nonsmokers. The frequency of sister-chromatid exchanges also increased significantly compared to nonsmokers. We also found that anaemia, elevated serum glucose levels, thyroid dysfunction and benign tumours were more frequent in the exposed group than in controls. Our results suggest that our biomarkers can be useful in tracking occupational/environmental immunotoxic effects. We can confirm that quality assurance and protective measures can prevent exposures to harmful substances, and have shown that smoking as a confounding factor has to be taken into account when assessing occupational exposures.
National League for Nursing, USA
Keynote: Pathways to Certification in Nursing Education: The Work of Making the CNE a Global Certification
Time : 10:40-11:20
Larry E Simmons completed his PhD in Nursing 18 years ago from the University of Missouri-Kansas City in the US. He has worked in testing arenas and has become an expert in nursing testing development. He currently is Director of the CNE Program at the National League for Nursing and assistant professor in the nursing doctoral program at South University in Tampa, Florida, USA, He is a nationally known speaker on testing and curriculum in nursing education.
Certification as an academic nurse educator promotes leadership in nursing education. The National League for Nursing identified competencies and task statements of the nurse educator’s role in 2005. This seminal work led to the creation of a certification program for nurse educators. Qualified applicants can, if successful on the certification examination, obtain the credential of Certified Nurse Educator (CNE®). There are currently 6,000 CNEs who have obtained the certification. The core competencies of the certification include areas of experience including facilitating learning, use of assessment and evaluation strategies, and participating in curriculum design and learning outcomes. Currently in process is a new certification that is focused on the skills and competencies of the clinical nurse educator, those nurses working actively with nursing students in clinical experiences. Originally, the eligibility criteria required the educator to hold a nursing license in the United States. After a review of nurse educator practice internationally, it was determine that the role and competencies that formed the framework of the certification program were global and universal in nature. This led to a change of eligibility requirements resulting in the opening of the program to international applicants. This session will be informational on the history of CNE and the path to becoming a certified nurse educator.