Scientific Program

Conference Series LLC Ltd invites all the participants across the globe to attend 5th International Conference on Gynecology | Obstetrics | Reproductive Health & Medicine | PCOS Zurich, Switzerland.

Day 1 :

Keynote Forum

Hrvoje Lalic

Health Centre Rijeka and Medical Faculty University Rijeka, Croatia

Keynote: The key role of occupational medicine specialist as an expert witness in national and international law suites
Reproductive Medicine 2020 International Conference Keynote Speaker Hrvoje Lalic photo

Hrvoje Lalic has completed his Medical degree at University of Rijeka in 1983 and worked as the General Practitioner in the Health Center Rijeka for ten years.He did Specialization in Occupational Medicine in Zagreb, Croatia, in internationally famous School “Andrija Štampar” that is under the WHO patronage and partially in Bologna, Italy at “Policlinic S´Orsola Malpighi, OM school for specialization. Currently, he is working at the Department of OM Medicine Rijeka as a specialist in Occupational Medicine and Sports Medicine and Regular Professor of OM at Medical School University of Rijeka, Croatia. In 2018, he received the permanent title of Regular Professor


The occupational medicine specialist has a key role in assessment of one’s capacity to work, as well as their incapacity,
temporary or permanent. This assessment is a very responsible task and there is always an unsatisfied party, the patient
or the authorities, as well as the lawyers. The aim of this paper is to demonstrate the importance of the expert witnesses’
complete neutrality. They have to assess the patient’s work capacity completely objectively and in doing so have to cancel
out their emotions and the potential uncomfortable feeling whilst confronting the team of experts representing Croatian
Institute for Health or Pension Insurance. Here are presented four cases of expert witnessing where unsatisfied patients
pressed charges against the Croatian Institute for Pension Insurance. The first is the case of a person with dual nationality
Bosnian and Herzegovinian and Croatian, resident of Austria, who sued Croatian Institute for not being granted pension
for the disabled. The second is a 37 years old woman, a shop assistant who suffers from lumbar disc hernia and claim she
cannot lift weight in the grocery shop. The third is the case of a 27 years old woman who has no forearm and two toes on
each foot but was proclaimed capable of independent living. The fourth is the case of a fashion tailor who suffers from
a severe case of epidermolysis bullosa hereditaria, she states she is fighting for her life, but was proclaimed capable of
working. They too sued the authorities. In the first two cases the expert witness for occupational medicine decided that
the Croatian Institute made a correct decision and the last two cases were won by the patients. Such law battles are fought
daily and courts are overburdened by them. On one side the patients (the claimants) are too subjective and think that
their state is the heaviest and on the other side the Croatian Institute for Pension and Health Insurance with very limited
means, is laden with applications for the pension for the disabled. However, the limited means must not be the reason for
a truly ill disabled person who cannot work anymore, not to be able to retire. On the other side those who can still work or would like to gain undeserved benefits, must be refused their applications. Incomplete medical examinations are another frequent cause for such claims being rejected by the Croatian Pension and Health Institute. To conclude, the occupational medicine specialist as an expert witness successfully solves all the unclear cases of work in/capacity. The occupational medicine experts should be included in Croatian Institute for Pension teams in order to avoid unnecessary court expense and to adequately assess the patients.

Reproductive Medicine 2020 International Conference Keynote Speaker Anna Tompa photo

Anna Tompa has completed her PhD at Semmelweis University, Budapest. She was the Head of the Department of Public Health Institute and National Institute of Chemical Safety, a premier research organization. She has published more than 135 papers in reputed journals and has been serving as an Editorial Board Member of several repute Hungarian and international journals. Currently, she is the Research Director at Semmelweis University Department of Public Health and Professor Emeritus.


Formaldehyde (FA) is a widely used chemical, what is classified by IARC, as a human carcinogen based on several sufficient scientific evidences. Several studies concluded FA is mutagenic and genotoxic in different experimental settings and also cause cancer to human during long term occupational exposure. In our study we have examined 73 individuals (59 women and 14 men) worked for the pathology department in different hospitals as a pathologist or
histological assistants. FA ambient air concentration level was measured in only in one unit of four, what was ranged from
0.4 mg/m3 to 1.1 mg/m3, with a mean formaldehyde level of 0.9 mg/m3. The average exposure time varied between 12-20 yrs. Blood samples were collected by venipuncture. The donors took part in a routine clinical laboratory check-up and were interviewed by a physician to take up an anamnesis data sheet on age, medication, smoking, drinking habits, medical and working histories. The end-points of the genotoxicology monitor included the determination of the frequencies of chromosome aberrations (CA) and sister-chromatid exchanges (SCE), and the measurement of UV-induced unscheduled DNA repair synthesis (UDS). The percentages of premature centromere separation (PCD) and high-frequency SCEs
(HF/SCE) were also scored. Apoptosis, immune-phenotype and cell proliferation parameters were determined by flow cytometry. The average age of exposed donors was 43 yrs, compared to 146 (34 years old) historical controls and 86 industrial controls (34 yrs old). In the exposed groups the results showed elevation in chromosomal aberrations, DNA repair and SCE value, although the apoptotic rate of peripheral blood lymphocytes was decreased especially among men, after in vitro PHA stimulation of PBL cells. Immuno toxic effect of FA was also demonstrated and immune suppression
varied on cytotoxic T cells and NK cells in different rate of exposed groups. In our study demonstrated the early genotoxic and immuno toxic effect on different occupationally FA exposed groups, giving an evidence for intervention and improve the working conditions. Based on our study we are going on to force the Hungarian hospital managements to replace theFA with other less harmful fixative in pathology units.

Reproductive Medicine 2020 International Conference Keynote Speaker Hazem Gallagher-Alagha photo

Hazem Gallagher-Alagha has completed his Membership of the Faculty of Occupational Medicne at the Royal College of Physicians of London in 2015. He is the Head of the Department of Occupational Medicine in Qatar Airways Clinic in Doha. He is an Honorary Clinical Lecturer at the University of Glasgow.


This study aimed to establish whether the results of repeat Health Surveillance (HS) for Hand Arm Vibration Syndrome (HAVS) are predictive of the development of new cases and the progression of existing cases of HAVS amongst exposed employees. A secondary objective is to evaluate the effectiveness of control measures for Hand Transmitted Vibration (HTV) exposure. The study describes and analyses trends of HS scores over 10 years. The use of previous HS records allows for the retrospective analysis trends of annual HS results and scores. The aim of this presentation is to demonstrate
that the number of new cases of HAVS in the exposed population declined sharply between 2003 and 2007 and continued to decline, albeit it at a lesser rate between 2007 and 2012, Using HS scores as a linear function of time, the results suggest that scores consistently decreased over time and that the influence of time on the scores was highly significant in all cases.Annual HS for HAVS is, to an extent, predictive of the development of new cases and the progression of existing ones amongst exposed employees. Furthermore, it can be demonstrated that control measures are relatively effective for Hand
Transmitted Vibration exposure.

Reproductive Medicine 2020 International Conference Keynote Speaker Victor Songmene photo

Victor Songmene has obtained his PhD from École Polytechnique de Montréal, Canada, in 2001. He has been with the Industrial Research and Development Institute (IRDI), Toronto, Canada, from 1995 -2001. He is currently a Full Professor at University of Quebec, École de Technologie Supérieure (ÉTS), Montréal, Canada. Since joining the university he has put his expertise on developping sustainable and safe machining practices for industry. His expertise includes metal cutting, fine and nanoparticle control, optimisation and environmentally conscious manufacturing. He is the Director of the Product, Processes and Systems Engineering Laboratory (P2SEL). He has published more than 150 papers in reputed journals and has produced more than 50 technical reports for North American industries


Machining is necessary to shape parts but it is also an important source of pollution (such as dust and aerosols) and this constitutes hazards for machine-tools operators. The emission of dust and the overall shop floor air quality are of great concern when shaping dusty materials such as granite (containing silica) but also woods products, composites materials and metals. In recent times, the occupational health and safety regulations have become more severe. To quickly comply with new regulations, engineers and researchers must help industries in developing strategies to limit workers risk
of exposure to these hazards. This keynote presentation will addres progress on fine and ultrafine particle emission during machining and polishing of granite, metals, woods and composites. The focus will be on OHS aspects but also on the effects of machining conditions on machining shop floor air quality and means of reducing at the sources of these hazards without sacrifying the productivity and the machined part quality.

Keynote Forum

Rosa Maria Orriols

Bellvitge university hospital, Spain

Keynote: Evaluation methodology of medical safety device
Reproductive Medicine 2020 International Conference Keynote Speaker Rosa Maria Orriols photo

Rosa M. Orriols, PhD, received her BSChE from Barcelona University in Barcelona, Ph.D. from Suffolk University in Boston and her Master from the Universitat Politecnica Catalunya in Barcelona. Currently, she is Director of Occupational Hygienist Health Safety in Hospital Universitari Bellvitge Institut Catala de la Salut the main health institution in Spain. Her research and work focus on preventing harmful exposures and creating healthy environments at work. She is on Board on International Commission Occupational Health (ICOH) from WHO. She also Profesor in Master of Occupational Health at Deusto University. Previous, Rosa was Technical Officer Occupational Health and Safety in National Occupational Safety and Health (INSHT) at the Spanish Government.


evaluating safety medical devices. We chose to do the presentation in two parts: Technical report on Needle stick and cutting material in ICS. Territorial Program to monitor the SMD. The First part was developed with a multidisciplinary team from different hospitals and primary care from Institut Català de la Salut. The Methodology was published in NTP 875 Biological risk: methodology for the evaluation of sharp and cutting equipments with built-in biosafety devices. Spanish Government and WHO Manual on Selection and Evaluation Medical Safety Device.
Results: 61 products have been evaluated, 11 wasn’t accepted, 13 past only the first phase, 12 Not guaranteed safety in
the event of human error and safety in the event of foreseeable misuse, is partially guaranteed; 21 was in the category of
very good, and 4 safety medical device guaranteed the safety user during all life product. In the analysis of all material
use in Institut Català de la Salut 40’63 % was needlestick; 14, 53 % was scalpel, any was in safety medical device category.
32, 29 % was catheter and 12, 90 % was in safety medical device category; any trocar (5,21 % material) was in the safety
medical device; 4,17% of all material was lancets, and 50% was safety medical device. Syringes with needles was 3,13% ,
any syringes was in safety medical device category.

Keynote Forum

Marian Gugushvili

David Tvildiani Medical University, Gerogia

Keynote: Risk factors of functional hyperandrogenesis: Case control study
Reproductive Medicine 2020 International Conference Keynote Speaker Marian Gugushvili photo