Day 16 :
- Adoloscent Medicine
Chair
Petr Starostik
University of Florida, USA
Co-Chair
Sarah Adelaide Crawford
Southern Connecticut State University, USA
Session Introduction
Lisa Chan
Texas Children’s Hospital, USA
Title: Rules of Engagement: Communicating with Adolescent Patients through their World of Social Networking
Time : 13:50-14:10
Biography:
Lisa Chan is board certified in anesthesiology, with subspecialty certifications in pediatric anesthesiology and transesophageal echocardiography. In addition, she is pursuing a masters in health informatics from the University of Illionis-Chicago, with an interest in social media and mobile application use in improving healthcare. She was formerly the director of clinical informatics at Joe DiMaggio Children’s Hospital. She sits on the social media committe in the American Society of Regional Anesthesia and Society of Technology in Anesthesia. In the American Society of Anesthesiology, she is a member of the Committee on Communications and Electronic Media and Information Technology Committee.
Abstract:
Adolescents are known for their need to find their own voice and identity, as well as form pack relationships to enforce their peer acceptance. Both dueling desires are matched in the world of social networking. One can easiliy post and voice their opinion on matters without resistance, meanwhile receiving almost instantaneous input from peers with likes, responses, etc. This dissociated yet intimate world of social media is what increasing numbers of pre-adolescents and predominate adolescents are growing up with, which inadvertently is shaping their communication skills. After looking at the psychosocial aspects of social media, the different types of social media will be explored, stressing the advantages and disadvantages of each medium in its use for healthcare outreach. Lastly, guidelines will be explored as to what is medically legal and suggest best practices in communicating with adolescents which protects the rights of the adolescent while also maintaining the professionalism of the medical provider.
- Clinical advancement and innovation in paediatrics
Chair
Brian Bennett
Marquette University, Department of Physics, USA
Co-Chair
Mary Ann G Sanders
University of Louisville, USA
Session Introduction
Kankana De
Vidyasagar University, India
Title: Lean fat mass influence morbidity
Biography:
Dr.Kankana De has completed her PhD at the age of 34years fromVidyasagar University and she had worked as a lady counsellor in Anwesha clinic at Salboni Rural hospital. shee had published six papers in reputed journals and has been continuing her research works.She had completed four postgraduate studiesin Anthropology,Botany,Business Administration,Social works.she act as reviewer in Journal of social science research.She had delivered seminar in 8 confeences , Among those 2 international conferences , which had held at Vinod Gupta school of Management organised by Indian institute of technology,Khargapur IIT,India..another in Vidyasagar University,Medinipur,India. Among rest conferences are organised by Indian statistical Institute,Kolkata,India, Burdwan University,Dibrugarh university, University of calcutta.
Abstract:
The BMI is an attempt to quantify the amount of tissue mass (muscle, fat, and bone) in an individual, and then categorize that person as underweight, normal weight, overweight, or obese based on that value.
The BMI is generally used as a means of correlation between groups related by general mass and can serve as a vague means of estimating adiposity. The duality of the BMI is that, while it is easy to use as a general calculation, it is limited as to how accurate and pertinent the data obtained from it can be. Generally, the index is suitable for recognizing trends within sedentary or overweight individuals because there is a smaller margin of error. The BMI has been used by the WHO as the standard for recording obesity statistics since the early 1980s.
The study area of Salboni Block is 25 km away from Medinipur town. Subjects are 10-19 years adolescent girl. The study were done on 1009 girls. .
Structured questionnaires were followed to know details of socio-economic status of studied adolescent Stature was measured to the nearest 0.1 cm in bare feet with participants standing upright against a wall-mounted stadiometer.
FMI and BMI have weak correlation , Among them 24.4 % are under nutrient based on BMI and 99.8 % are undernutrient based on percent body fat.34.2 % low health status by assessing Rohrer index. According to Roc curve 18.45 kg/sqm will cut off value of ced this study. Malnutrition affects HIV transmission by increasing the risk of transmission from mother to child and also by increasing replication of the virus. In communities or areas that lack access to safe drinking water, these additional health risks present a critical problem. Lower energy and impaired function of the brain also represent the downward spiral of malnutrition as victims are less able to perform the tasks they need to in order to acquire food, earn an income, or gain an education.
- Pediatric Gastrointestinal Pathology
Session Introduction
Ahmadshah Farhat
Mashhad University of Medical Sciences. Iran
Title: The impact of irrigation of breast on colonization of breast milk
Time : 15:30-15.50
Biography:
Dr. Ahmadshah Farhat has completed his Medical faculty at the age of 26 years from Kabul University, Pediatric Specialist from Mashhad University of Medical sciences in Iran and neonatology sub specialty from Mashhad University of Medical sciences. From 1992 to now He is published more than 60 articles. He is vice councilor of Neonatal Research Center. He has attended 150 national & international as speaker or participant.
Abstract:
Breast milk health is one of the essential element in feeding of premature infants . Generally in initial of breast feeding , different methods of disinfecting such as irrigation with usual detergents like water and soap are used to eliminate the probable bacteria. The necessity of the usage of such items has not been mentioned in some studies , and even at the time of comparison , different results have been obtained. This is a controlled clinical trial that evaluated result of breast milk culture in mothers of premature infants in NICU. Sample has been collected from breast of these mothers in four method; manual with and without irrigation and pump expression with and without irrigation. Each sample was collected in striel pot and it was transport to laboratory quickly for microbial cultur. The results showed that the cultured bacteria in samples collected manually, with & without irrigation , were , staphylococcus coagulas negative , staphylococuse aurous , enterococ and klebseilla pneumonia. In one sample of without irrigation and four samples of with irrigation , lack of growth of bacteria was observed . In pump expression samples , with & without irrigation , the cultureded bacteria were consisted of : staphylococcus Coagulase negative , staphylococcus aurous , enterococus , klebseilla pneumonia , entrobacteriacea and pseudomonas . Among the samples , in three samples of without irrigation and two samples of with irrigation , lack of growth of bacteria was observed. The results showed that cultured bacteria in pump samples were much more than manual samples.
Reza Saeidi
Mashhad University of Medical Sciences. Iran
Title: The role of recombinant human granulocyte colony-stimulating factor (G-Csf) In the management of neonatal sepsis in premature infants
Time : 15:50-16:10
Biography:
Dr. Reza Saeidi has completed his Medical faculty at the age of 27 years from Tehran University, Pediatric Specialist from Tehran University of Medical sciences in Iran and neonatology sub specialty from Mashhad University of Medical sciences. From 2000 to now He is published more than 50 articles. He is Editor-in-Chief of Iranian Journal of Neonatology. He has attended 100 national & international as speaker or participant.
Abstract:
Whenever neonatal sepsis is associated with neutropenia, increase mortality and morbidity. We know in the preterm infants, neutropenia is common. In this study we evaluated effects of G-CSF administration on early onset neonatal sepsis in premature infants.
This study was performed in the College of Medicine, Mashhad University, NICU of Qaem Hospital between May 2012 and February 2013. In this study we enrolled fifty premature neonates with GA <35 weeks and a mean birth weight of 1500 ± 499g, who were under 5 days old that were admitted to NICU with the clinical diagnosis of sepsis. The study population was divided to the case (G-Csf) and control groups placebo (dextrose 5%). To analyze the data with nominal scale, Pearson Chi-Square was used. In cases which more than 20% of expected frequencies of tables were less than 5, (Cochran) Fisher's test (Fisher's Exact Test) was used. SPSS v.19 and Statistical V.8 software were used.
There was significant difference between two groups for absolute neutrophil count (ANC) in second sampling (P =0.010), but for other cases, the difference wasn’t statistically significant (P > 0.05). Also the change in absolute neutrophil counts between two blood exams showed significant difference in control group, (P = 0.006), but the difference wasn’t statistically significant in the study group (P=0.627).
Routine administration of G-CSF is not recommended as an adjuvant therapy for neonatal sepsis in non-neutropenic premature neonates.