Day 1 :
Keynote Forum
Marilyn Nadine Parkin
International College of Medical Intuition Inc., Canada
Keynote: Bio-physical tendencies with applied methods of mind/body/soul techniques sound frequencies
Time : 10:00-11:00
Biography:
Marilyn Parkin has completed her PhD in Energy Medicine through an innovative program designed by Norm Shealy and Caroline Myss. She has completed a Formal Research Study (clinical depression) on sound frequencies effect on the physiology of the body as well as years of data collection on efficacy of applied intuition as a therapeutic tool. She has completed her Graduation in Sociology and Psychology. Her courses are practical and based on intuitive as well as scientific knowledge.
Abstract:
The study was conducted to determine the effects of sound vibration on individuals with depression. The study also examined changes to the blood cell after the intervention of vibratory frequencies ranging from 120 Hz to 10 Hz throughout the magnetic field of the body. Variables introduced were time frame of one hour of control group listening to music and experimental group positioned on a sound vibrational treatment table to absorb the music vibrations. The random study was conducted on 60 subjects with inclusion of 25 to 45 years of age and >6 months maintenance dose of antidepressant drug, Paxil. Measurement was accomplished through evaluation of Live Blood Analysis and Hamilton Rating Scale for Depression. A blood draw process of Live Blood Analysis was obtained and examined for specific quality and level of visible clumping. Post blood analysis determined less clumping and healthier activity of the cell after intervention in the experimental group. The Live Blood Analysis of the control group remained unchanged. Hamilton Rating Scale for Depression indicated decreased levels of depression in experimental group. Hypothesis supports changes toward healthier cellular activity and appearance of less blood cell clumping and decreased level of depression with increased levels of frequency through sound vibrational treatment table. Application of this model has been applied within informal studies and observations on adults and children for various conditions with similar results.
Keynote Forum
Rafif Tayara
Dr. Michael’s Children Dental Center Dubai, UAE
Keynote: Challenges in pediatric oral healthcare: An update
Time : 11:30-12:30
Biography:
Rafif Tayara is Pediatric dentist, trained both at St-Justine Children’s Hospital in Montreal and at Saint-Joseph University in Beirut. She lived and worked in Montreal, Beirut, Abu Dhabi, Doha and Dubai and gathered an extensive experience of 15 years in treating children in different healthcare systems.
Abstract:
Introduction: Come look with me at the different facades of the most common chronic childhood disease existing today: Early Childhood caries. The conundrum of balancing the essential and basic ethical oral health needs of an individual with his aesthetic and social wants has not been able to be resolved in the profession of Pediatric Dental Medicine. This has led to a great disparity in access to oral health services even in the richest most developed countries. Universal affordable access to quality essential dental care remains elusive in all these countries who have otherwise achieved this standard in all other areas of healthcare. This problem is far more accentuated when we look at pediatric oral health care. Pediatric dental treatment under general anesthesia due to advanced tooth decay, a completely preventable disease, is now the leading cause of ambulatory surgery in United States and United Kingdom! With the explosive growth of the middle class worldwide and especially in the GCC countries, their associated greater access to highly processed sugars, lack of availability of preventive oral health services and the lack of knowledge of healthcare professionals about oral healthcare in children, the dental profession will be faced with a challenge far greater than anything it has ever faced before. And this will be far more pronounced in the pediatric population.
Aim: We aim to raise awareness among healthcare professionals about early childhood caries as a global healthcare issue and bridging the existing gap about pediatric dentistry as a global healthcare issue.
Method: Evidence-based data will show the lack of sufficient knowledge among medical professionals about oral health and childhood caries.
Result: Early Childhood caries not detected by many pediatricians and lack of proper patients’ guidance on oral health prevention methods.
Conclusion: There’s a big gap to fill in terms of raising oral health awareness among family doctors and pediatricians in regards to early childhood caries, its detection, prevention methods, impact on children and treatment.
- Clinical Pediatrics | Pediatric Hematology and Oncology | Family Medicine
Session Introduction
Rosales-Magallanes Guillermo Francisco
Issstecali Baja California, Mexico
Title: Prevalence of nosocomial pneumonia associated to ventilators by MDR pathogens in a second level hospital during a two year period
Time : 12:30-13:00
Biography:
Rosales-Magallanes Guillermo Francisco is the Head of Service of Infectology at Hospital Issstecali Mexicali in Baja California. Currently he is dedicated to the area of ​​clinical research in the area of ​​infections associated with health care.
Abstract:
Aim: The study aims to determine the frequency of ventilator associated pneumonia by MDR bacteria, patient’s characteristics and associated mortality rate in Hospital Issstecali during 2016-2017.
Design: It is a descriptive, observational, analytical and retrospective study.
Method: We collected data from the clinical records of patients who had presented ventilator associated nosocomial pneumonia with a bacterial isolate with an MDR profile. We included gender, age, comorbidities, predisposing risk factors, results of isolates, sensibility pattern, days of stay and obtained results. Frequencies and rates were calculated.
Results: During January 2016-November 2017, there were 106 cases of nosocomial pneumonia of which 56 of them were ventilator related. Bronchial secretion cultures were included in a 52% coming from men of median age of 62 years, comorbidities, arterial hypertension (50%), diabetes mellitus (41.5%), chronic kidney disease (14.9%), stroke and bedriddenness. A mean of 27.3 days of hospital stay were calculated. Of the total cultures, 26 of them showed development of bacteria with a MDR phenotype (24%) (Attack rate: 3.6 cases/1000 days of mechanical ventilation). Pseudomonas aeruginosa in 11 cultures (42.3%), Crhyseomonas luteola 15.3% of cultures and Escherichia coli 11.5%, Klebsiella group 47 7.6%. Their mechanisms of resistance were determined according to the phenotype reported in the anti microbiogram, showing a resistance to more than four families of antibiotics. The mortality rate was calculated at 19.3% cases in which the cause of death was directly related to the infectious process (rate: 0.7 deaths in 1000 egresses).
Conclusion: The isolation of MDR pathogens is not very common. However, they generate a high mortality/morbidity index and a great weight in our unit.
Recommendations: Reinforce the rational use of antibiotics program as well as the control of nosocomial infections so as to reduce their impact.
Nashwa Mohamed Baha Elddin
Cairo University, Egypt
Title: Challenges in the management of short stature
Time : 14:00-14:30
Biography:
Nashwa Bahaa El Din has completed her MBBCh at Cairo University, Egypt in 1989 and Master’s degree in Pediatrics from the same university in 1995. In 2005, she received her MD degree in Pediatric and Neonatal Medicine from Ain Shams University, Egypt. She worked as a Consultant Pediatric Endocrinology and Diabetes in Egyptian health insurance hospitals and in Cairo University Pediatric Hospital (CUPH-Abo El Rish). In 2006, she moved to UAE and continued her practice as Head of Pediatric Department in private hospitals in Abu Dhabi. She has participated in academic researches, in international and national conferences, and has gained clinical attachment with Wilford Hall Hospital, USA. Currently, she is a Member of the European Society for Pediatric Endocrinology, Egyptian Pediatric Association, Egyptian Society of Pediatric Endocrinology and Diabetes, Egyptian Obesity Association and Egyptian Society of Child Care Assistance to Young Diabetics.
Abstract:
Human growth is regulated by genetic, hormonal, nutritional and environmental factors that interact to culminate in a complex process of cell replication in all tissues. Short stature is defined as height below 3rd centile or less than two Standard Deviations (SDs) below the median height for that age and sex according to the population standard or even if the height is within the normal percentiles but growth velocity is consistently below 25th percentile over 6-12 months of observation. It is estimated that short stature to be around 3-5%. The prevalence of Growth Hormone Deficiency (GHD) is around 1 in 4,000. Evidence-based procedures, relating specifically to height screening for identification of short stature, auxological criteria for patient referral from primary to secondary pediatric care and general and endocrine investigations and diagnosis should be followed. The Guidelines for Growth Hormone and Insulin-Like Growth Factor-1 Treatment in Children and Adolescents. The rationale for treating short stature in childhood includes increasing height and alleviating psychosocial disability while maintaining favorable risk, benefit and cost, benefit ratios. Selection among management options may therefore depend on the degree to which each one meets these goals.
Mansour Khater Alzahrani
Dar Al Uloom University, Saudi Arabia
Title: A study of knowledge, attitude and practice of children in and elementary school about using smart devices in Majmaah, KSA
Time : 14:30-15:00
Biography:
Mansour Khater Alzahrani is working as a Consultant and Associate Professor of Family Medicine in Saudi Arabia. Currently, he is the Chairman of the Medical Education Department in Dar Al Uloom University. He was the Vice Dean of the Academic Affair and the Chairman of Family Medicine Department for more than four years at Majmaah University. He has published more than 12 scientific papers in the field of family medicine. He was involved in teaching of different modules in the college with great input in the family medicine module. He is the Head and Member in multiple scientific committees.
Abstract:
Introduction: Smart devices usage has increased among children recently. Young children are using smart devices anytime and anywhere, especially with the invention of smart phones and the replacement of desktop computers with digital tablets. With the rapid improvement advancement in smart devices, there is an explosion of electronic media games/education packages directed at preschool children in many societies.
Methodology: This is a cross-sectional study dealing with the knowledge, attitude and practices of children in elementary school about using smart devices in Majmaah city. It involves the use of a close ended self-questionnaire by the 231 participants between 7-12 years old analyzed by using the SPSS version 23.
Results: Majority of the participants 176 (76.2%) use smart devices for playing but very few 10 (4.3%) use them to help them studying. Majority of the parents strongly agree on that the devices have a negative effect on studying, sleeping, behavior (aggressiveness) and physical activities of their children. Only 22.5% of parents (52) are aware about risks of the smart devices. Children who playing game are not aware of its risks p=0.012. Children’s attention significantly reduced after using of smart devices for two hours or more p=0.041.
Conclusion: Smart devices are widely available and regularly accessed by families and their elementary school children as an accepted part of daily life. This raises the need for parents to monitor their children’s smart devices use to minimize potential health and development. Many issues were identified within this study including the negative impact of smart devices and the link between children's behavior and smart devices.
Mahmoud Saleh Elhalik
Latifa Hospital, UAE
Title: Neuro-NICU protecting neonatal brain health
Time : 15:00-15:30
Biography:
Mahmoud Saleh Elhalik is the Head of Pediatric Department and Neonatology, a clinical governance theoretical and practical concepts for maintaining and improving the quality of patient care. All the element of Clinical Governance has been implemented in our department including: Education and Training, Clinical Audit, Clinical Effectiveness, promotion of high standard of quality of care, Risk Management, Research, Publication, continues unit Development through review and approval of new equipments and therapies provided in the NICU and the Pediatric Department.
Abstract:
The impact of the NICU environment on the infant’s developing brain became evident to health care providers since many decades. The intrauterine environment protects the developing fetus against harsh outside stimulation while providing a variety of tactile, vestibular, chemical, hormonal, auditory and visual sensory stimuli in an integrated, optimum fashion. In contrast, prematurely born neonates and even some term newborns, exposed to fluctuations in hemodynamic vitals, temperature, touch, vestibular, gustatory, olfaction, noise, light, oxygen and nutrients, which can be very harmful on the developing brain and may permanently alter normal brain development. Moreover, uneventful events during delivery or neonatal sepsis, IVH, HIE and other illnesses can do the same harm to the neonatal developing brain and negatively affect the neurodevelopmental outcome of the NICU graduates. The concept of Neuro-NICU have emerged mainly in USA over the past few years in an attempt to protect the developing neonatal brain to ensure normal neurodevelopmental growth.