Day :
- Neonatal Diseases | Pediatrics Medical Emergency | Pediatric Hematology | Neonatal Intensive Care Unit | Pediatric and Neonatal Nursing | Clinical Pediatrics
Chair
Eva K Lee
Emory University School of Medicine, Georgia
Session Introduction
Violeta Grajqevci-Uka
University Clinical Center of Kosovo, Republic of Kosovo
Title: Iron deficiency anemia in children
Biography:
Abstract:
Biography:
Amber Valentine is a Speech-Language Pathologist who graduated from the University of Kentucky with her MS in Communication Disorders. She is a Board Certified Specialist in Swallowing and Swallowing Disorders and an International Board Certified Lactation Consultant. She worked for Baptist Health Systems, Inc., for eight years before moving to Florida where she worked for Wolfsons Children’s Hospital and Mayo Florida. She is now backing in Kentucky working for Baptist Health Lexington. She has experience in adults and pediatrics with feeding and swallowing difficulties including: bedside swallow evaluations, Modified Barium Swallow studies, FEES, and pediatric feeding evaluations including NICU. She has provided guest lectures for the University of Kentucky and the University of Louisville on feeding and swallowing topics. She has presented at the hospital level, local, state, national, and international levels on pediatric feeding/swallowing and breastfeeding
Abstract:
Introduction: Feeding is the most complex tasks we ask of infants, even full term healthy infants. There are often many hurdles that mother baby dyads encounter when learning to successfully breast and/or bottle feed. This talk will discuss the increase in diagnosis of lip and/or tongue tie, the classifications of each, as well as the implications and treatment for successful feeding.
Learner Outcomes: Participants will identify the classes of labial restrictions; participants will identify the classes of lingual restrictions; participants will determine at least two signs and symptoms of oral restrictions on feeding difficulty; participants will discuss treatment options for feeding related to oral restrictions.
Day(s) & or Time(s) you cannot present: Attending all days/times.
Product Disclosure: Presentation will focus on information about a product or service: no.
Product to be presented: none. Presentation will solely focus on this product: no similar products/services will be introduced: no.
Felipe Javier Uribe Salas
National System of Researcher, Mexico
Title: Self-perception of weight though corporal figures in children of school age in Piedras Negras, Coahuila, Mexico
Biography:
Felipe Javier Uribe Salas has completed his Medicine from Michoacana University of San Nicolas de Hidalgo, he has done his Master’s in Public Health from National Institute of Public Health and also Master’s in Sciences in Epidemiology from National Autonomous University of Mexico. Apart from those he is Doctor in Social Sciences (El Colegio de la Frontera Norte). Currently he is working as a Senior Researcher by El Colegio de la Frontera Norte, National Researcher Level II (National System of Researchers in Mexico). He is also a Member of National Council for Science and Technology, Member of accredited evaluators (CONACYT). He is a Member of the International Organization for Training and Medical Research (IOCIM) and Member of the Mexican Public Health Society (SMSP). He is author of more than 50 indexed articles and Winner of several national research awards. His areas of interest in research: Epidemiology of Infectious Diseases; Population Mobility and Infectious Diseases, Epidemiology of Chronic Diseases
Abstract:
Introduction: The prevalence of overweight and obesity has increased worldwide. This phenomenon also affects the Mexican population, particularly schooling children. In this context, lack of awareness of excess weight among overweight and obese children is a public health concern that needs to be explored in the Northern border of Mexico.
Methods: A cross-sectional study was carried out including children from third to sixth grades of basic education. Measurements of weight and height were obtained to calculate BMI and its percentiles. The Children’s Body Image Scale (CBIS) was applied to evaluate perceived and ideal BMI comparing against calculated BMI. We also analyze the frequency of accurate perceivers of actual weight and discrepancy of ideal weight against calculated BMI.
Results: The results indicated that we studied 155 children (43.8% were female) with an average of 10.2 years of age. Accuracy prevalence of BMI perceived respect to calculated BMI was 59.4% (weighted Kappa coefficient of 0.30). Discrepancy prevalence of ideal BMI respect to calculated BMI was 44.4%. Comparison of perceived BMI respect to calculated BMI showed an overestimation on low weight category (33%) and sub-estimations in categories of normal weight (12.4%), overweight (85%) and obesity (81.6%). Comparison of ideal BMI respect to calculated BMI showed an absolute overestimation of low weight and underestimations in categories of normal weight, overweight and obesity of 5.6%, 100% and 97.4%, respectively.
Discussion: The results of this work showed consistently an underestimation of children’s body weight, particularly among those classified in categories of overweight and obesity in a demographic context in which the prevalence of both categories was high of 38% in this study.
Leonardo Milella
Paediatric Hospital Giovanni XXIII, Italy
Title: Hemoadosrbtion to treath neonatal and pediatric septic shock and sepsi: Let’s give it a chance
Biography:
Milella L has completed his study in Italy and Glasgow in the Field of Neonatal and Paediatric Cardiac Surgery. He is the Chief Department of Anesthesia and Intensive Care Unit (General and Post Cardiac Surgery), [Paediatric Hospital Giovanni XXIII – Bari, Italy].
Abstract:
Blood purification technique is very quickly taking place in septic shock and sepsis treatment. The application of these techniques to neonates and paediatric patients is still very difficult for many reasons: the absence of a dedicated device, the difficult stability of cardio-circulatory function, the difficult management of fluid volumes is not complete in organ development, and not adequate and specific inflammatory response. The increased incidence of complications related to a prolonged duration of blood purification treatment has to be overtaken. Different blood purification techniques as CRRT-CVVH-D, CVVHD, and plasmapheresis are used in sepsis and MOF treatment but the timing of cytokines removal is prolonged and the recirculation of the not removed products delays the cut off of inflammatory response. This is due to the structures of the removal filters that permit a recirculation of cytokines. A new concept was needed to reduce the timing of permanence of cytokines in blood and to avoid the recirculation of mediators in the blood during treatment. We found an optimal option in CytoSorb® device: promising extracorporeal device for cytokine adsorption. We describe the use of CytoSorb® in combination with standard therapy, continuous renal replacement therapy (CRRT) and plasmapheresis in 10 severely ill paediatric patients with multiple organ failures of various aetiologies; The present case series is the first documentation of a set of paediatric and neonatal patients in which a combined therapeutic approach of hemoadsorption and renal replacement therapy showed promising results with regard to hemodynamic stabilization, control of the inflammatory response, improvement in organ functions as well as safety and feasibility. In our experience CytoSorb® allows to eliminate both problems because is structured as an on line direct resinous patch that captures and definitively removes cytokines from blood. Further prospective randomized controlled studies in the paediatric field are necessary to elucidate the full potential of hemoadsorption in this set of patients.
Recent Publications
1.Leonardo Milella, Maria Teresa Ficarella, Gerolmina Calabrese, Michele Sisto, Rita Luana Grieco, Paola Moliterni, Pasquale Raimondo, Fabiana Cito, Vito Bellino, Antonio Ranieri and Mario Giordano (2019) Application of Hemoadsorption in Neonatal and Pediatric Hyperinflammatory States: A Case Series. American Journal of Pediatrics. 5 (2): 34-42
2.Rodhes et all (2017) Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med. 43 (3): 304-377.
3.Milella L and Ficarella M (2018) First Application of CVVHDF, Plasmapheresis and Cytosorb adsorber to Solve a Pediatric Haemophagocitic Histyocitosis Case. Res Pediatr Neonatol 2017;1: RPN.000510.Milella L: Neonatal and Pediatric General and Cardiac Anaesthesia and ICU: wath‟s new in 2017/2018? - Bari Pediatric Hospital Experience-Italy." Journal of Pediatrics and Neonatal Care 2018;8:00309.
4.Bonavia A, Groff A, Karamchandani K, et al: (2018) Clinical Utility of Extracorporeal Cytokine Hemoadsorption Therapy: A Literature Review. Blood Purif. 46: 337-349.
Sohail Daniel
University of Cambridge, United Kingdom