Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 1st Annual Congress on Pediatrics & Cardiac Care Tokyo, Japan.

Day :

  • Pediatric Cardiology
Biography:

Ghaderian Mehdi has completed his pediatric specility at the age of 35 years from Isfahan University and pediatric cariology and congenital interventionist studies from Iran University Medical Science. He is the chief af pediatric ward at Shahid chamran hospital at Isfahan University of medical Science. He has published more than 27 papers in different journals. 

Abstract:

Background and objectives: Coarctation of aorta (CoA) is one of the congenital heart disease that can cause heart failure and severe symptoms during neonatal or infancy. Different treatments are suggested for these patients, such as balloon angioplasty or surgical repair. The purpose of this study was to evaluate the use of stents in reduction the pressure gradient and increase the blood flow in this defect during infancy and neonatal period. 
Materials and Methods: Five patients (less than one month’s old age) admitted to shahid Chamran Hospital in Isfahan University of medical science between 2016 and 2017 with severe coarctation of aorta. They were initially treated with balloon angioplasty. Each of five patients had a gradient decline after the initial balloon angioplasty and again gradients increased during the follow-up then treated with a stent implantation (in second procedure all of them had less than 10 kg). We used Cook Formula stents for these patients.   
Results: The pressure gradient decreased in all 5 patients (maximum reduction: 55 mm Hg   minimum reduction: 35 mm Hg) and we had not severe complication during or after the procedure and during the follow-up.   
Conclusion: Performing a stent in selected infant patients with severe recoarctation of aorta or long segment CoA can be safe and effective in improving patients' clinical state and preventing surgery.
 

Rita Ataíde Silva

Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal

Title: Fibrinogen relation to outcomes in congenital heart surgery
Biography:

Rita Ataíde Silva is a medical doctor, actually on the 4th year of internship in Pediatric Cardiology.
Has completed graduation on July 2014, by de Faculty of Medicine of Coimbra’s University.

Abstract:

Congenital heart surgery is an evolving field with still much to comprehend regarding hemostasis and bleeding control. Lower fibrinogen levels have been related to blood products transfusion and potential morbidity. We sought to evaluate the relation of fibrinogen to outcomes in congenital heart surgery in our population. 
This is a single center retrospective trial. We included all patients admitted to the Pediatric Intensive Care Unit (PICU) and submitted to congenital heart surgery during a 19-month period. Primary outcome was death during surgery or PICU stay. Secondary outcomes were amount of blood products transfusion in the operating room (OR) or PICU, low output cardiac syndrome (LOCS), acute kidney injury (AKI), mechanical invasive ventilation (MIV) length and PICU stay length. Statistical inference was performed using R CRAN version 3.5.0. Linear regression and ANOVA were used for continuous variable correlation and student T-test for continuous and binomial variables correlation.
There were a total of 204 evaluated patients. Mean age at surgery was 4.4 years (SD 6.4). Neonatal surgery was performed in 34 patients (18%). Fibrinogen level before surgery was 3.19 g/L (SD 0.88), with lower values related to the neonatal age (p<0.001). Fibrinogen level after surgery was 2.00 g/L (SD 0.60). Regarding the primary outcome, there were 9 deaths (4.4%). Both neonatal age (p=0.001) and lower fibrinogen levels before surgery (p=0.003, mean value of 2.22 g/L (SD 1.01) vs. 3.23 g/L (SD 0.86)) were related to death. Regarding the secondary outcomes, lower fibrinogen levels after surgery were related to higher amount of blood products transfusion in PICU (p<0.001), LOCS (p=0.001), AKI (p=0.001), and PICU length of stay (p=0.038).
In our small cohort, fibrinogen levels tend to be lower in the neonatal age. These values appear to have some relation to mortality and morbidity after congenital heart surgery. Although these outcomes tend to be multifactorial, the potential role of fibrinogen certainly deserves further study.

Biography:

Amal Abdelrazik Fathalla has her expertise in pediatric nursing. She has BSc in Nursing science, Menoufiya University, 2000, by grade very good, Intern, 2001, by grade very good, Master degree in Pediatric Nursing in 2009, with total score excellent, Doctorate degree in Pediatric Nursing in 2013, and Assistance professor degree in pediatric nursing 2019, Faculty of Nursing, Menoufiya University. She is Teaching the course of general pediatric nursing and pediatric critical care for third year faculty of nursing, Menoufiya University. Also she is teaching for postgraduate students. She published many researches in pediatric nursing, active participation in many conference as the 5th International Nursing Conference of Faculty of Nursing, Menoufia University Titled: "Towards Advanced Nursing Practice" that was hold on 4th and 5th April 2017 and the 1th International Nursing and Primary Healthcare Conference, at Hyatt Regency, Dubai, UAE. That was hold on 1st – 3rd of November 2016. An active member of the Egyption Society of child Neuropsychology (ESCNP). She is participating in all activities of Society since 2014. Participating in all activities of Society whether conference and workshops.

Abstract:

Infants who accompanied their mothers in prison were vulnerable to consequences of malnutrition. So, nutritional intervention program for those infants who deprived from outdoor facilities is a subject of interest. Therefore, the purpose of this study was to assess the effect of nutritional intervention on growth of infants accompanying their mothers in prison. A quasi-experimental design was used (Pre and posttest). The study was conducted in Egypt Qanater Women's Prison.  A convenience sample of 30 mother accompanying their infants in the above- mentioned setting was included. Three instruments were used: a structured interview questionnaire, an observational checklist and anthropometric measurements. The findings of this study revealed that infant growth improved after implementation of the nutritional intervention. In addition, there were statistically significant differences regarding mother's knowledge and practices observed on posttest than on pretest. As well as, there were positive correlation between mother's knowledge, practices and infant growth. The study concluded that mother's gained more knowledge and had better practices on posttest following the adherence of the nutritional intervention. In addition, their infants had better growth after implementation of the nutritional intervention. Therefore, it was recommended that nurse’s officers should provide periodical nutritional intervention to prisoned mother’s in order to sustain their infants growth. Special provisions must be in place to ensure that the child’s rights are promoted and protected whilst in prison. Child welfare rather than prison authorities should have primary responsibility for making decisions regarding children in prison and specialists in social work and child development should supervise their care.

Biography:

Rebecca Nerima is working as Country Program Manager-Consultant at ‘Vitamin Angels’, a non-profit, non-governmental organization focused on combating childhood malnutrition around the world through vitamin supplementation. She was responsible for managing ‘Well Share’ programmatic, administrative, and financial operations. Overseeing a team of programmatic and operations staff to ensure successful program implementation and ultimately responsible for district-level project success in reaching intermediary and end-of-project goals, within set timelines and budgets. She worked on Maternal, New born and Child Health (MNCH) programs fosters from March 2011 – February 2012 forming collaboration between member organizations and associates, while also mobilizing practitioners, scholars, advocates and donors to support the health of underserved mothers, children and communities around the world through community health approaches. As a Project officer she was responsible for overall strategic direction, project leadership, monitoring, and oversight responsibilities for a multi-year, training and technical assistance, working in partnership with the Ministry of Health, local government, communities and a nationwide network of subject matter experts from 2006-2011. Rebecca accomplished her BA. Degree in Social Sciences from Makerere University Kampala, in the field of Study Sociology & Social Administration during the year 2000 – 2003.

Abstract:

Objective: The main objective of this study is to explore the existence of a double burden of malnutrition in Refugee settlements in Uganda.

Background: A growing number of refugee camps in Uganda as a result of war in Southern Sudan are facing a double burden of malnutrition, that is, the persistence of under-nutrition, along with a rapid rise of over-nutrition and non-communicable diseases such as diabetes, hypertension and coronary heart disease. This double burden of malnutrition has resulted from various factors including: a marked transition in dietary patterns over recent years (e.g. shifts to energy dense diets high in saturated fat, sugar, and refined foods, and away from plant-based diets); inadequate access to healthy food choices; declining levels of physical activity; and inadequate access to health care services as a result of displacement and broader social determinants .In refuge settlements and host communities in Uganda, in addition to the high levels of under-nutrition, substantial levels of overweight/obesity have also been observed. At the national level, 35% of children of are stunted. The prevalence is even higher in host communities where 40% of children screened are stunted. Many low- and refuge settlements and host communities are undergoing a nutrition transition associated with rapid social and economic transitions. We explore the coexistence of over and under- nutrition at the neighborhood and household level, in a refuge settlement setting in Uganda.

Methods Data collection and review: Data was collected in 2016 on a cohort of children aged under five years born between 2010 and 2015. Anthropometric measurements of the children and their mothers were taken. Additionally, dietary intake, physical activity, and anthropometric measurements were collected from a stratified random sample of adults aged 18 years and older through a separate cross-sectional study conducted between 2012 and 2015 in the same setting. Proportions of stunting, underweight, wasting and overweight/obesity were determined in children, while proportions of underweight and overweight/obesity were determined in adults. Results: Of the 2335 children included in the analyses with a total of 4750 visits, 46% (51% boys, 40% girls) were stunted, 11% (13% boys, 9% girls) were underweight, 2.5% (3% boys, 2% girls) were wasted, while 9% of boys and girls were overweight/obese respectively. Among their mothers, 7.5% were underweight while 32% were overweight/obese. A large proportion (43% and 37%%) of overweight and obese mothers respectively had stunted children. Among the 3190 adults included in the analyses, 9% (6% female, 11% male) were underweight, and 22% (35% female, 13% male) were overweight/obese.

Conclusion: The findings confirm an existing double burden of malnutrition in this setting, characterized by a high prevalence of under nutrition particularly stunting early in life, with high levels of overweight/obesity in adulthood, particularly among women. In the context of a rapid increase in refuge population, particularly in poor settings, this calls for urgent action. Multispectral action may work best given the complex nature of prevailing circumstances in refuge settings. Further research is needed to understand the pathways to this coexistence, and to test feasibility and effectiveness of context-specific interventions to curb associated health.