29^th International Conference on Pediatrics Health July 27-28, 2020 Zurich, Switzerland

Biography:

Amin El-Gohary completed his MBBCh in 1972 and his Diploma in General Surgery in 1975 at Cairo University, Egypt. He became a fellow of The Royal College of Surgeons in UK: Edinburgh in 1979, London in 1980, and Glasgow in 1997. Prof. Dr. Amin worked initially in Egypt and then moved to Kuwait, then to UK, before coming to UAE in 1983. In the same year, he became the Chief and Head of the Department of Pediatric Surgery of a large government hospital. Additionally, he held post as a Medical Director for the same hospital starting 1989. He was appointed as Chief Disaster Officer during Gulf War in 1991. He also held post as the Clinical Dean of Gulf Medical College, Ajman for 3 years. Prof. Dr. Amin is well known in Abu Dhabi for his extensive interest and involvement in scientific activities. He is the President of the Pediatric Surgical Association of UAE.

Abstract:

Intussusception is a common condition that present with abdominal colic and is usually diagnosed by ultrasonography with appearance of (Target Sign). Over the last 35 years we have noticed a new phenomenon that mimic intussusception both clinically and radiologically but is not cause by bowel intussusception but by impacted stool at he terminal ileum.Whereas intussusceptions an emergency that require urgent attention to reduce either by air, saline or Barium and my need urgent exploration, Gohary's phenomenon if recognized can be treated by simple fleet enema. We have encountered 56 cases between 1983 and 2018, their age varied from 9 months and 7 years

They have the common features of

• Severe abdominal colic that is not responding to analgesic or antispasmodics
• US feature suggestive of ileo-colic intussusception 
• No red current jelly stool .intussusception
• Good response to fleet enemas

Biography:

Chhaya Akshay Divecha has completed her undergraduate as well as postgraduate (MD Pediatrics) from the reputed Seth G.S. Medical College & KEM Hospital at Mumbai, India. She has also obtained fellowships in Neonatal Intensive Care and Pediatric Intensive Care from the same reputed institution. She is currently Assistant Professor in Pediatrics at College of Medicine, National University of Science and Technology (formerly Oman Medical College) at Sohar, Sultanate of Oman. She has more than 10 years of teaching experience and has published many papers in reputed journals as well as contributed to chapters in four textbooks.

Abstract:

Aims and Objectives: Thrombocytopenia, commonly encountered in intensive care units, has been shown to be independent predictor of mortality and prolonged hospital stay in critically ill. We conducted a study in Pediatric Intensive Care Unit(PICU) to determine the causes and severity of thrombocytopenia as well as patient outcomes (bleeding and mortality).

Materials and Methods: Observational study was conducted in PICU of tertiary care hospital, India after ethics committee approval. Data was derived from routine examinations and investigations. Detailed information about demographic data, clinical data, length of stay (LOS), periodic platelet counts, primary diagnosis, complications, sites of bleeding (if any), use of mechanical ventilation and outcome in PICU were noted.

Results: Occurrence of thrombocytopenia in study population (N= 491) was 60.3%. Mild, moderate, severe and very severe thrombocytopenia was seen in 27%, 32.1%, 34.1% and 6.8% patients respectively. Causes of thrombocytopenia were sepsis (27%), part of primary illness (25.7%), undetermined cause (24.7%), nosocomial sepsis (21.2%) and drugs (1.4%). 237 (48.3%) patients had bleeding during PICU stay. Maximum patients (26.1%) had respiratory system involvement. Risk factors associated with thrombocytopenia were sepsis, shock and mechanical ventilation. Patients with thrombocytopenia had longer PICU and hospital stay. Patients with infectious disease and haematological disorders had statistically significant chances of thrombocytopenia. Shock was significantly associated with increasing severity of thrombocytopenia. Presence of thrombocytopenia and increasing severity were associated with higher mortality.

Conclusions: Thrombocytopenia is a readily available risk marker of mortality and increased PICU stay. Patients having sepsis, shock and mechanical ventilation are at higher risk of developing thrombocytopenia.

Biography:

Ghada M. El-Kassas completed her PhD at the age of 30 years from Ain Shams Univesity. She published more than 18 papers in reputed journals and have been serving as an editorial board member of four journals.

Abstract:

Protein energy wasting (PEW) and growth retardation are common problems in pediatric patients with chronic renal failure (CRF). Disturbances in anorexigenic/orexigenic hormonal balance may be key in the pathogenesis of PEW in CRF children. Aim of work: In this study we investigated the association between serum unacylated ghrelin and obestatin (two hormones involved in energy balance) and the nutritional status in a group of Egyptian children with CRF on regular hemodialys.

Subjects & Methods: This case–control study was conducted on fifty CRF children on regular hemodialysis aged (7-15years) who recruited from Nephrology department, Pediatric Hospital, Ain Shams University. Forty age and sex matched healthy children were included as a controls. Full history taking, clinical examination and anthropometric measurements were done. Standard deviation score (SDS) for all measurements were calculated. BMI-SDS, waist-hip ratio (WHR), the percentage of fat mass (FM%) and fat-free mass (FFM%) were calculated. Hemoglobin level, serum urea, creatinine, glucose, cholesterol, triglyceride, HDL, ghrelin and obestatin were measured. Glomerular filtration rate (GFR), the homeostatic model assessment–insulin resistance (HOMA-IR) and LDL were calculated.

Results: Serum unacylated ghrelin and obestatin levels were markedly higher in cases than controls (p < 0.001). Serum unacylated ghrelin and obestatin positively associated with urea and creatinine, and inversely associated with GFR in hemodialysed children (p < 0.001). Obestatin level negatively associated with BMI SDS-score (p< 0.01).Unacylated ghrelin negatively associated with weight SDS-score (p < 0.04), BMI SDS-score (p = 0.03) and percentage fat mass (p< 0.05).

Conclusion: We concluded that measurement of unacylated ghrelin and/ or obestatin is fundamental in hemodialysed children, as both hormones are inversely related to renal function and can be used as an excellent biomarker of nutritional status in hemodialyed children.

Biography:

Rania Nabil Sabry has completed PhD at the age of 37 years from Institute of postgraduate’s childhood studies, Ain Shams University, Cairo Egypt. She is graduated from faculty of medicine Kasr El Eini, Cairo University, Egypt at 1997. She is an associate professor in child health department, National Research Center, Egypt. She have published more than 18 papers in reputed journals. She had been speaker in international conferences several times before.

Abstract:

Introduction: Bisphenol A (BPA) is a high production volume industrial chemical used in manufacturing of polycarbonate and other plastic products and epoxy resin that line food cans. It is found in most products of daily life such as reused bottles, electronic equipment, medical devices as dental sealants and plastic containers. Epoxy resins are used in the internal coating of food and beverage cans in order to protect food and drinks from direct contact with metals. Experimental and human evidence suggest that BPA is a reproductive toxicant. It has been reported that BPA increases carcinogenic risk, the risks of cardiovascular diseases and diabetes in adults and childhood obesity. In addition, prenatal BPA exposure has also been associated with adverse neurobehavioral outcomes in children. Young children may be more susceptible to BPA exposure in daily life because of using plastic bottles or drinking bottled beverages. BPA is an endocrine disruptor that has estrogen like action at doses within the range of human exposure and may also interfere with androgens, thyroid hormones, and cell signalling pathways. Since the major route of human exposure to BPA is the dietary pathway, BPA is rapidly absorbed and mainly excreted in the urine as BPA conjugates. The urinary concentration of total (free plus conjugated) BPA has been used to assess the exposure level of BPA from all sources. The aim of this study is to analyse whether increased consumption and packaging of different food types in a sample of Egyptian children  will be associated with higher urinary levels of BPA or not.

Subjects and Methods: A random sample of 305 children and adolescents from 2-18 years old of different social levels were included. Three public and two private Egyptian Schools were chosen using a list of random numbers. Forty nine preschoolers were enrolled in the study. Personal history as well as anthropometric measurements including: weight, height, waist & hip circumference were taken. BMI was calculated. Urine samples were collected from 297 children and adolescents. Participants were classified into two groups according to their age. The first group included participants less than 12 years old and the second group included those who were 12 years or above. Urinary BPA, was categorized into quartiles (<1.3 ng/mL, 1.3-< 2.6 ng/mL, 2.6-4.9ng/mL, >4.9 ng/mL).

Results: Higher BPA levels were found in elder children ≥12 years (p=0.01). Increased different food types(processed Meat, animal protein, carbohydrates and eggs) consumption or food packaging (including plastic boxes and plastic jars)is not associated with increased urinary BPA levels. Chips consumption only is significantly associated with increased urinary BPA levels (p=0.046). There is no significant relationship between water usage or storage and urinary BPA levels. This study results are not in agreement with previous studies due to that in Egypt, using canned food is of limited use so we can not judge on its effect on BPA levels accurately. Lastly, Diet is not the only source of BPA levels in urine, there are a lot of factors affecting BPA levels in urine as air pollution, manufacturing of food, floor covering and food storage so we have to put this into consideration when we assess BPA levels.

Conclusion: Food consumption have no effect on urinary BPA levels except for chips, higher chips consumers had a significantly decreased levels of BPA in urine.

Biography:

Rania Nabil Sabry has completed PhD at the age of 37 years from Institute of postgraduate’s childhood studies, Ain Shams University, Cairo Egypt. She is graduated from faculty of medicine Kasr El Eini, Cairo University, Egypt at 1997. She is an associate professor in child health department, National Research Center, Egypt. She have published more than 18 papers in reputed journals. She had been speaker in international conferences several times before.

Abstract:

Background:  ADHD is one of the most common neurodevelopmental disorders, affect 5% of children worldwide and characterized by impairing inattention, hyperactivity and impulsivity and can be avoided by excluding risk factors such as food. Sphingosin- 1-phosphate (S1P) is thought to have role in neuropsychiatric disorders, immunological diseases/allergic reactions and disturbances in its metabolic pathway were associated with intake of some foods and nutrients.

Aim: The study aimed to assess effect of diet modification on ADHD outcome, the role of food as a precipitating factor for ADHD symptomatology and its relation to serum S1P.

Patients and Methods: The study included 47 children newly diagnosed with ADHD, not receiving medical or behavioral therapy, 6-9 years, IQ not below 70 with no associated comorbidities. Full history was taken; clinical examination, anthropometric measurements, 24 hour dietary recall, dietary analysis, Conner’s parent rating scale-revised short form and serum S1P were done before and after diet modification program for 5 weeks.

Results: There was improvement in ADHD symptoms as measured by Conner’s parent rating scale-revised short form (CPR-RS) after 5-weeks of diet modification program. Carbohydrate and protein intake decreased significantly after diet modification program. Energy intake did not show statistical difference while fat intake increased significantly after the diet program. Vitamin A, C, riboflavin, thiamin and iron intakes decreased significantly after diet program but were within the recommended dietary allowance. Serum S1P levels decreased significantly after diet modification

Conclusion: Following health education tips and diet modification program improved symptoms of ADHD as documented by decrease of CPR scores with concomitant decrease of serum S1P. Dietary carbohydrate and protein intakes were positively correlated with Conner’s parent rating scale-revised short (CPR-RS) scores and S1P.

Biography:

Mimoza Canga is a laureate of Dentistry at the University of La Sapienza, Rome, Italy in the years 2000-2006. She completed her PhD at the age of 45 years from the University of Medicine in Tirana, Albania. She has been working as a lecturer at the University of Vlora in the Department of Public Health, since 2009. She has published 20 papers and 24 abstracts in reputed journals.

Abstract:

Purpose: The aim of this study was to evaluate influencing stress factors, in parents of hospitalized children.

Objective: To analyze the correlation between different stressors, age and gender.

Material and Method: This study was conducted in the time period January-July 2019, in the General Pediatrics Department at Fieri Regional Hospital. The sample was composed by 200 parents where 86 (43.3%) were males and 114(56.7%) were females. The parents chosen as our sample had their children hospitalised for at least 5 days. They were willing to participate and completing the questionnaire given without any hesitation.

Statistical Analysis: The p≤0.05 values were considered significant.

Results: The majority of participating parents were females (56.7%), while the remained were males (43.3%). Most of the sample (45%) was 26-30 years old. 55% of parents had symptoms of depression originating from insomnia. 30% stated that they slept at work from insomnia. 14% of parents of hospitalized children were treated with insomnia medications and a high percentage of parents (86%) were not treated. The sample (23%) reported that they had cardiac rhythm disturbances, during their children hospitalization. Another data collected, showed that 80% of the sample was stressed out by waiting in the hospital whereas 42% of them felt stressed also by child’s oral problems. Parents of hospitalized children (83% ) felt stressed about the painful techniques applied to their children. Most of the parents (65%) were stressed out by the hospital environment. child´s sleep bruxism was considered as another stressor by 39% of the parents. The correlation between the two variables, age and sleep bruxism was statistically significant (P-value = 0.001). The correlation was statistically significant also between arrhythmia, age and gender with: P-values = 0.03 and 0.04 respectively. Age and child’s oral problems showed a moderate statistically significance (P-value = 0.04).

Conclusion: As a conclusion, this study can claim that parents of hospitalised children experience stress from different stressors such as: insomnia depression, dental visits, waiting for the diagnosis, sleep bruxism. There are other factors, which do not influence parental stress, some of these are: residence, divorced parents, lack of heat in the hospital, etc.

Biography:

Mimoza Canga is a laureate of Dentistry at the University of La Sapienza, Rome, Italy in the years 2000-2006. She completed her PhD at the age of 45 years from the University of Medicine in Tirana, Albania. She has been working as a lecturer at the University of Vlora in the Department of Public Health, since 2009. She has published 20 papers and 24 abstracts in reputed journals.

Abstract:

Purpose: The purpose of this study is to evaluate the data found in the medical records of the patients with purulent meningitis in the hospital of Fieri in Albania. Also this study aimed at investigating the ways used in treating this pathology as well as observing if these treatments were done according to the modern treatment protocol. The deficiencies of the treatments will be taken in consideration.

Objective: Identifying the cases of purulent meningitis in Fieri hospital’s medical records database during 2013-2019.

Material and Method: This is a retrospective study carried out at the Fieri Regional Hospital through studying and evaluating the medical record database of this hospital focusing on cases with purulent meningitis within the pediatric age range 4 months - 14 years old. The medical records taken under observation belonged to patients who were hospitalized in the hospital of Fier. Only 11 cases of this type of meningitis were found 2 of which were taken to Tirana hospital, while the remained 9 children were treated in the pediatric ward in the Fieri hospital.

Results: According to the records purulent meningitis was diagnosed through lumbar puncture in only 4 children. The sample of fluid taken in the spinal cord was taken to the laboratory where the diagnosis was confirmed. In all other cases the diagnosis was confirmed by the examination of the patient's clinical complaints (fever, headache, nucal rigidity and vomiting). No specific tests have been performed to find the type of pathogen that caused purulent meningitis. The medicaments used in treating these patients in Fieri's pediatrics were mainly ceftazidime and ampicillin.

Conclusion: Almost all the clinical cases were hospitalized during the year 2015. Their treatment was mainly done by the combination of ceftazidime and ampicillin at different doses according to the patient; the doses were reduced after the fifth day. Patients condition was generally good they remained hospitalized 10-12 days and they were hospital discharged when they were fully healed.

Recommandations: Medications should be used according to the micro pathogen found in the laboratory tests. Also the hospital should improve the database of purulent meningitis’ medical records.

Biography:

Gehan Ismael Mohamed is a Family Physician whose experience in the field spans 20 years, backed by a higher education degree from Netherlands. Se is pioneering as an open and contextual evaluation model based on constructive responses, which has led in the creation of new methods to improve primary Maternity & Child healthcare. Dr. Gehan has established this model following her years of experiences in medical practice, research, evaluation, and teaching in hospitals and medical Facilities in the region, including Egypt and the Saudi Arabia.

Abstract:

Our literature review study reflects the light on some chemical substances which are widely used in many & different aspects of our children daily practices & try to get the answers for the following important questions. Do these chemicals that our children are widely exposed to since even their prenatal period & throughout their lives have real high risks & dangers on their health? Is the use of these chemicals essential for our kids or we can avoid and replace them with other non-risky substances & hazardous chemical free products!! Recently, a lot of systematic review studies have been done to investigate the possible relations between the most common chemical substances that we use daily and possible risks & health problems that may affect our children. Among the chemicals that have been studied intensively in the last few years are Phthalates which are known as endocrine disruptors due to their anti-androgenic and/ or estrogenic effects! The purpose & Objectives of our study are to provide an overview of some widely and commonly used chemicals that are introduced to many of the products essentially used by our children daily, and the possible relations between their use and some of the common health problems & disorders that affect children in order to raise the awareness among parents & health care providers regarding their potential health impacts on children and to provide a proper guidance that help to minimize the avoidable exposure to these risky chemicals and replace them with hazardous chemicals free products till we get enough studies that prove or disprove their risks & effects.

Methods & Results: Our study tries to search through, emphasis on & spot the light on the use of common chemical substances (Phthalates) that are widely used in most of our children life aspects, searches for their possible risks & hazards on our kids' health, tries to get relations & connections between these substances & common pediatric health problems & disorders. In our study we reviewed the data collected from many evidences based systematic reviews and Cohort studies have dealt with these hazardous substances & stated the high incidence of their risks & their bad impacts on our kids' health & prove the relation of these chemicals to certain respiratory problems specially wheezing in childhood, ADHD, some atopic conditions and endocrine disruptions among children.

Biography:

Said El Deib is a Neonatologist with an experience of around 15 years, backed by a degree from the Royal College of Paediatrics and Child Health - MRCPCH - UK and MD in Paediatrics from Ain Shams University in Egypt. He is also a clinical Researcher in Neonatal and Paediatric Nutrition with a PGPN diploma from Boston University in the USA. Dr. Said has published several studies in reputable international journals in neonatology and paediatric nutrition. He has also presented his findings in prestigious international conferences and symposia.

Abstract:

Background and Aims: 

Diabetes mellitus (DM) is a highly prevalent condition that causes significant morbidity and mortality worldwide. Conventional therapies include lifestyle modification, oral pharmacological agents, and subcutaneous insulin. Emerging data suggest that natural approaches to the treatment of DM may help supplement current therapies for further glycemic control. Herein, we review the evidence of several natural modalities for DM treatment. We describe the pathophysiology of diabetes and its complications, provide an overview of current pharmacologic treatments, and finally, discuss natural approaches to diabetes management. Specifically, we will describe on the utility of diet, physical activity, and common natural products in the treatment of newly diagnosed cases of DM and focus on recent, high-quality studies. Adverse effects and potential interactions of each therapy will be highlighted where applicable.

Biography:

K. M. Yacob is a practicing physician in the field of healthcare in the state of Kerala in India for the last 31 years and very much interested in basic research. His interest is spread across the fever, inflammation and back pain. He is a writer. He has already printed and published nine books on these subjects. He wrote hundreds of articles in various magazines. After scientific studies, we have developed 8000 affirmative cross checking questions. It can explain all queries related to fever.

Abstract:

According to the facts of physics, if temperature increases, thermal expansion of an object is positive it will expand and with decrease of temperature, it will shrink. Pressure will increase due to an increase in temperature. On the contrary, during fever we can see blood vessels and skin are shrunk, pressure decreases, body shivers, sleep increases, motion decreases, inflammation increases, body pain increases, blood circulation decreases, dislike cold substances, etc. In fever, the firing rate of Warm sensitive neurons decreases and the firing rate of Cold sensitive neurons increases. At the same time if we apply hotness from outside by thermal bag or if we drink hot water, our body acts according to the Facts of Physics- increase of temperature pressure will also increase, expands blood vessels and skin, body sweats, motion will increase, inflammation will decrease, body pain will decrease, blood circulation will increase, like cold substances, etc.

During fever, why our body acts against the Facts of Physics? when disease increases, pressure and temperature will decrease. Blood circulation will decrease due to the decrease in pressure. If the essential temperature of the body is going out, the essential temperature and pressure will further decrease. This will further endanger the life or action of organs.  when disease  increase, it is the sensible and discreet action of the brain that tends to act against facts of physics to sustain life or protect the organ. There is no way other than this for a sensible and discreet brain to protect the life or organ. We will get a clear answer if we find out the purpose of fever, sensible and discreet action of the brain. No medical books clarify this1 During fever, if the temperature of fever is not a surplus temperature or if it is not supposed to be eliminated from the body, the shrinking of skin and blood vessels, shivering of body, dislike towards cold substances, etc are a protective covering of the body to increase blood circulation to important organs of the body it is against the facts of physics.

Biography:

K. M. Yacob is a practicing physician in the field of healthcare in the state of Kerala in India for the last 30 years and very much interested in basic research. His interest is spread across the fever, inflammation and back pain. He is a writer. I already printed and published nine books on these subjects. He wrote hundreds of articles in various magazines. After scientific studies, we have developed 8000 affirmative cross checking questions. It  can explain all queries related to fever.

Abstract:

We have been hearing for centuries that ‘fever is not a disease but a symptom’. Physicians say that fever is a symptom of diseases like flu to cancer. The conservative fever definition, diagnosis, and treatments are based on fever as a symptom. All the studies related to fever as a symptom of a disease have been done without knowing the Purpose of the temperature of fever is. Without knowing the Purpose of the temperature of fever, how can fever included in the symptom definition? Temperature between 38o to 41o centigrade can be symptom of a disease? Most of the diseases may not have a fever. Sometimes it disappears. Then, is fever a symptom of which disease? Symptom Definition is the only parameter necessary for a Symptom. As with any or all other definitions, symptom definition should describe the symptom scientifically. If it cannot describe clearly, there is no use of a symptom definition. A symptom is a departure from normal function or feeling which is noticed only by a patient, indicating the presence of disease or abnormality. One cannot be understood directly the temperature is elevated in the hypothalamus. A mechanical device is necessary to measure elevated temperature in the hypothalamus. In symptom definition, fever definition can’t be found. The elevation of body temperature is not included in symptom definition. Different cause of diseases never shows the same symptoms. Different causes of diseases like virus, bacteria, fungi, venom, horror scene, horror dream never shows the same symptoms. Its actions are different and sometimes opposite. No similarities can be seen between their actions. Elevated temperature or increased temperature never makes fever or symptoms of fever. It may create hyperthermia..None of the diseases or causes of diseases require fever as its symptom 

If the mosquito bites its virus, bacteria, venom gets deposited in the body as a result according to nature and strength of Viruses, bacteria, venom symptoms like itching, pain, and signals like colour change, inflammation may occur. We can see the symptoms, Signals, and indications of the virus, bacteria, the venom which multiple or spreading or damages (disease) the body before fever emerge. Patients who have flu to cancer may not have a fever.

How can we separate symptoms of the disease and symptoms of fever and symptoms of rising temperatures? In fever, both symptoms of disease and symptoms of Fever are included. Deduct symptom of disease from total symptoms, we will get symptoms of fever.

(Disease +Fever) - Disease = Fever.

(Symptoms of disease + Symptoms of Fever) - Symptoms of disease = Symptoms of Fever (bitter taste, body pain, fatigue to mind and body, reduced appetite, reduced motion and indigestion, internal and external discomfort) Like that we can separate signs, signals, and actions of both fever and disease. (Signals of disease + Signals of Fever) - Signals of disease = Signals of Fever (high temperature, shivering, unconscious.)

(Signs of disease + Signs of Fever) - Signs of disease = Signs of Fever.

(Actions of disease +Actions of Fever) - Actions of disease = Actions of Fever. In fever does not show any actions of temperature rise.

How can we prove the fever is not a symptom?

The fever is not symptom when examined in various directions. In fever, both symptoms of disease and symptoms of fever are included. Deduct symptom of disease from total symptoms, we will get symptoms of fever. We can separate signs, signals, and actions of both fever and disease and rising temperature. Temperature between 38 degrees and 41 degrees cannot be a symptom of any of the diseases. A different cause of diseases like virus, bacteria, fungi, venom, horror scene, and horror dream never shows the same symptoms. Fever has never been scientifically proved as a symptom of a disease. Fever has the properties of adaptation. If we ask any type of question-related to fever by assuming that the fever is not a symptom we will get a clear answer. If we avoid or evade from this we will never get a proper answer to even a single question.

Biography:

Amr I.M. Hawal has his expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on responsive constructivists creates new pathways for improving health care especially in Neonatology field. He has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions. Our case presentation was done in one of the biggest & modern of art & advanced NICU based on tertiary generation level in the region (Latifa Hospital, DHA, Dubai, UAE).

Abstract:

Background and Aims:

Diabetes mellitus (DM) is a highly prevalent condition that causes significant morbidity and mortality worldwide. Conventional therapies include lifestyle modification, oral pharmacological agents, and subcutaneous insulin. Emerging data suggest that natural approaches to the treatment of DM may help supplement current therapies for further glycemic control. Herein, we review the evidence of several natural modalities for DM treatment. We describe the pathophysiology of diabetes and its complications, provide an overview of current pharmacologic treatments, and finally, discuss natural approaches to diabetes management. Specifically, we will describe on the utility of diet, physical activity, and common natural products in the treatment of newly diagnosed cases of DM and focus on recent, high-quality studies. Adverse effects and potential interactions of each therapy will be highlighted where applicable.

Biography:

Malak Alia is an Arab Board Certified Pediatrician. She earned her medical degree from Damascus University and later obtained her master's degree in Pediatrics form the same university. Subsequently she obtained Arab Board of Health Specialization in Pediatrics. She is certified in basic life support (BLS), neonatal resuscitation (NRP) and pediatric advanced life support (PALS). Dr. Malak has 6 years’ experience in pediatric field and recently working as a specialist in Prime Health Group in UAE.

Abstract:

Background and Aims:

Acute Diarrhea (AD) is a highly prevalent condition that causes significant morbidity and mortality worldwide. Conventional therapies include oral Rehydration Solutions (ORS), Antibiotics and Zinc Products. Emerging data suggest that Probiotics use in the treatment & control of AD cases in children may help supplement current therapies for further control.  Herein, we review the evidence of several Probiotics modalities for AD treatment. We describe the Clinical Impact & prevalence of Acute Diarrhea in children and its complications, provide an overview of current treatments, and finally, discuss recent emergent Gut approaches to AD management. Specifically, we will describe - in a Comparative study - on the utility of different kinds of Probiotics known & used and common natural products in the treatment of Acute cases of AD and focus on recent, high-quality studies. Adverse effects and potential interactions of each therapy will be highlighted where applicable.

Biography:

Ayse Pervanlar has graduated as MD at the age of 25 years from Karadeniz Technical University Faculty of Medicine. She has worked in the Trabzon of State Hospital Emergency Department as a General Practitioner between November 2012 and September 2013 and in Istanbul Medeniyet University as a Family Medicine resident between September 2013 and April 2016. She has started Pediatric Residency in Maltepe University Faculty of Medicine in April 2016 and she is currently a pediatric resident in Maltepe University Faculty of Medicine.

Abstract:

Sandifer’s syndrome (SS) was first reported in 1962 as a combination of gastroesophageal reflux disease (GERD) with spastic torticollis and dystonic body movements with or without hiatal hernia occuring in children and adolescents. Although the true pathophysiological mechanisms of the condition are still unclear, it’s hypothesised that the position of the head provides relief from acid reflux.

Case presentations: A 3 month old female infant presented to our polyclinic with dystonic episodes accompanying duration of 30s-1min during feeding associated with vomiting for 2 months. Since the patient developed regurgitations with dystonic episodes which were followed by long lasting crying attacks, the milestones of motor and mental development were normal. The EEG and MRI were normal. We had two similar cases in our polyclinic.

Conclusion: The early diagnosis and treatment of GERD in patients with SS enhance the success of medical management. In our cases to diagnose we based on typical clinical features and on response to medical treatment with antacids and prokinetics.The paroxysmal dystonic features dramatically resolved completely after anti reflux treatment in our patients.Few reports of SS exist, yet it is probably underrecognised and mistreated, it might be on the interest to the scientific community.

Biography:

Rahul Hajare has been a hard worker all his academic life. After his Ph.D. in Pharmacy from Bangalore which he completed with flying colours, he is fortunate to work NARI primer HIV research Institute to complete Post Doc of World Renowned Scientist Respected Dr. R.S. Paranjape., Retired Director & Scientist ‘G’ National AIDS Research Institute Pune. Dr. Rahul Hajare has Associate Professor of Medical Chemistry to Pune University (until 2020), Dr. Rahul Hajare now Principal of Ishwar Deshmukh Institute of Pharmacy affiliated to council of India.

Abstract:

Postmenopausal vaginal bleeding has a sign that should not be Ultrasound imaging has become an effective diagnostic tool of gynecological practice throughout the years. Endometrial diagnosis typically involves invasive investigational approaches. Today, however, with the advent of high-resolution transvaginal ultrasound and Doppler ultrasonography (non-invasive diagnostic tool), has an alternative candidate to replace invasive approaches. But in order to obtain an efficient ultrasound report there has must be unified the terms to define ultrasound diagnosis uterine pathology, and to develop the prediction and diagnosis of endometrial pathology. This problem has solved by The International Endometrial Tumor Analysis (IETA) group. In the present study 120 patients with postmenopausal bleeding have included in the study.

Biography:

K. M. Yacob is a practicing physician in the field of healthcare in the state of Kerala in India for the last 30 years and very much interested in basic research. His interest is spread across the fever, inflammation and back pain. He is a writer. I already printed and published nine books on these subjects. He wrote hundreds of articles in various magazines. After scientific studies, we have developed 8000 affirmative cross checking questions. It  can explain all queries related to fever.

Abstract:

When the disease becomes a threat to life or organs blood circulation decreases, Temperature of fever will emerge to increase prevailing blood circulation. And it acts as a protective covering of the body to sustain life. When blood flow decreases to the brain, the patient becomes fainted-delirious. If we try to decreases the temperature of fever, the blood circulation will further be reduced. Blood circulation never increases without temperature increase. Delirious can never be cured without an increase in blood circulation. The temperature of fever is not a surplus temperature or it is not to be eliminated from the body. During fever, our body temperature increases like a brooding hen`s increased body temperature. The actual treatment to fever is to increase blood circulation. Two ways to increase blood circulation. 1. Never allow body temperature to lose 2. Apply heat from outside to the body. When the temperature produced by the body due to fever and heat which we applied on the body combines together, the blood circulation increases. Then the body will stop to produce heat to increase blood circulation. And the body will get extra heat from outside without any usage of energy.

How can we prove that the temperature of fever is to increase blood circulation?

If we ask any type of question-related to fever by assuming that the temperature of fever is to increase blood circulation we will get a clear answer. If avoid or evade from this definition we will never get a proper answer to even a single question. If we do any type of treatment by assuming that the temperature of fever is to increase blood circulation, the body will accept, at the same time body will resist whatever treatment to decrease blood circulation. If we measure the heat energy used for which activities in fever, we will know the purpose of the temperature of fever. No further evidence is required to prove the temperature of fever is to increase blood circulation.

Biography:

Sandeep Jhajra studied at B.J Medical college Ahmedabad, Gujarat and graduated in MD Paediatrics in 2011.He then joined Sir Gangaram Hospital as fellow in Neonatology and cleared his exam in year 2014. He then joined Lady Hardinge Medical College in 2014 and received his DM Neonatology Degree in year 2017. In 2018 he joined as Assistant Professor in Department of Neonatology at Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences Rohtak Haryana. He has published around 6 research articles in indexed journals.

Abstract:

Background: American Academy of Pediatrics (AAP) recommends that preterm should achieve rates of growth similar to those of the fetus in utero at the equivalent gestational age but this guideline has been mostly applied to weight gain. Linear growth represents lean body mass & protein accretion and reflects fat free mass (FFM) accretion. Linear growth closely indexes organ growth and development especially of the brain. Length can be used for predicting neurodevelopmental status of a growing preterm neonate.

Objective: To study the association of linear growth on neurobehavioural  outcome in preterm neonates at 37 weeks and 40 weeks of  corrected gestational age (CGA).

Design/Methods: This was a prospective observational study conducted from January 2015 to December 2016. All neonates with gestational age <34 weeks at birth who were haemodynamically stable at 48 hour of life were included and followed till 40 weeks of life. Standardized Z-scores were calculated for the length using reference data which included Fenton curves at birth, hospital discharge, 37 weeks and 40 weeks of CGA. They were assessed by Neurobehavioral Assessment of Preterm Infants (NAPI) score at 37 and 40 weeks of CGA.Results: Eighty neonates were included and divided in two groups depending on extrauterine length increase. Group 1(18 neonates) with extrauterine length increase ≥1cm/week had mean gestational age and birth weight of 32.22±0.94 weeks and 1542.78+214.87 grams respectively whereas mean gestational age and birth weight in group 2(62 neonates) with extrauterine length increase <1cm/week were 31.81±1.5 weeks and 1435.52 +278.54grams respectively. After controlling for gestational age , weight Z scores and  head circumference Z scores NAPI-MDV (motor development vigor) at 37 weeks and NAPI-AO(alertness orientation) at 40 weeks were positively related to length Z score at 37 weeks (p=0.04) and length Z scores at 40 weeks (p=0.035) respectively.

Conclusion(s): Growth should no longer be defined as weight gain only as extrauterine stunting has negative impact on neurodevelopment of preterm neonate.

Biography:

Rahul Hajare has been a hard worker all his academic life. After his PhD in Pharmacy from Bangalore which he completed with flying colours, he is fortunate to work with NARI primer HIV research Institute to complete Post Doc of world renowned scientist respected Dr. R.S. Paranjape retired Director & Scientist ‘G’ National AIDS Research Institute Pune. Rahul Hajare has Associate Professor of Medical Chemistry to Pune University (until 2020), he has serviced three times Associate Professor in Pharmaceutical Science and Analytical Science. Rahul Hajare is now Principal of Ishwar Deshmukh Institute of Pharmacy affiliated to council of India.

Abstract:

Low to high side category employees can villain. Top of FormBottom of Form Angry employees has more likely to engage in unethical behaviour at work, a new study has revealed.  Researcher has seen poverty during early service. Also, when working in the power politics institute in Pune University researcher observed that trustee take poor employees to bed hungry. To control crime researcher realised that they have to go to ethical college where they will get a mid-day meal.