International Conference on

Pediatrics

Scientific Program

Keynote Session:

Meetings International -  Conference Keynote Speaker Thomas Frederick Hartley photo

Thomas Frederick Hartley

Hartley Consulting, USA

Title:  The future of nursing in personal health & innovation in healthcare systems

Biography:

Thomas Frederick Hartley has led healthcare services for 30 years through clinician, consultant, CNO, and CEO roles. He received numerous military awards as a U.S. Army officer along with letters of commendation from two sitting U.S. Presidents before retiring as a lieutenant colonel. His teaching experience includes faculty positions, adjunct appointments and guest lecturer at more than 12 universities. He has presented on clinical, systems, and leadership topics in national and international forums. He is a fellow in the American College of Healthcare Executives and has received certification in executive nursing practice from ANCC and AONE.

Abstract:

Healthcare change across the globe is being driven by a need to curb the exponential cost increases within the industry. A heightened awareness of human factors research and the potential for evidence-based practice has gained much attention as a source of potential improvement. A new focus on quality and outcomes is driving the market in most countries. An example is the reduced payment for services and notable government influence through “value-based purchasing” causing dramatic changes in the U.S. healthcare delivery systems. Defining, capturing, and reporting clinical outcomes are a challenge for most organizations. Transitioning clinical data into electronic capture for accurate retrospective analysis is becoming a requirement and holds great promise for future clinical improvements. Decision-making in healthcare is becoming open for debate, as consumers, payers, and regulatory authorities all vie for control and influence. Prospects to redefine health care delivery processes and change the way people think about, access, and receive health services vary internationally. But opportunities are there for those who are prepared and understand healthcare financing, incentives for change, power, and influence.

Meetings International -  Conference Keynote Speaker Masahiro Onuma photo

Masahiro Onuma

Trisguide Ltd., Japan

Title: Electronic water can reduce oxidative stress in cancer and diabetes patients for 3 weeks drinking

Biography:

Masahiro Onuma has expertise in oxidative disease prevention to use non-medical product based on GSK’s experience of Allopurinol which is the strongest anti-oxidant efficacy in this world. He creates new indication of Allopurinol for stomatitis induced by cancer treatment which was approved by the Japanese Cancer treatment committee to propose new mechanism of Allopurinol for anti-oxidant. And now, there are so many new research papers of Allopurinol in the world.

Abstract:

Oxidative stress means a state there is imbalance between the oxidizing action and the reducing action due to reactive oxygen species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of Type 2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretioninducing β cells of Langerhans islets in the pancreas, the amount of superoxide dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water, which was developed to generate electron in water, was consumed for three weeks, after meals, between meals and before sleeping 6 times a day, and according to the test subjects’ possible time periods. The amount of drinking water was 750-1000 mL, and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly.

Meetings International -  Conference Keynote Speaker Jean-Christophe Klein photo

Jean-Christophe Klein

Libheros, France

Title: Workshop: Improving The Organization And Coordination Of Medical Homecares With Dedicated And Innovative Online Solutions: A True Benefit For Patients, Nurses And The Healthcare Ecosystem

Biography:

Jean-Christophe Klein has graduated from ESSEC Business School in Paris and FH Dortmund in Germany. He has previous experiences in several countries in the healthcare sector as a strategy consultant and then investment banker, before co-founding libheros in December 2015 with Florence Herry, former nurse at hospitals and patients’ home, with the main objective to facilitate patients and healthcare professionals day-to-day life. He created libheros because he saw the lack of organization for medical homecares, when his mother needed unfortunately few years ago to organize nursing cares for his grand-father suffering from a lung cancer.

Abstract:

This figure is the part of hospitals emergencies in France (i.e. 3 million people every year) that are due to the fact that patients could not organized their medical homecares, mainly nurses homecares, generally after a hospitalization. Why because there is a real lack of visibility and information regarding who and how a patient could contact a medical homecare professional, such as nurses, to organize its homecares and return at home. In the current shift of the healthcare sector from a hospital centric system to a scheme organized around patients’ home, by reducing average duration of stay at hospitals, increasing ambulatory surgeries, the demand for specific nursing homecares will drastically increase in the future. At libheros, founded by Florence Herry, former nurse, we develop specific and dedicated online solutions for patients, nurses (libheros pro) and hospitals (libheros coordination) to improve the organization and coordination of medical homecares, with a strong objective to value nurses’ important role in the healthcare system. We will start by presenting what are the feedback from patients, nurses and hospitals professionals regarding today issue, based on the numerous interviews we conducted and then explain how, with innovative online solutions we deliver strong benefit to them and facilitate their respective day-to-day life, as well as improving the national healthcare system.

Oral Session 1:

  • Intensive Care Nursing | Healthcare | Personalized Medicine | Healthcare & Patient Safety | Pediatric Endocrinology
Meetings International -  Conference Keynote Speaker Soizic de Beaucorps photo

Soizic de Beaucorps

The Necker Hospital-Enfants Malades, France

Title: Communication and simulation in paediatric intensive care unit: Better communicate to better care

Biography:

Soizic de Beaucorps is a paediatric nurse at Hospital Necker Enfants-Malades, France since 2014. She works in the Federation of Surgicales Intensive Care Units wich associates the Polyvalent Intensive Care Unit and the Neurosurgicale Intensive Care Unit. The latter is the Paediatric Trauma Center Reference for a large part of France. She is part of the “Groupe Communication et Simulation en Pediatrie” in whose name she is speaking today. She has graduated from Paris-Descartes University and serves as an instructor in simulation since this year.

Abstract:

Effective communication with parents is a cornerstone of management in pediatric intensive care. It enables a relationship of trust with concerned families. Some caregivers, while aware of the importance of communication, sometimes feel helpless when confronted with difficult situations. With this in mind, our service set up training courses aiming to improve communication between health care teams and families by exposing caregivers to complex situations thereby allowing them gain experience in communication. Simulation training was chosen for its advantages of concrete, practical application and a safe learning environment. These training sessions were composed of two complementary parts: the first interactive and theoretical part enabled individuals acquire a basic knowledge in communication, the second part empowered practical application through simulation sessions. In each simulation, professional actors of Le Rire Medecin played the role of parents while learners played the role of caregiver. At the end of simulation, actors provided general feedback to learners which in turn allowed them to explore their own practices. The presence of a psychologist allowed articulation of feelings in a secure environment. This synergistic method enabled caregivers to self improve significantly. Pre and post-tests were completed by the learners, highlighting the impact of this method as well as allowing them to evaluate the quality of training. By focusing on an individual’s interpersonal skills, simulation training allows improvement in professional practices. It is perceived as very useful by participants, allowing them to increase their professional capabilities and ensure the establishment of trust-based care relationships with families.

Meetings International -  Conference Keynote Speaker Kira Astakhova photo

Kira Astakhova

Technical University of Denmark, Denmark

Title: New therapeutic and diagnostic for rheumatoid arthritis, and autoimmune disease using novel biomimetics

Biography:

Kira Astakhova is an associate professor at the Department of Chemistry, Technical University of Denmark. She received multiple awards and honour fellowships including Jorck research award, Lundbeck research fellow, Marie Curie Early Stage Training and Carlsberg Foundation Elite Award. She is a co-author of 50 scientific articles and 5 approved patents and patent applications. Current research by her and her group is focused on the synthesis and studies of advanced biomolecular analogues and nanomaterials. This includes development of new design, synthetic strategies and assays which take advantage of the functionalized nucleic acids, peptides, proteins and lipids. In doing this we actively integrate methods of computational chemistry, organic synthesis and biomedicine.

Abstract:

This project aims for the personalized management of Rheumatoid Arthritis (RA) with a novel therapeutic supported by an effective diagnostic approach. Our goal is to fulfil unmet needs in managing the disease as currently there is no proposed solution. Our mission is to improve healthcare in society using the most recent developments in chemistry, synthetic biology and medicine. RA is a condition when the immune system loses specificity, and instead of destroying intruders of the body it attacks the body’s own cells. As much as 1% of the world population is affected by RA which leads to pain and physical disability for most patients. Despite over four decades of research, neither specific diagnostic nor effective treatment is available. We propose a new therapeutic linked with an earlier diagnostic technique. The new technology applies rationally designed synthetic antigens and their nanoparticles for the specific diagnostics and treatment of RA. The technology has a potential to dramatically improve the life quality of RA patients while reducing the disease management costs in the healthcare system. We believe that this mission will be accompanied by building a high revenue business that will take a market share estimated in billions of USD. The therapy will specifically bind and clear the inflammatory autoantibodies and cells that cause the disease. At the molecular level, it provides the treatment of inflammation causing autoantibodies and prevents their cytotoxic activity. At the cellular level, the RA associated osteoclasts are specifically targeted. The diagnostic method offers an earlier diagnostic which means less permanent disability for the patient. The diagnostic development is complete, and it is already benchmarked. The team is composed of a PI Kira Astakhova (chemistry, biomedicine), Postdoc Dr. Tiago Silva (pharmacy), Researcher Sangita Khatri (chemistry), and a project manager Lisa-Marie Jaunet (business development).

Meetings International -  Conference Keynote Speaker Ramy Mohamed photo

Ramy Mohamed

National Research Centre, Egypt

Title: Risk factors predicting insulin resistance in obese adolescents

Biography:

Ramy Mohammed M El-Sherbini has received MBBCh from faculty of medicine Cairo University, MSc in pediatrics from faculty of medicine Cairo University-Abou El-Rish hospital and PhD from institute of postgraduate childhood studies. He is a researcher of biological anthropology, consultant of pediatrics and neonatology at National research center Dokki. He has published six international publications and presented as national and international speaker, attended two international conferences in Yokahama (Japan) and Prague (Chezch Republic) and attended noble prize dialogue in Japan. He attended 10th hope meeting in Yokahama in Japan and presented two intentional poster presentations in Yokahama and Egypt. He is a member of the Egyptian Society of Neonatology, the Arab Society of Medical Research and Japanese society for promotion of science (JSPS). He worked as a pediatric consultant in many hospitals, worked as an organizer of Ganna hospital. He was awarded as the best speaker in 14th annual conference (diabetes, gut and the liver) by the Egyptian association for the study of liver and gasterointestinal disease (EASLGD).

Abstract:

Obesity is a hazard mark associated with insulin resistance (IR). This study aimed to detect which risk factors might provide the greatest predictive value for IR in obese adolescents aged thirteen to seventeen years. One hundred obese adolescents with IR and matched age and sex 100 obese healthy controls without IR were included. Anthropometry, serum lipids and metabolic biomarkers were measured. Homeostasis model assessment of insulin resistance (HOMA-IR) was used to determine insulin resistance. Significant increase in serum lipids and metabolic parameters in obese cases with IR compared to those without. Positive correlations were observed between obesity measurements and metabolic risk markers, including increase of waist to hip ratio (WHR), sum of skin folds, blood pressure, insulin, HOMA-IR, TC, TG and LDL-C levels and decrease of HDL-C in IR adolescents. WHR showed the highest correlations with biochemical markers in IR cases. WHR was able to predict IR with area under the curve = 0.82 and TG-to-HDL-C ratio with area under the curve = 0.87. WHR and lipid/lipoprotein fractions are significantly associated with IR in obese adolescents and might be used for the prediction of IR and for cases at high risk for early intervention.

Meetings International -  Conference Keynote Speaker Carol Apt photo

Carol Apt

South Carolina State University, USA

Title: Is health care a right or a privilege in the United States?

Biography:

Carol Apt received her PhD in Sociology, with a concentration in medical sociology, from Northeastern University in Boston, Massachusetts, and is a professor of sociology at South Carolina State University in Orangeburg, South Carolina, USA, where she has been for the last 20 years. She teaches courses in human sexuality, medical sociology, social problems, and the sociology of genocide, a course she developed for the University. In 2011 she was honoured as the South Carolina State University Professor of the Year. As a medical sociologist, she is a consulting member of the South Carolina Medical Association Bioethics Committee. In addition to her background as an author and a newspaper and magazine columnist, she is the host of a radio talk show entitled, “Talk to Me,” which addresses issues of sexuality and relationships.

Abstract:

A right is something that is guaranteed and protected by a higher authority, such as a government, whereas a privilege is a special advantage or benefit that is granted to a person, a group, or to a category of people. A privilege, therefore, is granted to some and denied to others. The right to health care, or as some would say, the right to health, is a basic human right, as codified by international human rights law by the World Health Organization (1946), the Universal Declaration of Human Rights (1948), and the World Conference on Human Rights (1993). This presentation will compare the opinions of experts in the field of health care as to whether it is a right or a privilege in the United States. Most Americans access health care through their employers; for those people health care is a right. However, since 2005 most new jobs added to the economy have been classified as part-time, temporary, or seasons, which mean that they don’t provide access to health care for employees. While the majority of Americans claim to be in favour of universal health care, the United States doesn’t have it; 44 million Americans have no health insurance and 38 million Americans are underinsured. This presentation will examine some of the arguments surrounding the controversial subject of universal health care in an attempt to understand why we don’t have it. The history of connecting access to health care through employment will also be discussed.

Meetings International -  Conference Keynote Speaker Wenjing He photo

Wenjing He

University of Alberta, Canada

Title: Synchronization of pupil dilations reveals team performance

Biography:

Wenjing He has completed PhD in surgical simulation specializing in team training and team performance assessment using eye tracking and motion tracking evidences at University of Alberta. She has four years simulation instruction experience in team training and team work assessment. She also has the experience in simulation design, training and evaluation. Currently she is the manager of Surgical Simulation Research Lab (SSRL).

Abstract:

Objectives: To investigate if team members display similar pupil dilations during a laparoscopic procedure.
 
Methods: Fourteen subjects formed 22 dyad teams. Each team carried out a simulated laparoscopic object transportation task. Dual team members’ eye movements were tracked simultaneously during the procedure. Three types of teams (elite, intermediate and poor teams) were grouped according to team performance (task completion time); Six subtasks were identified from the procedure according to key movement landmarks. The similarity of pupil dilations was calculated by coefficient of determination (R2) between two individual members’ pupil diameters. A two-way between-subject ANOVA was conducted to explore how team levels and task type affect joint pupil dilation. 
 
Results: Our results showed that elite teams’ members pupil dilations were more synchronized, i.e. the similarities (R2) of pupil dilation patterns of elite team members were significantly higher than those of poor teams (0.36 ± 0.22 vs. 0.21 ± 0.14; P < 0.001).
 
Conclusions: Level of similarity of pupil dilation recorded from two team members presented difference among teams with different performance; it has a potential to serve as an objective indicator in assessing shared team cognition.
Meetings International -  Conference Keynote Speaker Sjaak Vink and Aysen Simsek photo

Sjaak Vink and Aysen Simsek

The Social Medwork, The Netherlands

Title: Workshop: Working together towards access to life for patients everywhere

Biography:

Sjaak Vink is a social innovator and he has always aimed to create a more equal and fair healthcare system that gives everyone, everywhere the access they need. After a successful career as an entrepreneur, he set out to dedicate his time towards social good. He founded TheSocialMedwork in 2014 with the sole mission to help patients all over the world to get access to the newest treatments not approved in their home countries.

Abstract:

Healthcare access is a worldwide challenge. Every day, patients from all over the world are denied access to elsewhere approved health innovations for arbitrary reasons. TheSocialMedwork aims to provide patients with access to quality of life improving medicines. To date, TheSocialMedwork has helped patients with life debilitating illnesses gain access to 5,500 elsewhere approved medicines in over 75 countries. Under the Named Patient import basis, and with the help of healthcare professionals all over the world, TheSocialMedwork is safely and legally delivering medicines to patients everywhere. The partnership between TheSocialMedwork and nurses is a very important one. Together we have a responsibility to educate and guide doctors about all the available options for every patient without providing false hope. During this presentation, Founder & CEO Sjaak Vink and Medical Doctor Aysen Simsek, MD, MSc will share valuable insight regarding: TheSocialMedwork overview, The named patient regulation, The process of helping patients access elsewhere approved medicines and The intricate role that nurses play in guiding doctors.

Meetings International -  Conference Keynote Speaker Justine Monsaingeon photo

Justine Monsaingeon

Dynseo, France

Title: Workshop: Cognitive stimulation on tablet for senior with cognitive disorders: both impact for the senior and caregivers/nurses

Biography:

Justine Monsaingeon has graduated from EM Lyon, France. She has managed a team of 50 consultants, as a business senior manager where her team was mainly involved in projects in the field of ICT & Health. She found that the proposed animations were infantilizing and that seniors were bored. With this in mind, she decided to launch DYNSEO with her mother. She was rewarded in 2014 as the French woman entrepreneur of the year, among other awards. She is now spokesperson for the silver economy sector with the French government and vice president of France Silver Eco.

Abstract:

We are going to present a study about our memory games apps and the impacts it has on seniors. Moreover, we truly believe it has also great impacts on caregivers and nurses staff because it’s valued them, they gain time. Stim’Art is a brain training program designated for all. Two versions: Scarlett for seniors suffering cognitive disorders and Clint, a version for autonomous seniors to prevent cognitive disorders and to promote social links. Stim’Art program was developed with a health professional to propose a high-value proposition for seniors and caregivers and nurses’ staff. Today, each program contains more than 18 games. A well-balanced set of games to address issues such as memory, concentration, visual gnosia, visual memory, semantic memory, reasoning, episodic memory, etc. An online monitoring platform allows to access to progress, favorite games but also success rate, current difficulty level, and wellbeing. The calendar feature allows caregivers or families to easily track the seniors under their care. They will be able to access their individual results by day, week or month as well as follow their progress. The monitoring platform sends alerts for caregivers in real time the users who are experiencing difficulty. Different types of alerts have been developed in collaboration with our health partners: wellbeing alert, lack of activities alert or lower cognitive performance alert. The caregiver can then go directly into the user’s profile for more information on how the better way to assist the senior.