Program

th
37
International Congress of
The Egyptian Society for
Neonatal and Preterm Care
( ESNPC)
Date
10 - 13 Feb. 2016
Program
Venue
Hurghada- City ,Egypt
Book
President
Prof. Gamal Samy
General Secretary
Prof. Khaled Taman
Society website
www.esnpc.org
Congress website
www.esnpc-congress.com
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
ESNPC Board
Welcome
Prof. Gamal Samy Aly
Professor of Pediatrics - Ain Shams Universit-Egypt
President of the Society
Prof. Hisham Awad
Professor of Pediatrics - Ain Shams University - Egypt
Vice President of the Society
Dear Colleagues,
On behalf of the Egyptian Society for Neonatal and Preterm Care (ESNPC) it is my
pleasure and honour to invite you all to the 37th International congress of the society.
I am delighted to extend an invitation to all our colleagues to register and actively participate
in this distinguished event.
The program is made as exciting and interesting as possible and we have invited expert faculty
members.
Our main thrust will be to encourage continuous medical education where both experts and
delegates meet to share and learn.
Finally, l hope to welcome you all in this distinguished congress and to enjoy meeting,
discussions and your stay with us in Hurghada which is one of the most
fantastic destination in the world.
Sincerely Yours,
Professor Gamal Samy Aly
President of ESNPC
Prof. Khaled Hussein Taman
Professor of Pediatrics - Ain Shams University - Egypt
General Secertary of Society
Prof. Mohamed El-Barbary
Professor of Pediatrics - Ain Shams University - Egypt
Treasures of the Society
Prof. Ismail Sadek
Professor of Pediatrics - Ain Shams University - Egypt
Member of the Board
Prof. Sameh Abdel Hay
Professor of Pediatrics surgery - Ain Shams University Egypt
Prof. Adel Reyad
Professor of Pediatrics - Banha University - Egypt
Member of the Board
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10 - 13 February 2016 , Hurghada - City , Egypt
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Scientific Committee
Abdel Halem Badr El-Din
Abdel Latif Abdel Moaz
Abdel Rahman El Mashad
Ahmed EL-Said Younis
Ahmed El Beleidy
Amira Edris
Amr Abbassy
Atef Donia
Atef Noseir
Eman Seoud
Hamdy Ghazal
Hamed El Khayat
Hesham Abdel Hady
Hoda Seoud
Magdy Mostafa Kamel
Mohamed Fathalla
Mohamed Khashaba
Mohamed Reda Bassiouny
Mohamed Sabry Abo Allam
Mona El Samahe
Mona Salem
Mostafa Awny
Mostafa El Saeid
Ramzi El Baroudy
Sameh Tawfic
Samy El Shemy
Shadia El-Sallab
Shrief Abd Alal
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Alexandria Universitry
Assiut University
Tanta University
Military Hospitals
Cairo University
Cairo University
Alexandria University
Al-Azhr University
Zagazig University
Sohag University
Cairo University
Assiut University
Ain Shams University
Mansura University
Al-Azhr University
Minia University
Ain Shams University
Mansura University
Mansura University
Cairo University
Ain Shams University
Ain Shams University
Tanta University
Assiut University
Cairo University
Military Academy
Ain Shams University
Mansura University
Cairo University
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Faculty
Speakers
Arranged in Alphaetical Order
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ESNPC 2016
10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Adel Reyad
Benha University
Wadi-El-Neel Hospital, National Defense Council, Cairo, Egypt
Professor Adel Reyad is the Chief Consultant and Head of Neonatal Intensive
Care Unit, Head of Pediatric Liver Transplant Intensive Care Unit and Head of
Infection Control Department at Wadi-El-Neel Hospital, National Defense
Council, Cairo, Egypt.
Professor Reyad obtained his medical degree with honor, subsequently his MSc
and MD degrees in Pediatrics and Neonatology from Ain Shams
University in Cairo, and Benha University, Egypt.
He has been practicing Neonatology for more than thirty years;
establishing and designing many NICUs, selecting their equipments and training
their neonatologists and nursing staff.
He is an international member and certified Neonatal Resuscitation
Instructor from AAP, as well as EPLS certified.
Professor Reyad is a founder and board member of the Egyptian Society for
Neonatal and Preterm Care, the first Neonatology Society in Egypt.
He is also a member of the Advisory Committee of the Egyptian Neonatal
Guidelines.
Professor Reyad’s main areas of interest are Pediatrics and Neonatology.
He also has a strong background and special interest in CME in asthma,
vaccines and antibiotics. He has been conducting many professional
presentations and training sessions in Egypt and other Middle East countries.
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Ahmed Saad ElDin El-Beleidy
Cairo University
- Dr. Ahmed El-Beleidy was born in October 1955.
- Dr. El-Beleidy has got his M.Sc of Pediatrics in May 1982, then his MD of Pediatrics
4 years later, in May 1986. Both degrees were taken from Cairo University.
- In 1996, Dr. El-Beleidy was appointed as Professor of Pediatrics, he became the
head of the Pediatric ICU of Cairo University New Children’s Hospital in 2011.
- In August 2013 Professor El-Beleidy was elected as the head of the
Pediatric Department in Cairo University. He is holding this title till now.
- Professor El-Beleidy shared in the supervision and evaluation of more than 100
M.Sc and MD theses, in different universities in Egypt.
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Gamal Samy Aly
Ain Shams University
=-
- Professor Gamal Samy Aly Egypt
- Professor of Pediatrics & Neonatology (Since 2002)
- Dean of Institute of Post Graduate Childhood Studies ,Cairo, Egypt( 2004-2007)
- Vice president of Ain Shams university, Egypt (2007-2011)
- President of the Egyptian Society for Neonatal &Preterm Care (Since1998)
- President of the Union of Mediterranean Neonatal Societies ( 2001 – 2003 )
- Editor in chief of the Egyptian journal of Neonatology (Since 1999 )
- Associate Editor of the Egyptian journal of Pediatric Allergy& Immunology (Since
2002)
- Vice president of the Egyptian Association of Pediatrics (since 2007 )
- Member of the board of the Egyptian Society of Pediatric Allergy& Immunology
(Since 2002 )
- Member of The Board of International Academy of Neonatology ( IAN ) Since
2011.
- Participating in supervision and discussion of 80 university theses(69 PH and 11
Master) in Egypt and internationally.
- WHO consultant in the International Committee of Vaccines safety and follow
up ( Since 2005)
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Khaled Hussein Taman
MBBCH, M.D, Ph.D.
Professor of Pediatrics, Medical DepartmentAin Shams University, Cairo, Egypt
E-mail: [email protected]
RESEARCH AND TEACHING INTERESTS:
- General Pediatrics.
- Pediatric Gastrointestinal Diseases.
EDUCATION:
1974-1980: MB,Bch; Faculty Of Medicine, Ain Shams University, Cairo, Egypt.
1982-1984: Master degree in pediatrics, Faculty of Medicine, Ain Shams University,
and Cairo, Egypt
1986-1993: M.D in pediatrics, Faculty of Medicine, Ain Shams University, and
Cairo, Egypt 1990-1993: Ph.D. in Childhood Health and Nutrition, Medical
Department, Institute of Postgraduate of Childhood Studies, Ain Shams University,
Cairo, Egypt
ACADEMIC POSITIONS
- Dean for postgraduate and research Institute of Postgraduate Childhood Studies, Ain Shams University.
- Vice Dean for postgraduate and research Institute of Postgraduate
Childhood Studies, Ain Shams University.
- Director of childhood consultation unit Institute of Postgraduate Childhood Studies.
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
- Member of medical counseling of neonatal nursing fellowship- Health ministry
- Member of higher research council Ain Shams University
- Member of childhood sector council Higher Education Ministry
- Member of evaluation committee for promotion in the Educational Hospitals
TRAINING AND EXPERIENCE:
1982-1985: Pediatric residency, Pediatric Department, Faculty Of Medicine, Ain
Shams University. During residency gained experience in General Pediatrics as well
as the following subspecialties: Hematology & Oncology, Pediatric neurology,
Neonatology, Allergy & Immunology, Chest & Cardiology, and Tropical Medicine.
1985-1993: Ass. Lecturer in pediatric, Pediatric Department, Faculty of Medicine,
Ain Shams University. The responsibilities of assistant Lecturer included looking after
general Pediatrics outpatients & inpatients, supervising the work of house officers
and residents, conducting ward rounds and teaching for the undergraduates.
1993-1998: Lecturer in Medical Department. Institute Postgraduate of Childhood
Studies, Ain Shams University. My duties included:- Teaching medical students,
postgraduate students, Seminars & journal clubs for continuous Medical education.
Shared in the establishment & supervision of the Pediatric Clinic in the institute.
1998--2003: Ass. Prof. of Pediatric, Medical Department. Institute Postgraduate of
Childhood Studies, Ain Shams University.
February - April 2001: visiting professor to Pediatric Gastroenterology and Nutrition
Department- Emory University – Atlanta – Georgia- USA .
2004- 2007 Vice Dean for postgraduate and research Institute of Postgraduate
Childhood Studies, Ain Shams University.
2007 – 2010 Dean for postgraduate and research Institute of Postgraduate
Childhood Studies, Ain Shams University.
2015- Dean for postgraduate and research Institute of Postgraduate Childhood
Studies, Ain Shams University .
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
March 2007 Training course in neonatal gastroenterology by IPOKRaTES in Dubai.
October 2007 Training course on DXA in South Africa
2004- 2008 Director of childhood consultation unit Institute of Postgraduate
Childhood Studies.
2008-2015 organizing of neonatal clinical Training course in cooperation with
IPOKRaTES in Dubai and Oman
.2012 Clinical neonatal training course for Nurses
1999- Till now General Secretary of Egyptian Society of Neonatal and Preterm
Care ESNPC
2012 till now founding member of International academy of Neonatology
2014 till now founding member of Egyptian Foundation of Vaccinology.
RESEARCH PROJECTS:
1997- 1999: Co-PI, Early Detection Of Malnutrition In Primary School Children At
El-Zitoun District. Ain Shams University.
1999- 2000: Co-PI, Monitoring Cardiovascular Network in Egypt: A Pilot Study. Institute Postgraduate Of Childhood Studies and Cardiology department Ain Shams University (funded by WHO, Regional Alex.).
1999-2001: Co-PI, Prevention of Accidents in Children. Ain Shams University
2007 – 2009 PI of Eating disorders in school children (funded by the university)
2007 – 2009 PI of project National Atomic center about Bone density in
thalassemic children in Egypt .
PUBLISHED PAPERS:
More than 50 papers national and international
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
DR. KHALED M.EL-ATAWI
EDUCATION & QUALIFICATIONS:
• March 2014: PhD in Pediatrics, Ain Shams University, Cairo, EGYPT. Thesis: High
Frequency Oscillatory Ventilation in Preterm Babies: Multi-Organ
Affection
PROFESSIONAL EXPERIENCE:
• Currently Consultant Neonatologist, Neonatal Intensive Care Unit, Latifa Hospital,
DHA (DHA), Dubai, U.A.E., Since 11th March 2015.
• Acting Consultant Neonatologist, Neonatal Intensive Care Unit, Latifa
Hospital, DHA (DHA), Dubai, U.A.E., Since 18th of November 2013 till 11th March
2015.
•Lecturer in the Academic Department of Pediatrics, Dubai Medical
College, 31st December 2011.
Dubai Medical College (DMC) is committed to providing students with
medical education to obtain an accredited degree of Bachelor in
Medicine and Surgery in the UAE.
• Specialist Senior Registrar in Special Baby Care Unit (Neonatal Intensive Care
Unit) in Al Wasl Hospital, DHA (DOHMS), Dubai, U.A.E., Since 1st of July 2004.
• Acting Specialist Neonatologist in Special Baby Care Unit (Neonatal
Intensive Care Unit) in Al Wasl Hospital, DHA (DOHMS), Dubai, U.A.E., Since 5th of
November 2003 till 31st of May 2004.
•Role of bedside Ultrasound in determining the position of Umbilical Venous
Catheter
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International Congress of The Egyptian Society
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ESNPC
Dr. Samar Mohamed El-Maadawy*, Dr. Mahmoud Saleh Elhalik**, Dr. Khaled
Mahmoud El-Atawi** during 3rd Annual Congress of Neonatology (ACN) 4th - 6th
June 2015, Tunisia.
o Radiology Department*, Latifa Hospital, Dubai, UAE
o Neonatal Intensive Care Unit (NICU) **, Latifa Hospital, Dubai, UAE
• Metabolic Bone Disease of Prematurity “Not a Disease of Past”- Case Report
Dr. Tushar Kulkarni, Dr. Khaled El-Atawi and Dr. Mahmoud Elhalik, NICU, Latifa Hospital,
DHA, Dubai, U.A.E. during 3rd Annual Congress of Neonatology (ACN) 4th - 6th June
2015, Tunisia
• Femoral Hypoplasia- Unusual Facies Syndrome; Rare Case Presentation
Dr. Amany Abdulsamad, Dr. Khaled El-Atawi and Dr. Mahmoud Elhalik, NICU, Latifa
Hospital, DHA, Dubai, U.A.E. during 3rd Arab Neonatal Congress and 1st MEMAP Update in Pediatrics, 12th - 14th of September 2014, Dubai, U.A.E.
• Congenital Neonatal HSV infection: Case Report- Lessons to Learn
Dr. Ahmed Ramzy, Dr. Khaled El-Atawi and Dr. Mahmoud Elhalik, NICU, Latifa Hospital DHA, Dubai, U.A.E. during 3rd Arab Neonatal Congress and 1st MEMAP Update in
Pediatrics, 12th - 14th of September 2014, Dubai, U.A.E.
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Khalid Haque
Professor Khalid Haque has recently retired from University of London, St. George’s
Medical School. He was also senior Consultant Neonatologist and chief of
Neonatology at St. Helier University Hospital. He was also the Director of Research
and Development at Epsom & St Helier University Hospitals Trust.
He has been principal regional examiner for the Royal College of Paediatrics and
Child Health and visiting professor and examiner to four universities.
Prior to returning back to the UK in 1990, professor Haque held the first chair of
neonatal medicine in the Middle East as Professor of Neonatal Medicine at the
University of Riyadh.
He has a total of 40 years of Paediatrics and neonatology experience working in
Asia, Arabia, North America, Canada and the UK.
He has published 160 peer-reviewed papers, six chapters and has authored two
small books. He has done pioneering research work in immuno-modulation and
other aspects of neonatal sepsis.
He was one of the principal investigators of the International Neonatal Immunoglobulin Study (INIS). As an invited expert on neonatal sepsis he has recently
published consensus definitions of neonatal blood stream infections in paediatric
critical care medicine.
He has regularly supervised Masters and PhD students and is a reviewer for twelve
international journals. He is visiting professor to four universities.
He is married with three daughters and five grandchildren. None of his daughters
have been foolish enough to follow the career path their father has taken. Outside
medicine, his interests are reading (most avidly when his family are talking to him),
Indian classical music, cricket and evasion of all possible domestic responsibilities.
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Mahmoud Tarek Abd El-Monim
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. MEDHAT N EZZAT
)CONSULTANT IN NEONATAL PAEDIATRICS( Aberdeen Maternity Hospital
Head of Service( Clinical Lead) - Honorary Senior Clinical Lecturer
- Professor of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo,
Egypt.
- General Director of Ain Shams University Children’s Hospital, Cairo, Egypt
QALIFICATIONS:
- M.B., B. Ch. (Excellent with honor) December 1983.
Faculty of Medicine Ain Shams University
- M. Sc. Pediatrics (Excellent) May 1988.
Faculty of Medicine Ain Shams University
- MD Pediatrics, April 1993.
Faculty of Medicine Ain Shams University
- Diploma “Advanced Hospital Management “ Canadian International
Academy for Advanced Studies CIAAS (2014)
RESEARCH & SCIENTIFIC ACTIVITIES:
- Research interests include Intensive care medicine, pediatric cardiology
and pediatric pulmonology.
- Over 42 published papers in Egyptian and international specialized
scientific magazines.
Supervision of 51 thesis (master and doctor degrees) in pediatrics
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Qualifications & Professional Memberships
• MBBCH, MSc,
• FRCPCH
• Fellow of the Royal College of Paediatrics and Child Health
• British Association of Perinatal medicine(BAPM)
• European Paediatric association(EPA/UNEPSA)
• Neonatal Society
• North of Scotland Research Ethics Committee
• North East Scotland Child Protection Committee (NESCPC)
• BAPM ( British Association of Perinatal Medicine) advisory Panel
• Previous Training and Postings
Camperdown Children’s Hospital, (Sydney), John Radcliff Hospital, Oxford UK,
Royal North Shore Hospital Sydney, Penrith hospital (Sydney),Melbourne Children’s
Hospital , Mater maternity Hospital (Brisbane ,Australia) RVI, Newcastle upon Tyne,
(clinical and research fellow) Sunderland Hospital, UK (Consultant in Neonatal
Paediatrics and honorary senior lecturer, Newcastle university)
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Other responsibilities :
National Secondary Care Appraiser, Expert referee for NIHR Health Technology
Assessment (HTA) for clinical evaluation and assessment of trials Member of
Aberdeen Maternity Neonatal Databank Steering Committee, DCH/MRCPCH
Examiner for the RCPCH
START assessor ( assess the UK specialty trainees at the end of training if they
are ready to work as consultants)
Unit lead for the followings (audit, Developmental follow up, perinatal
infection, Maternal substance misuse and Neonatal abstinence Syndrome,
child protection)
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Ramzy El Barwdy
Professor of Pediatrics - Cairo University
Research Interests
My research interests are in the following areas: Neonatal infection,
developmental Paediatrics and Nutrition
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Sanaa A. Mahmoud, MD, PhD.
Clinical Professor of Pediatrics and Allergy and Immunology (2015 - 2020) at the
University of Pikeville, Kentucky College of Osteopathic medicine
Allergist/Immunologist at the Allergy Asthma Center , Somerset,KY
Part time: Neonatlogist: McLaren McComb, Mount Clemens, Detroit,
Michigan
Education & Certification:
• Allergy & Immunology Board Certification: October 2005.
• Allergy & Immunology fellowship training: July 2002 – July 2004 (Louisiana State
University, Shreveport, LA).
• American Board of Pediatrics. October 2002.- Recertified in 2012
• The second Pediatric Residency Training. July 2000 - June 2002 ( Lincoln Medical
Center, Bronx, NY)
• Modified Research Fellowship Neonatal / Perinatal Medicine.
(December, 1989 - July, 1990)
Children’s Hospital Medical Center. University of Cincinnati, Ohio.
• Doctorate’s Degree in Pediatrics (November, 1987) (Thesis in Poliomyelitis).
Ain Shams University. Cairo - Egypt.
• ECFMG Certification - (1983) ( the earlier 2 days exam), (USMLE step I, II, III passed
in 2004-2005)
• Master’s Degree (M.Sc.) in Pediatrics (October, 1982) (Thesis in
Hematology).
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International Congress of The Egyptian Society
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ESNPC
Academic and Professional Appointments:
• Allergist/Immunologist: Allergy, Asthma & Immunology Center, Solo practitioner in
affiliation with Lake Cumberland Regional Hospital , Somerset, KY
( February 2005- now)
• Allergy/ Immunology fellow, Louisiana State University, Shreveport, LA
( July 2002- July, 2004)
• Pediatric Resident (PL3) Lincoln Medical & Mental Health center, Bronx-NY (July
2001-June 2002)
• Pediatric Intern (PL1) Lincoln Medical & Mental Health Center, Bronx-NY (July
2000- June 2001)
• Professor in Pediatrics, Ain Shams University, Cairo-Egypt (October 1998 - present)
•Assistant Professor of Pediatrics, Ain Shams University, Cairo - Egypt. (November
1993 - October, 1998.)
• Lecturer in Pediatrics, Ain Shams University, Cairo - Egypt (January 1988 - November 1993)
•Assistant Lecturer in Pediatrics, Ain Shams University Hospitals, Cairo - Egypt. (August 1983 - January 1988).
• Registrar, Pediatric Department, Ain Shams University, Cairo - Egypt (February
1983 - July 1983).
• Medical Supervisor of the NICU, Gynecology & Obstetric Hospital. Ain Shams University, Cairo - Egypt. (1990 - 2000).
• UNICEF Consultant in Cairo – rural development projects (July - September,
1994)
• General Pediatrics & Neonatology Consultant (locum) Kingdom of Saudi Arabia
(1993, 1994 & 1995).
Awards & Honors:
• Excellent Academic Performance Graduation Honor.
• Excellent Academic Performance Honors in the Pediatric Master and
Doctorate Degrees.
• Certificate of Appreciation (Kingdom of Saudi Arabia) (for contribution as a lecturer in the graduate and postgraduate studies council).
• Best PL1 resident 2000-2001, Lincoln Hospital, Bronx-NY
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Sameh Abdel Hay
Prof pediatric surgery-former head of pediatric surgery department
Director of MD training program
Co editor of annals of pediatric surgery
Supervisor of house officer training program
Instructor of laparoscopic surgery
Ain shams university
Cairo Egypt
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Prof. Sanaa Youssef
Professor of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Activities and Achievements
•Founder of the Nutrition Rehabilitation Unit Children’s Hospital, Ain Shams University
1997 till the present time.
•Collaborating with various specialized clinics in the children’s hospital Ain Shams
University (oncology, Cardiology, nephrology, Hepatology , Neurology clinics) to
implement specific nutritional rehabilitation protocols.
•Teaching nutrition and clinical nutrition in Pediatric department, Faculty of
Medicine Ain Shams University for undergraduate and MD students
•Nutritional courses for general practitioners and nurses in collaboration with
multinational companies in Egypt and gulf countries
•Supervision of more than 250 master degree and PHD thesis in Pediatrics, Ain
Shams University; the majority of them related to the field of clinical nutrition and
nutritional disorders.
•Founder of nutrition rehabilitation clinic in postgraduate institute of childhood
studies 2003
•Establishment of Clinical Nutrition for Cancer patients in the National institute of
cancer pediatric department 2010.
•Author of chapter of nutrition in pediatric book of undergraduates Ain Shams University reviewed every 2 years
•Project sponsored by Ain Shams University in collaboration with institution of Child
and Maternal health:
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
1.Screening eating disorders among Egyptian children in 5 governorates.
2.Nutritional assessment of preschool children in two Egyptians governorates.
• Project in collaboration with national research center:
Principle investigators infant feeding practice and cow’s milk consumptions
among Egyptian infants.
Memberships
•Ain-Shams clinical society.
•Middle East Pediatric Nutrition Association (MEPNA).
•Egyptian society For Pediatric Gastroenterology, Hepatology and Nutrition
(EPSGHAN).
• Member in the European Pediatric Society of Gastroenterology Hepatology and
Nutrition EPSGHAN since December, 2011.
• Pan Arab Society of pediatric Gastroenterology, Hepatology and Nutrition (Pan
Arab PNGHN).
• Member of the American society of Nutrition
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Prof. Tarek Abd El Gawad
Consultant and Head of PICU
Consultant ad Head of Surgical PICU
Faculty of Medicine, Ain Shams University
Cairo, Eypt
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ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Day
Wednesday
10 Feb. 2016
Program
at a glance
ESNPC 2016
Thursday
11 Feb. 2016
Friday
12 Feb. 2016
Saturday
13 Feb. 2016
Time
8.00-12.00
2.00- 4.00
4.00-5.00
5.00-6.00
6.00-7.00
7.00-8.00
8.00-9.00
Event
pm
pm
pm
pm
pm
pm
pm
9.30-10.30
10.30-11.30
11.30-12.30
12.30 - 1.00
1.00 -1.30
Break
6.00-7.00
7.00-7.30
7.30-8.30
8.30-845
am
am
pm
pm
pm
9.30-10.30
10.30-10.45
10.45-11.10
Prayer time
Break
5.00-6.00
6.00-7.00
8.30-11.00
am
am
am
pm
pm
pm
pm
pm
pm
pm
Arriving and Accommodation
Registration
Opening of the Exhibition
Scientific Session 1
Scientific Session 2
Scientific Session 3
Scientific Session 4
Scientific Session 5
Scientific Session 6
Scientific Session 7
Scientific Session 8
Scientific Session 9
Break
Scientific Session 10
Scientific Session 11
Scientific Session 12
Scientific Session 13
Scientific Session 14
Scientific Session 15
Scientific Session 16
Prayer Time
Break
Scientific Session 17
Scientific Session 18
Closing ceremony
Departure according to flights schedule
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International Congress of The Egyptian Society
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ESNPC
Scientific
Program
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Day 1
Wednesday
10 . Feb, 2016
ESNPC 2016
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10 - 13 February 2016 , Hurghada - City , Egypt
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Day 1
ESNPC
Scientific Session 2
10 . Feb,. 2016
Scientific Session 1
6.00 – 7.00 pm
5.00 – 6.00 pm
Chairpersons:
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Hussein Kamel Bahaa El-Din
Ashraf Shaalan
Abd El-Halim Bader El-Din
Ahmed EL-Said Younis 5.00-5.10 pm
President of EPA- Egypt
President of National Research Center
Alexandria University – Egypt
Military Hospitals
Welcome message
Prof.
Prof.
Prof.
Prof.
Hoda Lotfy Tharwat Deraz Adel Reyad
Mostafa Awny
6.00-6.30 pm
5.10-6.00 pm
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6.30-7.00pm
Immunomodulation in Neonatal Sepsis
Khalid Haque
Remarks:
10 - 13 February 2016 , Hurghada - City , Egypt
Autoinflammatory Syndromes
Sanaa Abd El Rahman
Khaled Taman
Gamal Samy
Ain Shams University
Ain Shams University
Benha University
Benha University
RSV Prophylaxis in Preterm Babies
Medhet Ezzat
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
31
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 3
Scientific Session 4
7.00 - 8.00 pm
8.00 - 8.30 pm
Chairperson:
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Mohamed Fathalla
Ismail Sadek Magdy Mustafa Kamel Hussein Abd El Aziz
Ain Shams University Ain Shams University
El Mania University
Saudi Arabia
7.00 - 7.30 pm
Zika Virus - What Should we Know.
Gamal Samy
7.30 - 8.00pm
Neonatal Neutropenia Treat or Ignore
Khaled Taman
Prof. Khaled Taman
Diaper Rash : Updates
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
Ain Shams University Sponsored by
Ehab Khairy
8.30 - 9.00 pm
Chairperson:
Prof. Hamed El Khayat
Parents Phobia
Mahmoud Tarek
32
ESNPC
Ain Shams University Sponsored by
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
33
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Day 2
11 . Feb,. 2016
Scientific Session 5
9.30 - 10.30 am
Day 2
Thursday
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Tarek Abd El Gawad
Nader Fasih Howida El Gebaly
Emad El Shazly
Ain Shams University
Alexandria University
Ain Shams University
National Research Center
9.30 - 10.00 am
Are Drugs Increasing Food Allergy
Sanaa Ab El Rahman
10.00 - 10.30 am
Neonatal Septic Shock
Khalid Haque
11 . Feb, 2016
Remarks:
ESNPC 2016
34
10 - 13 February 2016 , Hurghada - City , Egypt
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10 - 13 February 2016 , Hurghada - City , Egypt
35
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 6
Scientific Session 7
10.30 - 11.30 am
11.30 - 12.30 pm
Chairpersons:
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Hamed El Khayat
Mahmoud Tarek
Ehab Khairy Safaa Shafik
Ain Shams University
Ain Shams University
Ain Shams University
Ain Shams University
Prof.
Prof.
Prof.
Prof.
Hamed Shatla Ahmed Amr Abbassy Atef Donia
Sameh Abd El Hay
Ain Shams University
Alexandria University
ALAzhr University
Ain Shams University
10.30 - 11.00 am
Modifiable Risk Factors for Preterm Brain
Injury: Implication for Neuroprotective
Medhet Ezat
11.30 - 12.00 pm
Health Style of Life and Healthy Food
Ramzy Elbarwdy
11.00 - 11.30 am
Neonatal Pain , Myths and Facts
Khaled El Atawy
12.00 - 12.30 pm
Weaning Update
Ahmed Elbeliedy
Remarks:
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36
ESNPC
10 - 13 February 2016 , Hurghada - City , Egypt
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
37
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Scientific Session 8
12.30 - 1.00 pm
Chairperson:
Prof. Tharwat Deraz
Guidelines in Respiratory tract infections
Hamed Elkhayat
Sponsored by
Remarks:
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38
10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Scientific Session 9
1.00 - 1.30 pm
Chairperson:
Prof. Gamal Samy
Ain Shams University
LIPTIS NUTRITION, Providing the Highest Quality Swiss Made Nutrition”
“Liptomilk® Plus for Healthier Infant Growth and Development”
Sherif Omar
Sponsored by
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
41
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 10
Scientific Session 11
6.00 - 7.00 pm
7.00 -7.30 pm
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Chairperson:
Mohsen El Alfy
Mona Elsamahy
Hisham Awad
Abd El Rahman El Mashad
6.00 - 6.30 pm
6.30 - 7.00 pm
Ain Shams University
Ain Shams University
Ain Shams University
Tanta University
Prof. Gamal Samy
Ain Shams University
“Infant Nutrition... Neurodevelopmental Outcome”
Amira Edris
Dilema’s in the Diagnosis of Neonatal Sepsis
Khalid Haque
Sponsored by
Visual Neonatology in Review
Sanaa Abd El Rahman
Remarks:
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44
ESNPC
10 - 13 February 2016 , Hurghada - City , Egypt
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
45
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 12
Scientific Session 13
7.30 - 8.30
8.30 – 8.45 pm
Chairpersons:
Prof.
Prof.
Prof.
Prof.
ESNPC
Chairperson:
Hisham Awad
Emad Salama
Adel Nagib
Sameh Tawfic
Ain Shams University
National Research Center
National Research Center
Military Academy
Prof. Khaled Taman
Ain Shams University
New Concept Of Partnership
Atef Helal
7.30 - 8.00 pm
GER
Mostafa Hodhod
8.00 - 8.30 pm
Hemodynamic Monitoring
Tarek Abd El Gawad
Sponsored by
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
47
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Day 3
12 . Feb, 2016
Scientific Session 14
9.30-10.30 am
Day 3
Remarks:
Friday
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Hoda Seoud
Magda El Sefy
Osama Nour
Fady El Gendy
9.30 - 10.00 am
10.00 - 10.30 am
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Ain Shams University
Ain Shams University
Ain Shams University
Menoufia Univesity
Is it gut or the brain?
Sanaa Shaaban
Fluid is a Drug
Mahmoud Tarek
12. Feb, 2016
Remarks:
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ESNPC 2016
10 - 13 February 2016 , Hurghada - City , Egypt
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10 - 13 February 2016 , Hurghada - City , Egypt
49
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 15
Scientific Session 16
10.30 - 10.45 am
10.45 - 11.10 am
Chairperson:
Chairperson:
Prof. Gamal Samy
Adel Riad
Ahmed El Bleidy
Sponsored by
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50
10 - 13 February 2016 , Hurghada - City , Egypt
Ain Shams University
ICS Nebulization Therapy in Acute Severe Asthma
Marcolides in Pediatric Infections
Remarks:
ESNPC
Sponsored by
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
51
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Scientific Session 18
Scientific Session 17
6.00 - 7.00 pm
5.00 - 6.00 pm
Chairpersons:
Prof.
Prof.
Prof.
Prof.
Chairpersons:
Amira Edris
Hisham Abdel Hady
Mohamed El Bayomy
Sherif Helmy
5.00 - 5.30 pm
Cairo University
Mansoura University
Mansoura University
Azhar University
Enteral Nutrition in Newborn
Prof.
Prof.
Prof.
Prof.
Samy El Shemy
Helmy El Ghor
Ashraf Abdel Bassat
Ashraf Abdelwahed
6.00 - 6.30 pm
Adel Reyad
5.30 - 6.00 pm
Foetal Growth Restriction, the Journey from
Conception to Adulthood
Medhet Ezzat
Remarks:
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52
ESNPC
10 - 13 February 2016 , Hurghada - City , Egypt
Ain Shams University
Ain Shams University
Mansoura University
Ain Shams University
When to Refer to Surgeon?
Sameh Abd El Hay
6.30 - 7.00 pm
Functional GIT Disorders
Mostafa Hodhod
Remarks:
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10 - 13 February 2016 , Hurghada - City , Egypt
53
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Immunomodulation in Neonatal Sepsis
Khalid N. Haque
FRCP (Lond, Edin, Ire), FRCPCH, MBA, DCH, DTM&H
Professor of Neonatal Medicine
Abstracts
According to Lectures
54
ESNPC 2016
10 - 13 February 2016 , Hurghada - City , Egypt
Despite the development of neonatal intensive care and use of modern
generation antibiotics mortality and morbidity from neonatal sepsis remains high,
particularly in the very low birth weight infants. In this group it remains around 18 to
20% in the most advanced countries. In fact in the extremely low birth weight
infants it has slowly crept upwards.
There are many reasons for this continued rate of mortality and morbidity.
These include immunological immaturity of the preterm infant, our inability and
uncertainty in diagnosing signs and symptoms of sepsis early. Plus the lack of
highly sensitive and specific biomarkers and our own inadequate management
practices.
Added to these difficulties is the increasing incidence of microbial resistance and
lack of development and availability of newer antibiotics.
Given the above, and our better understanding of the simultaneous activation of
pro-inflammatory and anti-inflammatory mediators in sepsis, researchers,
clinicians have attempted to develop adjuvant therapies exchange transfusion,
use of
haemopoeitic stimulating factors but what has been most fruitful has been the
use of various immune-modulatory therapies that work by regaining the deranged
immunological balance is sepsis.
This presentation after briefly reviewing the epidemiology, pathophysiology of
neonatal sepsis will discuss the evidence on the use of immune-modulatory
therapies in neonatal sepsis.
10 - 13 February 2016 , Hurghada - City , Egypt
55
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Autoinflammatory syndromes
Sanaa A. Mahmoud, MD, PhD
Clinical Professor of Pediatrics and Allergy and Immunology (2015- 2020) at the University of
Pikeville, Kentucky College of Osteopathic medicine Allergist/Immunologist at the Allergy Asthma Center , Somerset,KY
Part time: Neonatlogist: McLaren McComb, Mount Clemens, Detroit, Michigan
In the last 10 years, a new category of immunologic disease, known as
autoinflammatory diseases, has
been created to account for disorders that did not fit well into the classical disease
groups. The recent recognition of a new class of immunologic disorders known as
autoinflammatory diseases has changed the way we look at pathologic
inflammation and allowed for a better understanding of the mechanisms
regulating the innate immune system.
Although patients with these disorders can present with classic rheumatologic symptoms,
including inflammation
Involving the joints, skin, muscles, and eyes, the underlying inflammatory
mechanisms do not involve autoantibodies
or antigen-specific T cells. Some patients also display episodic or precipitated symptoms,
including urticaria and conjunctivitis, similar to those seen in allergic patients, but there is
no evidence of IgE-mediated inflammation.
Recurrent fever is a common feature of both autoinflammatory disorders and infections
caused by immune deficiency.
Autoinflammatory disorders are primarily driven by the innate immune system and
include rare inherited syndromes and more common and genetically complex
inflammatory diseases.
Understanding of the cause of inherited autoinflammatory syndromes has led to
effective targeted therapy with significant clinical effect. However, Colchicine is still the
standard of care for FMF and is used widely around the world. IL-1 is one of the central
mediators of autoinflammatory diseases and is the target of 3 approved biologic
therapies, including Anakinra, Rilonacept, and Canakinumab.
This disease category has now expanded from the original rare, inherited, recurrent fever
syndromes to include much more
common diseases. Translational research concerning the single gene
autoinflammatory disorders has not only improved our knowledge of pathophysiology
but has rapidly led to improved diagnosis and therapy of the patients with these diseases
and holds promise to improve future treatment. This presentation with briefly highlight
pathogenesis, clinical picture, diagnosis and management of some of those disorders
56
10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
RSV prophylaxis in preterm babies
Medhet Ezzat
Consultant Neonatologist and Honorary senior clinical Lecturer, Aberdeen University
Bronchiolitis is the most common acute lower respiratory tract infection of infancy
and causes approximately 3% of all infants to be admitted to hospital 1. The hospitalisation rate for bronchiolitis is higher in certain, including those born prematurely 1.
Prophylaxis with a humanised monoclonal antibody (Ig) to the virus associated
with most cases of bronchiolitis (Respiratory Syncytial Virus, RSV) is licensed in the
UK for use in high risk infants. The approval was based on the IMPACT study2
which demonstrated that RSV-Ig reduced the relative risk for a hospitalisation with
bronchiolitis by 55% among ‘‘high risk’’ infants and by 78% among infants born
prematurely without bronchopulmonary dysplasia (BPD) when compared to placebo. The absolute risk for a bronchiolitis admission associated with Palivizumab
treatment is 5%1. Despite this promising intervention against a common and
sometimes serious infection, a consensus statement and systematic review recommend that RSV-Ig prophylaxis should be confined to ex-premature infants with
BPD 1 3. Additionally, the UK Department of Health states that prophylaxis is indicated in some
Infants born up to 34 weeks gestation
(https://www.wp.dh.gov.uk/immunisation/files/2012/07/chap-27a-dh_130131.pdf)
.The question “should Palivizumab prophylaxis be given to ex-premature infants
without BPD?” remains unanswered although in practice treatment is not given in
this scenario.
As part of an annual audit of bronchiolitis admissions to our unit we have collected details of infants admitted between the winters 2004/5 and 2010/114. Here
we determine the number of prematurely born infants who did not develop BPD
who would require Palivizumab prophylaxis in order to prevent a single bronchiolitis
hospitalisation. We also tested the hypothesis that ex-premature infants without
10 - 13 February 2016 , Hurghada - City , Egypt
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International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Zika Virus What Should we Know.
BPD are at increased risk for hospitalisation with and experience greater morbidity
from bronchiolitis.
REFERENCES
1. Scottish Intercollegiate Guideline Network. Bronchiolitis in children. NHS Quality
Improvement Scotland. 2006.
2. The IMpact-RSV Study Group. Palivizumab, a humanized respiratory syncytial
virus monoclonal antibody, reduces hospitalization from respiratory syncytial virus
infection in high-risk infants. Pediatr 1998;102:531-7.
3. Embleton ND, Harkensee C, McKean MC. Palivizumab for preterm infants. Is it
worth it? Arch Dis Child Fetal Neonatal Ed 2005;90(4):F286-9.
4. Walker C, Danby S, Turner S. Impact of a bronchiolitis clinical care pathway on
treatment and hospital stay. Eur J Pediatr 2012;171:827-32.
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10 - 13 February 2016 , Hurghada - City , Egypt
Gamal Samy
Professor of Pediatrics and Neonatology
Ain Shams University ,Cairo, EGYPT
The World Health Organization (WHO ) declared on Monday 18 January, Zika virus
infection which spread rapidly, to 21 countries in the Americas since May 2015, is
due to the prevalence of Aedes aegypti mosquito.
The mosquito-borne Zika virus, which has been linked to brain damage in
thousands of babies in Brazil, is likely to spread to all countries.
WHO director general, Margaret Chan called Zika an “extraordinary event” that
needed a coordinated response.
She advised pregnant women to consider delaying travel to areas affected by
Zika and to seek advice from their physician if they are living in areas affected by
Zika, as well as protect themselves against mosquito bites
The incubation period (the time from exposure to symptoms) for Zika virus disease
is not known, but is likely to be a few days to a week.
The most common symptoms of Zika include fever, skin rashes, conjunctivitis,
muscle and joint pain, malaise, and headache
These symptoms are usually mild and last for 2-7 days.
Zika virus usually remains in the blood of an infected person for a few days but it
can be found longer in some people.
Prevention can be done by using insect repellent-, wearing clothes (preferably
light-coloured) that cover as much of the body as possible using physical barriers
such as screens, closed doors and windows; and
It is also important to empty, clean or cover containers that can hold water such
as buckets or flower pots , so that places where mosquitoes can breed are
removed.
The CDC now is advising pregnant women to consider delaying travel to
Barbados, Bolivia, Ecuador, Guadeloupe, Saint Martin, Guyana, Cape Verde and
Samoa. Those regions have been added to the Level 2 travel alert that already
includes Brazil, Colombia, El Salvador, French Guiana, Guatemala, Haiti,
Honduras, Martinique, Mexico, Panama, Paraguay, Suriname, Venezuela and the
Commonwealth of Puerto Rico.
10 - 13 February 2016 , Hurghada - City , Egypt
59
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Are drugs increasing food allergy
Neonatal neutropenia treat or ignore
Khaled Taman
Professor of Pediatrics and Neonatology – Ain Shams University
General Secretary of ESNPC and Member of International Academy of Neonatology IAN
Neutrophil counts should be carefully evaluated in premature and critically-ill
neonates. Although neutropenia is usually benign and runs a self-limited course in
most neonates, it can be prolonged and constitute a serious deficiency in
antimicrobial defense in some infants. We will try to highlight on the causes ,
diagnosis and treatment .
60
10 - 13 February 2016 , Hurghada - City , Egypt
Sanaa Abel Rahman
Clinical Professor of Pediatrics and Allergy and Immunology (2015- 2020) at the University of
Pikeville, Kentucky College of Osteopathic medicine Allergist/Immunologist at the Allergy Asthma Center , Somerset,KY
Part time: Neonatlogist: McLaren McComb, Mount Clemens, Detroit, Michigan
It is noticeable that food allergy is on the rise and is becoming of a concern to
the practicing pediatricians. Factors responsible for food allergy in children are
poorly
Understood. One possible contributing factor is the early use of medications, e.g.,
antacids that are liberally prescribed early in life for symptoms of acid reflux
Excipients are all of the substances found in pharmaceuticals other than the
active ingredients. These substances are added to “aid the manufacturing
process, to protect, support or enhance stability, or for bioavailability or patient
acceptability.”1 Some pharmaceutical excipients are foods or, more often,
substances derived from foods, raising the possibility that these substances would
pose a hazard to patients with food allergy
In most circumstances these medications should not be routinely withheld from
patients who have particular food allergies because most will tolerate the
medications uneventfully. However, if a particular patient has had an apparent
allergic reaction to the medication, potential allergy to the food component
should be investigated.
This presentation will provide attendants with a recent update on some of those
studies
10 - 13 February 2016 , Hurghada - City , Egypt
61
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Neonatal Septic Shock
Khalid N. Haque
FRCP (Lond, Edin, Ire), FRCPCH, MBA, DCH, DTM&H
Professor of Neonatal Medicine
Every year around 1.6 million newborn infants die from sepsis of these between
1-5% will develop septic shock with an associated mortality reported to peak at
around 71%.
Infection reflects a continuum from foetal inflammatory response syndrome to
sepsis, severe sepsis, septic shock and multi-organ failure and death. The difficulty
for the clinician is to recognise precisely the phase the neonate is at any given
moment as the neonate may move from one phase to another imperceptibly
thus making the diagnosis of shock difficult. However, our teaching has been that
“patients do not suddenly go into septic shock, it is the healthcare professionals
who suddenly notice it”.
Recent work has shown that neonates with septic shock demonstrate reduced
expression of genes representing key pathways of innate and adaptive immunity.
They demonstrate a predominantly down-regulated transcriptome that may
account for why more neonates develop septic shock than any other age group.
Whilst, genomic studies have improved our understanding of the pathophysiology
of septic shock in the new born, similar advances have not been made in
diagnosing septic shock early which is the hallmark of good management
leading to better outcome.
American College of Critical Care Medicine have up-dated their Paediatric
Advanced Life Support Guidelines for Management of Paediatric and Neonatal
Septic Shock emphasizing on early recognition, use of antibiotics, fluids, inotropes
and possibly hydrocortisone within the first hour of diagnosis. This will be discussed.
In this presentation I will discuss the genomic-based pathophysiology, clues to
early diagnosis and suggest a care bundle for the management of neonatal
septic shock.
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10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Modifiable risk factors for preterm brain injury:
implication for neuroprotective
Medhet Ezzat
FRCP (Lond, Edin, Ire), FRCPCH, MBA, DCH, DTM&H
Professor of Neonatal Medicine
Every year around 1.6 million newborn infants die from sepsis of these between
1-5% will develop septic shock with an associated mortality reported to peak at
around 71%.
Infection reflects a continuum from foetal inflammatory response syndrome to
sepsis, severe sepsis, septic shock and multi-organ failure and death. The difficulty
for the clinician is to recognise precisely the phase the neonate is at any given
moment as the neonate may move from one phase to another imperceptibly
thus making the diagnosis of shock difficult. However, our teaching has been that
“patients do not suddenly go into septic shock, it is the healthcare professionals
who suddenly notice it”.
Recent work has shown that neonates with septic shock demonstrate reduced
expression of genes representing key pathways of innate and adaptive immunity.
They demonstrate a predominantly down-regulated transcriptome that may
account for why more neonates develop septic shock than any other age group.
Whilst, genomic studies have improved our understanding of the pathophysiology
of septic shock in the new born, similar advances have not been made in
diagnosing septic shock early which is the hallmark of good management
leading to better outcome.
American College of Critical Care Medicine have up-dated their Paediatric
Advanced Life Support Guidelines for Management of Paediatric and Neonatal
Septic Shock emphasizing on early recognition, use of antibiotics, fluids, inotropes
and possibly hydrocortisone within the first hour of diagnosis. This will be discussed.
In this presentation I will discuss the genomic-based pathophysiology, clues to
early diagnosis and suggest a care bundle for the management of neonatal
septic shock.
10 - 13 February 2016 , Hurghada - City , Egypt
63
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Neonatal Pain; Myths and Facts
Khaled El-Atawi
MBBS, MSc Pediatrics, PhD Pediatrics
MSc Health Care Management
Consultant Neonatologist and Clinical Quality Specialist, Latifa Hospital, Dubai, U.A.E.
Lecturer of Pediatrics, DMC, Dubai, U.A.E.
The International Society for the Study of Pain defines pain as “an unpleasant experience, sensorial and emotional, associated with tissue damage, actual or
potential, described in terms of their damage.”
Newborn infants, particularly those born preterm, regularly are subjected to a multitude of diagnostic and therapeutic procedures that are painful but medically
necessary to their care also it was found that infants born at 25–42 weeks gestation experienced an average of 14 painful procedures per day during the first
2 weeks of life. The most frequently performed procedures were nasal, endotracheal, and nasopharyngeal suctioning followed by heelstick and intravenous and
nasogastric tube insertions.
Compared with older children, neonates exhibit greater hormonal metabolic and
cardiovascular responses to invasive procedures. Thus, pain management not
only makes the neonate’s pain more comfortable, it may also improve outcome.
Sedation masks the clinical response to pain but does nothing to minimize pain
and its physiological and metabolic effects.
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10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Health style of life and healthy food
Ramzy ElBarwdy
Professor of pediatrics, Faculty of medicine, Cairo University
Start healthy, start now” is a wake-up call for all of us and those whom we take
care of. it’s an invitation for a healthy lifestyle with a plan to have 30 minutes
every day for doing some moderate exercise, to keep your body mass index
within the proper limits, quit smoking for the sake of yourself and your dear
contacts at home, stick to healthy diet rich in vitamins and minerals, organically
grown vegetables and fruits without the use of fertilizers, chemical farming or
irradiation, and strike a balance in your diet to be 2/3 plant stuff and 1/3 animal
products with antioxidants and probiotics. a show of the super-healthy foods will
be a guide to pick up the best of the best.
10 - 13 February 2016 , Hurghada - City , Egypt
65
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Weaning update
Ahmed El Beliedy
Professor of Pediatrics
Head of the Pediatric Department
Cairo University
The nutritional status of children and mothers in our regions, as regard micro- and
or macro-nutrients are far beyond being satisfactory: micronutrients’ deficiencies,
macronutrients’ deficiencies as well as
overweight and obesity are so common . Such deficiencies can have a negative
impact on children later in life.
Nutritionally-speaking the first 1000 days, from conception till the age of 24
months, are very crowded and extremely important. They are so vital to ensure
proper growth and development, represent a critical window of opportunity to
impact the life-long health, and are an ideal time when epigenetics can work.
While all of us know the importance of encouraging breastfeeding since birth,
the importance of adequate complementary feeding of infants is increasingly
acknowledged. Complementary feeding is defined as the process starting when
breast milk alone is no longer sufficient to meet the nutritional requirements of
infants, and therefore other foods and liquids are needed, along with breast milk.
The transition from exclusive breastfeeding to family foods – referred to as
complementary feeding – typically covers the period from 6 - 24 months of age.
Unfortunately, the feeding practices of our infants are toddlers are suboptimal. In
this talk, the major nutritional problems/challenges at this vulnerable age group
will be addressed and a tentative plan of complementary feeding will be
outlined.
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10 - 13 February 2016 , Hurghada - City , Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Dilema’s in the diagnosis of neonatal sepsis
Khalid N. Haque
FRCP (Lond, Edin, Ire), FRCPCH, MBA, DCH, DTM&H
Professor of Neonatal Medicine
As the signs and symptoms of neonatal sepsis are non-specific clinicians and
researchers have tried to find individual or group of biomarkers that could
diagnose neonatal sepsis early, accurately and as quickly and cheaply as
possible. This quest is of greatest relevance in neonatal medicine as neonates
as a group have the highest rate of infection compared to any other group save
elderly
immune-compromised patients. Finding such biomarkers is also important in
neonatology because for every one neonate with sepsis thirty babies are
prescribed antibiotics leading to antimicrobial resistance.
Conventional biomarkers like white cell count; C-Reactive protein, pro-calcitonin
etc, are useful but have either poor sensitivity or specificity. With advancement in
biochemical and genomic research, more sophisticated classes of biomarkers
are being identified. Researchers are seeking ‘novel’ and or specific biomarkers
that not only diagnose an individual disease such as sepsis but also monitor disease activity and give an indication of prognosis. With increasing advancement
in technology it is hoped that in the very near future biomarkers will likely be highly
specific, universally available and universally clinically applicable.
After discussing the criteria for an ideal or a group of ideal biomarkers and
reviewing the conventional biomarkers in routine use including the use of various
cytokines and chemokines this presentation will highlight the advances in
molecular diagnostic technologies such as genomic, proteomic technologies
and the use of Flight Mass Spectrometry to study metabolomics ending by
suggesting a panel of test that is currently most likely to be useful to most
clinicians who do not have access to genomic or proteomic technologies.
10 - 13 February 2016 , Hurghada - City , Egypt
67
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Visual Neonatology in Review
Sanaa Abd El Rahman
Clinical Professor of Pediatrics and Allergy and Immunology (2015 - 2020) at the University
of Pikeville, Kentucky College of Osteopathic medicine Allergist/Immunologist at the Allergy
Asthma Center , Somerset,KY
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
GER
Mostafa Hodhod
Professor of Pediatrics - Ain Shams University
Please join us and challenge your visual memory for the correct diagnosis in this
presentation of some of the most interesting cases published in literature. Cases
will be summarized with a visual clue to the diagnosis
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10 - 13 February 2016 , Hurghada - City , Egypt
10 - 13 February 2016 , Hurghada - City , Egypt
69
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Hemodynamic monitoring
Tarek Abd El Gawad
Professor of Pediatrics, Head of PICU
Head of Surgical PICU, Ain Shams University
Cairo Egypt
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Is it gut or the brain?
Sanaa Shaaban
Professor of Pediatrics - Ain Shams University
The task of the circulation is to supply the tissue with oxygen (recognised by Pflüger
as long ago as 1872)
Haemodynamic monitoring is therefore monitoring of whether the circulation is
performing its task of supplying oxygen to the tissues.
If it is, no further intervention is necessary.
If not, haemodynamic monitoring is required for diagnosis, treatment of the
disorder and monitoring the effect of therapy.
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10 - 13 February 2016 , Hurghada - City , Egypt
10 - 13 February 2016 , Hurghada - City , Egypt
71
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Enteral nutrition in newborn
Fluid Is A Drug “Fluid Overload In Critically Ill Children”
Mahmoud Tarek
Adel Reyad
Professor of Pediatrics - Benha University
Professor of pediatrics, Faculty of medicine, Ain Shams University
Intravenous Fluids remain one of the mostly widely used and abused medical
therapies. Intravenous fluids should be managed as DRUGS that have widespread
systemic effects. As with other drugs, intravenous fluids should be used with the
correct ‘DOSE’.
Pediatric intensivists should be alerted that fluid accumulation a potentially
“TOXIC” phenomenon that influences patient outcomes.
Fluid overload has been shown to be associated with worse outcome in critically
ill patients (e.g. mechanically ventilated patients, acute lung injury, sepsis &
septic shock, ...etc)
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10 - 13 February 2016 , Hurghada - City , Egypt
No population has benefited more from the development and advancement of
specialized nutrition support than pediatric patients.
•Today, neonates comprise the largest group of pediatric patients receiving
parenteral nutrition (PN).
•Nutrient needs of neonates differ substantially from other populations,
presenting unique challenges in optimizing nutrition care. •Continual reassessment and delivery of adequate nutritional support are imperative in order to
reach the
optimal growth rate for premature infants.
10 - 13 February 2016 , Hurghada - City , Egypt
73
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
Foetal growth restriction, the journey from
conception to Adulthood
Medhet Ezzat
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
When to refer to surgeon 2?
Sameh Abd El Hay
Professor of Pediatrics - Ain Shams University
Consultant Neonatologist and Honorary senior clinical Lecturer, Aberdeen University
Learning points
• Fetal growth restriction remains a challenging problem for clinicians
• Many ‘unexplained’ stillbirths are growth restricted.
• many stillbirths with IUGR are avoidable
• Customised charts and appropriate protocols when used(Growth Assessment
Protocol (GAP decreased the SB due to IUGR
• Better understanding of the pathophysiology of fetal Growth restriction and
short term and long term complivcation that can help in preventing or
amending theses complications
• Therapeutic goals and nutrition strategies will be also discussed
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10 - 13 February 2016 , Hurghada - City , Egypt
10 - 13 February 2016 , Hurghada - City , Egypt
75
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Functional GIT disorders
Mostafa Hodhod
Professor of Pediatrics - Ain Shams University
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10 - 13 February 2016 , Hurghada - City , Egypt
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
ESNPC
International Congress of The Egyptian Society
for Neonatal and Preterm Care
Sponsors
ESNPC
Sponsors
Platinum
Golden
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UB N
United BioNat
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M E D I C A L C O M PA N Y
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10 - 13 February 2016 , Hurghada - City , Egypt
10 - 13 February 2016 , Hurghada - City , Egypt
79
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