12^th World Pediatric Congress December 13-15, 2018 Abu Dhabi, UAE

Biography:

He qualified Diploma of medicine specialized in pediatrics obtained in Saint-Petersburg the 23 June 2000. He obtained specialized training certificate in pediatrics in 2003 Descartes Paris France. He has completed Diploma in paediatric infectious disease

Abstract:

Background
Neonates are at greater risk for sepsis and meningitis than other ages.

Early onset neonatal meningitis due to streptococcus group is serious but uncommon disease. The incidence of overall neonatal bacterial meningitis has also not changed: 0.22 cases/1000 live births (1985–87) versus 0.21 cases/1000 (1996–97), to 0.03 in 2002 in industrialized countries.   Complications of neonatal meningitis in full term and near term is a major challenge.

 OBJECTIVE
The aim of this study was to determine neurologic complication of neonatal meningitis due to streptococcus B in full and near full term newborn in one medical center.

Method:
We included newborns 0-28 j having been admitted to the Robert Debré Hospital between 1984 to 2014, the diagnosis of meningococcal B streptococcus has been proven by CSF culture. Laboratory data, clinical features, imaging and children were recorded (Table 1)

25 cases of neonatal meningitis B streptococcus between 1985 and 2010 have been reported, two were excluded because they had congenital anomalies; 14 records have not been found in the archives.

In total, only 9 cases have been analyzed.

Eight children had either a CT scan or MRI and head ultra sound (HUSS). All eight had an abnormal imaging: 5 cases 62.5% had a stroke, one case of ventricular leukomalacia perished was highlighted, as described above. Other abnormalities were asymmetric peri cerebral edema, a right temporal cortical subcortical lesions; 1 echogenicity and ventricular dilatation .

All children admitted were symptomatic: neurological symptoms were either in 66.66% of cases, breathing in all cases, or hemodynamic in 33% of cases.

The median admission was 13 days (3-20) age; the median temperature of 38.5 (36-39.9) Of the 9 cases, only three mothers had a history streptococcus B 95% CI (0.117-0.64). The average glucose level was 1.4 mmol: / l, the protein level of 1.75g / l with a corrected 5189 pleicytose; blood culture was positive in 33.33%, 95% CI (0.11-0.64). 25% had neurological symptoms between the ages of 1-4 years

DISCUSSION
The incidence of early onset sepsis due to group B streptococcus (GBS), 0 • 43 per 1000 live births [95% CI 0, 37-0, 49] and mortality 12, 1% is two times higher than those reported for late infections.

   The prevalence of neonatal meningitis is estimated 0.15-0.5per 1000 birth in industrialized countries.  With an estimated mortality in the international literature mortality is estimated between 8.5 to 15%. (4).

Complications imaging are known: ventriculitis; Stroke, abscess or consequences in the medium and long-term expectations of subtle neurological moderate or severe. 

CONCLUSION
Neonatal meningitis due to groupe B streptococcus is rare, but can cause complication in both term and preterm newborn.

Periventricular leukomalacia as the complication of infection is well described in preterm newborn, but research bibliographic in our study has not found similar complications in term and near term infant.

 Stroke is the main complication in our study and well described in literature as complication of neonatal meningitis due to streptococcus B.

 

Biography:

Alheraish Yasser Abdulrhman is a pediatric consultant in Heart Centre KFSHRC, Saudi Arabia.

Abstract:

He will give a talk on Validity of pro-calcitionin for diagnosing sepsis in children after cardiac surgery: ongoing study.

Biography:

She has completed his Post Graduation in Federal University of São Paulo in 2016. She has done Specialization Training in Scientific Research in Surgery in Federal University of Sao Paulo / Brazil in 2011. 

Abstract:

Cerebral Palsy (CP) arises due to an injury in the immature brain and even in patients in whom the disorder is considered to be non-progressive, the resulting disability is life-long. During the growth of a child with CP deformities get worse and lead to decreased function and ability to perform daily life activities, depending on orthopedic and general management program implemented. As many different aspects of orthopedics in general, management of children with CP has changed significantly over the past 10 years. It is a common ground that long term best results come from individualized and multidisciplinary approach. Functional priorities of a person with CP are, in order of importance, communication, activities of daily living, mobility in the environment and walking. International guidelines for early diagnosis and intervention for cerebral palsy were published in 2017. They state that early recognition of CP should occur as early as possible leading to provide diagnostic-specific early intervention and surveillance to optimize neuroplasticity and prevent complications, as well as to provide parents psychological and financial support, if available. It is a recent concept that low muscle strength and not spasticity, causes the greatest limitations in motor function in children with CP and this has shifted focus from spasticity management towards active, intensive and task specific training for these children. During the past 20 years, increasing emphasis has been placed on correction of soft tissue contractures and bony deformities in a Single Event Multilevel Surgery (SEMS), which has become the standard of care in CP management despite difficulties of make its results objectively measurable. One of the most important aspects of successful SEMS is to custom made the surgical technique and choosing right surgical dose according to patient’s functional level.

 

Biography:

Sadiya Zinjani has graduated from the prestigious Armed Forces Medical College in the state of Maharashtra in India. She is attached to the Max Hospital, Saket, Delhi, as a Visiting Consultant.

Abstract:

Garre’s osteomyelitis is also called periostitis ossificans, proliferative periostitis and Garre’s sclerosing osteomyelitis. It was first described by Carl Garre in 1893 as an irritation induced focal thickening of the periosteum and cortical bone of the tibia. The first case of proliferative periostitis affecting the jaw bone was described by Berger in 1948. Garre’s osteomyelitis mainly affects children and adolescents. Our case involved an 8 year girl who presented with a painful swelling right lower jaw, with difficulty in deglutition, there was no fever. Earlier the patient had been treated by Dentists & ENT Specialists with no relief. Relevant investigations were within normal limits. MDCT scan of the face/orbit showed cortical irregularity and erosions in the right hemi-mandible with a significant periosteal reaction and multiple irregular lytic areas in the marrow along with soft tissue changes suggestive of osteomyelitis. The OPG was normal. The significant periosteal reaction combined with osteomyelitis was suggestive of Garre’s osteomyelitis. No bone biopsies were considered due to the typical clinical and radiological features. With 4 weeks of antibiotic treatment the patient was completely relieved of her symptoms with a major correction in the facial asymmetry. Regular follow up demonstrated a remodeling of the mandible with normal results on bone scanning. Most cases of Garre’s osteomyelitis have followed an odontogenic infection. Our case had no evidence of any oral or dental infection, confirmed by a preadmission OPG and a post discharge CBCT, and thus responded well to conservative treatment. She in all possibility developed this osteomyelitis secondary to an infection elsewhere in the body, which was controlled by the time she came to us.

 

Biography:

Raghavendra M Shetty is a competent Academician and Clinician, graduated from A.B. Shetty Dental College, Mangalore, India and did his Masters in Pediatric Dentistry from PMNM Dental College, Bagalkot, India. He was conferred with PhD by Nitte University. He was awarded a Gold Medal for his highest score in Masters in 2004 by Rajiv Gandhi University of Health Sciences. He was also awarded with the ‘Young Pedodontist Researcher’ by the Indian Society of Pedodontics and Preventive Dentistry (ISPPD) in 2010. He is presently working as a Faculty in Gulf Medical University, Ajman, UAE. He is also a member of Faculty of Dental Surgery (Glasgow). He has co-authored 5 text books and has around 45 national and international publications. He has about 14 years of teaching experience for both undergraduate and post graduate level, along with immense clinical experience. He has got three patent registered under his name. He is serving as a Reviewer and Editorial Board Member in many of the reputed national and international journals

Abstract:

Pediatricians examine infants several times during the first and second year of life. These visits are considered ‘well-baby’ or ‘check-up’ examinations to note the developmental progress of the baby, provide necessary immunizations, give the parents guidance concerning nutrition and discuss cognitive development. Thus, pediatricians are considered to be in a unique position to provide preventive oral information and to diagnose oral diseases in their patients early on, because of the early age at which children are brought to their offices. Parents usually seek pediatricians’ guidance in securing their child’s normal growth and development. If proper counsel regarding the child’s development and eruption of teeth as well as guidance for prevention of various oral diseases is rendered at this age, better oral health can be attained for these children. In order to achieve this, pediatricians must have proper knowledge in addition to time and inclination to educate the parents. The study focuses on various scenarios where the pediatricians can play a crucial role in maintaining oral health of the child and preventing various diseases, as pediatricians are often the first health professionals whom children visit.

 

Biography:

Abel Gidey Kebedom has completed his MD and specialization of Pediatrics and Child Health from Mekelle University Collage of Health Science, Ayder Specialized Comprehensive Hospital. He is an Assistant Professor of Pediatrics, a Consultant and Lecturer in Ayder Comprehensive Specialized Hospital.

 

Abstract:

Background: Infective endocarditis, microbial infection of the endocardial surface of the heart, is the most feared complication of the structural heart lesions. Death due to infective endocarditis has been reported to be as high as 26% in sub-Saharan Africa. In Ethiopia, the prevalence of RHD in school children is about 19 per 1000 with mean age at death of 25.9 years in hospital inpatients. The mortality rate is augmented by conditions like infective endocarditis on which no regional data available.

Objective: To assess clinical presentation and determine outcome of infective endocarditis in Ayder Specialized Comprehensive Hospital from September 2011 to March 2018.

Materials & Methods: We retrospectively reviewed patient chart and analyzed with Chi-square test.

Result: An aggregate of 74 pediatric patients with infective endocarditis were seen in the study period males found 52.7% (39/74) of the population. More than half (54%) were in the age range 11 to 18 years. Rheumatic heart disease was the underlying condition in majority of the cases accounting 59 (79.8%). Clinical presentations included: Fever 60 (82.1%), pallor 59 (79.7%), splenomegaly 17 (23%) and clubbing 10 (13.6%). Complications were congestive heart failure 51 (68.9%), neurological findings 10 (8.1%) and renal complication (1.4%). There were 12 deaths with overall case fatality rate of 16.2%. Embolic phenomenon and shorter hospital stay harbors higher morbidity and mortality with P-value <0.001 and P -value 0.01 respectively.

Conclusion: In our setup, IE in children is still characterized by the high prevalence of RHD as an underlying heart disease. Fever, murmur and pallor were the commonest clinical presentation. Higher mortality was seen because of delayed referral and delayed presentation. Late presentations of cases were evidenced by high proportion of complications such as congestive heart failure and death with short hospital stay. Embolic phenomenon was also significantly associated with death.

 

Biography:

Simone has completed his Post Graduation in Federal University of São Paulo in 2016. She has done Specialization Training in Scientific Research in Surgery in Federal University of Sao Paulo / Brazil in 2011. Sofyen Tebbi, certified prosthetist orthoptist graduated at Kerschensteiner University of Technology, Stuttgart – Germany.  Sofyen has 19 years of clinical experience in different fields of orthotics and prosthetics management for children and adults. Currently working at MOBILIS in Dubai offering a custom on-demand manufacturer service with superior quality and leading-edged orthotics and prosthetics products. Sofyen has relocated to Dubai in 2018 from Saudi Arabia, where he worked as Prosthetic and Orthotic Supervisor and Educator since 2009. Previously working as supervisor and workshop leader of the Orthotic and Prosthetic Department of Nonnengaesser & Tebbi in Donzdorf, Germany (from 2003 to 2009).

 

Abstract:

To provide effective orthotic intervention for children with Cerebral Palsy (CP) it is important to clearly identify the functional abilities of each child in order to establish the aims of orthotic intervention. Although more than half of children with bilateral spastic CP walk independently with or without an assistive device, most have gait-related problems, such as reduced speed and/or an increased energy cost of walking. A multidisciplinary team including an orthotist, physical therapist and orthopedic surgeon can promote a continuum of care throughout development of a child with CP. According to the International Society of Prosthetics and Orthotics (ISPO), goals of lower limb orthotic management of cerebral palsy are to correct and/or prevent deformity; to provide a base of support; to facilitate training in skills and to improve the efficiency of gait. Other goals include increasing range of motion, maintaining or improving levels of function and stability; maintaining muscle length as the bones grow and preventing or overcoming some of secondary effects of the disability leading into adulthood. The type and design of orthosis is decided according to patient’s functional limitations (GMFCS) and can be changed periodically depending on the improvement of the patient condition. When an orthotic device is implemented successfully it will lead the child to achieve better joint motion and muscle function. Orthotics can provide a stable base of movement, improving gait pattern, reducing impact of spasticity on lower limbs and creating a better environment in which a child can function. As well as reducing excessive energy used to move, reducing muscular imbalance and potential risk of fall.  Orthotics is commonly prescribed to improve mobility in children with CP. However, clear concepts for orthotics management are missing in literature. Therefore, this workshop will describe our decision-making process of orthotics’ prescription in our practice, which is based on current best available evidence and our experience.

 

Biography:

Sadiya Zinjani has completed her Graduation from the prestigious Armed Forces Medical College in the state of Maharashtra in India. She is attached to the Max Hospital, Saket, Delhi, as Visiting Consultant but her major focus is her private clinic at her residence in Delhi, where she consults, conducts well baby clinics and does minor procedures. Her main interest is disease prevention.

 

Abstract:

This study was conducted some years back to assess the impact of excessive and unsupervised television viewing in children (5-15 years) in urban and rural settings in North India. This cross-sectional study was carried out in the out-patient department of Rural Health Training Centre (RHTC) and in the Urban Health Training Centre (UHTC) of the department of community medicine, J. N. Medical College, Aligarh. 47 children from RHTC and 53 children from UHTC were interviewed and the answers noted in a prepared questionnaire, which included questions on the children’s background, viewer-ship patterns, situation of TV in the house, time spent watching TV by the child, programmes watched, outdoor activities, behavioral changes, study time, supervised or unsupervised TV viewing and changes in health and behavior attributed to TV. The findings were then computerized and analyzed using SPSS 17. The study revealed that most children watched TV for more than 2 to 3 hours per day, the patterns being different in rural and urban areas. The time of day that children watch TV and the type of programmes watched were different in the two settings. In both groups, children liked to eat while watching TV. In rural areas TV viewing was rarely supervised. A large number of children watched violent and horror programmes, especially in rural areas. This we felt was responsible for the behavioral problems reported by the parents in the teens and pre-teens. Excessive TV viewing with reduced play time and increased consumption of junk food had we felt, a direct relation to rapid weight gain noted in the subjects under study. Here however obesity was more marked in urban children vis-a-vis rural children. Finally, excessive TV watching with the associated reduced social interaction negatively impacted the development of social, language and creative skills in both urban and rural children.