12^thAsia Pacific Pediatrics Congress May 01-02, 2019 Seoul, South Korea

Biography:

Chan Ka Lam Jess has completed her Bachelor degree in the University of Hong Kong and obtained 3 master degrees in Hong Kong.. She is currently a PhD candidate. She has worked as a Speech Therapist and has been serving as a Speech Therapy Supervisor for more than 10 years. 

Abstract:

Ample evidence has attested the effectiveness of language intervention for children with late language emergence and expressive language problems. Untreated language problems may have long-lasting impact on individuals as well as the community. Parent-implemented language program could be an effective approach to alleviate early language delay. However, active enrolment and participation is always a challenge of face-to-face parent training programs. Developing innovative delivery methods that address participation barriers would be a key for cost-effective service at the population level. This study examined the feasibility of a video-based parent-implemented language program. Parents of 44 children aged between 12 to 24 months old enrolled in the program. Thirty-one parents completed six video-based prototype sessions of parent training program on their mobile devices over two months. Parents submitted self-captured parent-child interaction videos at home for outcome evaluation. Parents’ knowledge of language facilitation skills, their actual use of language facilitation techniques during interaction and children’s intentional communication performance were compared before and after the training. The program showed a relatively low attrition rate of 30% (13/44). Significant improvements were noted in all the measures in all participant dyads. It is concluded that the video-based delivery adaptation was feasible and can be delivered at a low cost for a large number of parents. 

Biography:

Mary Joy S Torres has pursued Bachelor of Science degree in Medical Technology and Medical degree at University of Santo Tomas, España, Manila, Philippines. She has obtained Pediatric Residency Training at Philippine Children’s Medical Center.

Abstract:

Background: Intravenous Fluid (IVF) is the most common therapy that pediatricians prescribed. Fluid management is the “core skill” of any pediatricians. Therefore, they are expected to know the various compositions and fluid regimens and its common indications including deficits and replacement therapy, resuscitation of acutely ill patients and to provide maintenance fluid requirements in those who have reduced or restricted oral intake. Despite the frequency in which pediactric trainees prescribe IVF, the burden from mortality and morbidity related to IVF is huge with an estimate that inappropriately prescribed fluids harm one in five patients. Common causes of harm include fluid overload, electrolyte imbalances and dehydration.

Objective: To assess current IVF prescriptions’ knowledge, attitude and practices among pediatric residents at a tertiary hospital.

Methods: This is a cross-sectional study that used questionnaires to determine the knowledge, attitude and practice of pediatric residents in prescribing IVF. The questionnaires were face-validated by three experts that are knowledgeable in fluid prescription (nephrologist, intensivist and gastroenterologist). After validation, the questionnaires were pre-tested among a minimum of 10 respondents, these are the pediatric fellows that are currently having their subspecialty training of their field of choice. After gathering the informed consent to the participants, residents were asked to answer the 25-items questionnaires. Upon completion of the examination, the answers were scored and analyzed.

Results: A total of 64 pediatric residents were surveyed. Response rate was 100%. There were 25 first-year, 19 second-year and 20 third-year residents respectively that participated in the study. The aspect on the questions regarding the contents of IVF portrayed that more than 50 percent of pediatric residents have inadequate knowledge about fluid therapy. It also revealed poor knowledge on the normal values of body fluid losses. For practice questions, all year levels scored very low 35% and below and there was no significant difference among the three groups. For attitude questions, the scores of the three year levels differed significantly in five questions, on each question the 2^nd year residents showing the highest scores and the first year the lowest. Overall attitude scores showed significant difference, with the second year level residents showing the highest and the first year level the lowest. On a scale of 1-10, the residents scored themselves on their adequacy of training as 6.5, 5.7 and 5.7 for 1^st, 2^nd and 3^rd year residents, respectively. There was found no significant difference among the three scores.

Conclusion: This research concluded that residents are prone to prescribe IVF that can cause adverse events, knowledge scores were low all year levels achieving score of only 50% and below, practice scores were lower, with no year level scoring more than 33%, attitude scores has higher percent correct answers at 65% and below. The feedback on performance is critical and should be delivered constantly and religiously by a competent consultants, fellows, seniors or colleagues that will be influential to the success of future interventions to improve IVF prescribing, this feedback will ultimately enhanced decision-making and therefore best patient outcomes.

Biography:

Kathrin Ann Fatima P Pesigan has pursued Doctor of Medicine degree from FEU-NRMF at 2010 and her Residency Training in Pediatrics from Perpetual Help Medical Center at 2018. She was the Chief Resident from 2016 to 2018.

Abstract:

The objective of this study is to determine the efficacy of Lactobacillus sporogenes with colostrum (Gastro Aide) versus lactase in the treatment of Lactose Intolerance (LI) among children at Baranggay Malaban, Binan Laguna. Purposive sampling was done and participants 5-18 years old were tested for LI using Hydrogen Breath Test (HBT). Those who tested positive were randomly assigned to either lactase or gastroaide group by a blinded third person. They were divided into two groups, lactase and gastroaide group and were given milk with the treatment twice a day for 14 days. Symptoms were recorded and repeat HBT was done. Statistical analysis used were frequency distribution and percentage, Fischer exact test, Mann Whitney U test. Borborygmi (p 0.197) flatulence (p 0.323), abdominal bloating (p 0.105) nausea and vomiting (p 0.286) abdominal pain (p 0.574) and diarrhea (p 0.303) all have p values of more than 0.05 and had no significant difference. Repeat HBT of both group showed a significant difference (p .038). In conclusion, the administration of gastroaide and lactase revealed a decrease in the signs and symptoms of lactose intolerance and incidence of patients who tested positive in the HBT. In this group, most patients provided with gastroaide had tested negative for HBT compared to those provided with lactase treatment. Favorable results were obtained for HBT among those who were provided with gastroaide compared to those provided with lactase.

Biography:

Ma Carmela A Sampelo has completed Bachelor of Science degree in Human Biology from De La Salle University-Manila and Postdoctoral studies from De La Salle Health Science Institute School of Medicine. She is currently pursuing Pediatric Residency Training at Ospital ng Makati.

Abstract:

Mucopolysaccharidosis type III (MPS III, Sanfilippo syndrome) is a rare lysosomal storage disorder caused by a deficiency in one of the four enzymes involved in the catabolism of glycosaminoglycan heparan sulfate. The primary characteristic of MPS III is the degeneration of the central nervous system, manifested as mental retardation and hyperactivity, typically commencing during childhood. The incidence varies worldwide but estimated range is one is to nine in 1,000,000 people. In relation to this, there has not been any documented case of Sanfilippo syndrome at Ospital ng Makati. A 15-year-old female was diagnosed with Sanfilippo syndrome since 2006 at Philippine General Hospital. Patient was noted to have developmental delay at two years of age. Mother claimed that patient started to walk at two years of age. Initial neurodevelopmental consult was done at Ospital ng Makati and diagnosed with global developmental delay. At five years of age, noted inattention at school and coarse hair and gradual hirsutism observed primarily on the face, trunk and extremities with difficulty flexing upper and lower extremities. Patient was referred to PGH for further work up and management. Karyotyping revealed Sanfillipo syndrome. Pertinent physical examination included coarse facial hair, thick eyebrows, flat nasal bridge, thick lips, widespread teeth, high arched palate with limitation of elbow flexion, forearm anomalies. Patient was referred at rehabilitation medicine for speech therapy, psychomotor evaluation and ENT service for hearing evaluation. Patient underwent tracheostomy due to persistent stridor secondary to subglottic stenosis. On the interim, nutritional buildup was continued through progression of high caloric feeding via nasogastric tube. Family of the patient had regular check-up in pulmonology, neurology, gastroenterology and ENT service.

Biography:

Mahboubeh Ghayour Najafabadi has completed her PhD at the age of 30 years from University of Tehran. She has published more than7 papers in movement disorder and pediatric . She is a proffesional runer

Abstract:

Purpose: Autism spectrum disorder (ASD) is one of the most prevalent developmental disabilities in the world. The core characteristics of ASD are deficits in social communication and restricted and repetitive patterns of behavior, In addition, children with ASD have been documented to exhibit motor skills and daily life deficit .This study was used intervention in term of their characteristics for better daily life and decreasing their deficits. The purpose of this study was to evaluate The Efficacy of a play in the treatment of children with autism spectrum

Materials and methodology: This study is a quasi-experimental study, In order to, 26 children with a mean age of 5-12 years of with autism were randomly divided into experimental and control groups. They were spent three months training intervention based on Spark program. This study performed along2-stages 1) pretest 3) posttest in terms of ATEC questionnaire. Before testing and statistical analysis, for normality of dependent variables was used Shapiro test. To test hypotheses related to ATEC questionnaire were analyzed by repeated measures analysis of variance.

Finding: The results showed a significant difference between the groups in communication, social interactions and behavior (p <0/05) but this difference was not significant emotional and cognitive awareness (p> 0/05).

Conclusion: Generally it can be said that this spark plays  has a positive effect in improvement  in clinical symptoms

Biography:

Jerrymae R Blasurca has obtained her Medical degree in Central Philippine University and pursued her Pediatric Residency Training at West Visayas State University Medical Center. She is currently working as at West Visayas State University Medical Center, Philippines.

Abstract:

Objective: The aim is to determine the levels of cotinine in breast milk of exclusively breastfeeding mothers using high-performance liquid chromatography.

Method: This is a cross-sectional analytical study design involving the quantitative determination of cotinine from breast milk of breastfeeding postpartum mother. The breast milk samples were collected at the Pediatric Out-Patient Department of West Visayas State University Medical Center. The measurement of cotinine levels using high-performance liquid chromatography was done at the ChemPro Analytical Services Laboratories, Inc. All postpartum exclusively breastfeeding mothers aged 19-45 years old who delivered to full term, healthy infants at the West Visayas State University Medical Center from March 1 to May 31, 2018 were included. Cotinine levels in breast milk in nanogram per milliliters (ng/ml).

Results: Active smokers had significantly higher mean cotinine levels (217.55 ng/ml) when compared to passive smokers (44.7 ng/ml) and non-smokers (18.38 ng/ml). Data analysis showed that as the degree of smoking exposure increases, the cotinine levels in the breast milk also increases.

Conclusion: The breast milk cotinine was able to indicate the quantity of non-passive and active smoking maternal exposure. Evidence suggests that breast milk contains a significant amount of cotinine which can help determine the degree of smoking exposure in breastfeeding mothers. Even though smoking by the mother is still not a contraindication for feeding infants as the benefits far outweighs the risks, the results of this research can be used in planning population-based studies and strengthen health education programs on smoking prevention, smoking reduction and smoking cessation in homes, public areas and workplaces.

Biography:

Chhaya Akshay Divecha has completed her Bachelor’s and Postgraduate degree in Pediatrics from the reputed Seth G S Medical College & KEM Hospital at Mumbai, India. She is currently Assistant Professor in Pediatrics at College of Medicine, National University of Science and Technology (formerly Oman Medical College) at Sohar, Oman.

Abstract:

Aims: Research shows positive effects of asthma education in improving parental knowledge, self-management skills and reduced health care costs. Such studies are lacking in developing countries. The effectiveness of educational intervention in improving knowledge and attitudes of parents/caregivers of asthmatic children are studied.

Methods: Study was conducted in Pediatric chest clinic of tertiary hospital (India) over 21 months after ethics committee approval. Recruited parents were randomized into interventional group (A) receiving education module and control standard group (B). Parents’ asthma knowledge and attitudes were assessed at baseline and five months post-enrollment using 25-item questionnaire. Detailed demographic data, clinical data and exacerbations during study were noted.

Results: 75 parents/guardians fulfilling inclusion criteria were analyzed (cases/group A:37 and controls/group B:38). 8.3% parents/caregivers were illiterate. Around 36.9% had family history of allergy/asthma. Mean scores at baseline and follow up were 8.37 and 11.06 respectively. Parents did better on knowledge items related to chronicity, family history, chronic cough, home administration of steroids in acute severe asthma and maintaining records of clinical/medications for good control. Intervention group (A) showed significant improvement in most attitude-based questions post-intervention as compared to non-intervention group (B), especially in improved quality of life after inhalation therapy and improved prognosis post-childhood. There was no statistically significance in asthma severity and control between groups at follow up.

Conclusion: Small group education on asthma in parents/caregivers improves their knowledge and attitudes. Health care plans should invest in pediatric asthma education and identify key personnel and opportunities in routine care to impart the same.