30^th Global Experts Meeting on Neonatal Nursing and Maternal Healthcare May 14-15, 2018 Holiday Inn Atrium,Singapore

Biography:

Dr Wei Siang Yu is a globally renowned pioneer in healthcare TMT (Technology, Media and Telecommunication). He is the Founder and Executive Chairman of Borderless Healthcare Group of companies which operates borderless healthcare initiatives around the world. Dr Wei graduated as one of the top students at Monash Medical School in 1995 and went against the conventional career path of an honours student to become a medical inventor in the space of digital bio-communication. Dr Wei gained worldwide recognition in his work on social application of digital bio-communication and became the youngest nominee of CNN People’s Choice Award in 2003. Dr Wei's work is also frequently featured by international media all around the world including Discovery Channel, CNN, BBC, Fox News, CNBC, ABC, Time, Wired, ZDF German TV, ARTE French TV, Japan TV, Yomiuri Shimbun, Korean SBS TV, Figaro, Asian Wall Street Journal, Washington Post, Guardian UK, LA Times, Channel News Asia, Age, Sunday Times UK, Newsweek, Tatler, Bazaar, Marie Claire New York, Glamour Paris etc. As a global key opinion leader in healthcare TMT, disruptive healthcare solutions and healthcare business hybridisation process in Asia, Dr Wei is a regular speaker in major international conferences including the World Medical Tourism and Global Healthcare Congress, Slush, IATI BIOMED, BIOKOREA and mHealth Israel. He is also frequently invited by renowned institutions and organizations such as Stanford University, Oxford University, Singapore Management University, Renmin University, La Trobe University, the World Health Organization and United Nations to share his valuable insights on healthcare evolution and his vision on "consumerising" healthcare. Today, Dr Wei chairs the Borderless Healthcare Group of companies with the key role of converging global healthcare practices with technology, media and telecommunication applications via strategic partnerships, disruptive business models, and mergers & acquisitions.

Abstract:

Borderless Healthcare Group has developed a model of seamless care model from pregnancy planning to postnatal care using a "connected" hospital model where healthcare professionals in the hospital can interoperate with the caregiver, mother and child at home using smart tv, smart phone, home robots, sensors and other internet of things. The platform also allows the convergence of local and international experts "borderlessly". Multilingual case managers will manage every case of integrated care to ensure there is no language barrier during transmission. The ultimate aim of the platform is to generate maternal and child care big data where artificial intelligence can be applied. A new form of epidemiology of "always on" live data is expected to be derived from this platform which will herald a new era of predictive maternal and child care. A live demo of this platform will be shown during the presentation.

Biography:

Luana Pesco Koplowitz is a Chief Medical and Scientific Officer, received her MD from Rutgers Medical School and her PhD from Rutgers College of Pharmacy and Columbia Pacific University. She has completed her training in Clinical Pharmacology at the University of Miami, School of Medicine. She is an Adjunct Professor of Medicine, Department of Internal Medicine at the Medical Center of Delaware and is also Adjunct Faculty at the University of Miami, USA. She is a Fellow of the American College of Clinical Pharmacology and the Faculty of Pharmaceutical Medicine in UK. She is the President and Chief Medical and Scientific Officer of Duck Flats Pharma, LLC, USA. Previously, she was Chief Medical and Scientific Officer of Research Assist, Inc. She also held the position of Global Group Director of Clinical Pharmacology and US Nonclinical Development for the Janssen Research Foundation of Johnson & Johnson. She has been responsible for numerous successful INDs and NDAs during her 22-year career and holds several use patents in the treatment of various diseases. She has personal interests in the areas of overall drug development, PK/PD modeling and drug-drug interactions, receptor-binding modeling and special population clinical trials, especially pediatric, elderly and critical-care patients.

Abstract:

The Cardiac Safety Research Consortium (CSRC) is a transparent, public-private partnership that was established in 2005 as a Critical Path Program and formalized in 2006 under a Memorandum of Understanding between the United States Food and Drug Administration and Duke University. Our continuing goal is to advance paradigms for more efficient regulatory science related to the cardiovascular safety of new therapeutics, both in the United States and globally, particularly where such safety questions add burden to innovative research and development. This presentation is a summary of a White Paper that provided a summary of discussions by a cardiovascular committee cosponsored by the CSRC and the US Food and Drug Administration (FDA) that initially met in December 2014 and periodically convened at FDA’s White Oak headquarters from March 2015 to September 2016. The committee focused on the lack of information concerning the cardiac effects of medications in the premature infant and neonate population compared with that of the older pediatric and adult populations. Key objectives of this presentation are as follows: Provide an overview of human developmental cardiac electrophysiology, as well as the electrophysiology of premature infants and neonates; summarize all published juvenile animal models relevant to drug-induced cardiac toxicity; provide a consolidated source for all reported drug-induced cardiac toxicities by therapeutic area as a resource for neonatologists; present drugs that have a known cardiac effect in an adult population, but no reported toxicity in the premature infant and neonate populations and summarize what is not currently known about drug-induced cardiac toxicity in premature infants and neonates and what could be done to address this lack of knowledge. This presentation presents the views of the authors and should not be construed to represent the views or policies of the FDA or Health Canada.

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Meng Xue’s has experience of over 30 years with laboring women and brings her natural and traditional approaches to care.

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Sabitha Nayak is currently working as a Professor, HOD and Vice Principal at Nitte Usha Institute of Nursing Sciences, India.

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Sandhya Ghai is working as a Principal at National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India. She has received Doctorate degree from Panjab University, Chandigarh. She published more than 100 papers in national and international journals. She was awarded with Best Educationist Award and is life member of many organizations.

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. Terese Verklan grew up in Canada and received her Bachelorette of Nursing in 1982 and her Bachelors of Arts (Sociology/Psychology) in 1984 from the University of Manitoba. She graduated from the University of Pennsylvania in 1987 with a Master’s in Nursing specializing in Perinatal and Neonatal Nursing. She then became of the Neonatal Clinical Nurse Specialists at the University of Tennessee’ Regional Medical Center in Memphis, which had the largest neonatal intensive care unit (NICU) in the US at the time.  Dr. Verklan returned to the University of Pennsylvania and graduated with a PhD with a focus on the autonomic nervous system and neonatal physiologic variability. She then joined the University of Texas Houston Health Science Center as an Assistant Professor and was promoted to Associate Professor after two years. In addition to her teaching and clinical practice in the NICU, she was the primary investigator or co-investigator on a number of grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development that focused on neonatal physiologic variability in low- and high-risk neonates.  Currently Dr. Verklan is a Professor at the University of Texas Medical Branch in the Graduate School of Biologic Sciences and the School of Nursing. She is recognized as a clinical expert and educator in the care of high-risk neonates and consults worldwide. She is an Associate Editor for Nursing and Health Sciences and a Contributing Editor for Journal of Perinatal and Neonatal Nursing. Terese has received numerous awards for clinical practice., education and research, including Excellence in Education from the Association of Women’s Health, Obstetric and Neonatal Nurses and is a 2010 Fellow of the American Academy of Nursing. 

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Prostaglandin E1 (PGE1) has been used for decades in the medical treatment of ductal dependent critical congenital heart disease in neonates. We report a retrospective evaluation of the long-term effects of PGE1 in a neonatal intensive care unit in Saudi Arabia. There were 22 subjects with a wide spectrum of cardiac defects maintained on PGE1 for a mean of 38 days (range: 6-200 days). The majority of complications included hypokalemia, hypotension and apnea/bradycardia. Pseudo-Barett syndrome and gastric outlet obstruction were also found. While long-term administration of PGE1 in North America is rare, it is important to be aware of possible adverse effects of fluid and electrolyte imbalance, gastric outlet obstruction and feeding difficulties.

Biography:

Luana Pesco Koplowitz, Chief Medical and Scientific Officer, received her MD from Rutgers Medical School and her PhD from Rutgers College of Pharmacy and Columbia Pacific University. She completed her training in Clinical Pharmacology at the University of Miami School of Medicine. She is adjunct Professor of Medicine, Department of Internal Medicine at the Medical Center of Delaware and is also adjunct faculty at the University of Miami Medical School, Department of Internal Medicine, Division of Clinical Pharmacology. She is a fellow of the American College of Clinical Pharmacology and the Faculty of Pharmaceutical Medicine in the United Kingdom. Dr. Pesco Koplowitz is President & Chief Medical and Scientific Officer of DUCK FLATS Pharma, LLC, a biopharmaceutical consulting and contract company. Previously, she was Chief Medical & Scientific Officer of Research Assist, Inc. She also held the position of Global Group Director of Clinical Pharmacology and US Nonclinical Development for the Janssen Research Foundation of Johnson & Johnson. She has worked at Knoll Pharmaceuticals, Fujisawa Pharmaceutical Company, the Squibb Institute for Medical Research (now Bristol-Myers Squibb) and Key Pharmaceuticals. Dr. Pesco Koplowitz is a member of numerous medical and clinical pharmacology organizations and committees, most recently being asked to serve on the FDA/PhRMA QT Working Group Committee. Dr. Pesco Koplowitz has been responsible for numerous successful INDs and NDAs during her 22-year career and holds several use patents in the treatment of various diseases. She has worked in multiple therapeutic areas, and has personal interests in the areas of overall drug development, PK/PD modeling and drug-drug interactions, receptor-binding modeling and special population clinical trials, especially pediatric, elderly and critical-care patients. She is author or co-author on over 30 publications

Abstract:

The Cardiac Safety Research Consortium (CSRC) is a transparent, public-private partnership that was established in 2005 as a Critical Path Program and formalized in 2006 under a Memorandum of Understanding between the United States Food and Drug Administration and Duke University. Our continuing goal is to advance paradigms for more efficient regulatory science related to the cardiovascular safety of new therapeutics, both in the United States and globally, particularly where such safety questions add burden to innovative research and development. This presentation is a summary of a White Paper that provided a summary of discussions by a cardiovascular committee cosponsored by the CSRC and the US Food and Drug Administration (FDA) that initially met in December 2014 and periodically convened at FDA’s White Oak headquarters from March 2015 to September 2016. The committee focused on the lack of information concerning the cardiac effects of medications in the premature infant and neonate population compared with that of the older pediatric and adult populations. Key objectives of this presentation are as follows: Provide an overview of human developmental cardiac electrophysiology, as well as the electrophysiology of premature infants and neonates; summarize all published juvenile animal models relevant to drug-induced cardiac toxicity; provide a consolidated source for all reported drug-induced cardiac toxicities by therapeutic area as a resource for neonatologists; present drugs that have a known cardiac effect in an adult population, but no reported toxicity in the premature infant and neonate populations and summarize what is not currently known about drug-induced cardiac toxicity in premature infants and neonates and what could be done to address this lack of knowledge. This presentation presents the views of the authors and should not be construed to represent the views or policies of the FDA or Health Canada

Biography:

Dulanie Gunasekera MBBS MD FRCP(Lon) FSLCP, is a consultant paediatrician and professor of Paediatrics. She is the current Chair and Academic Head of t department of Paediatrics, University of Sri Jayawardenepura, Sri Lanka. Her interests are in neonatology, breast feeding promotion, immunization and dengue infection and has authored over 40 publications in peer reviewed national and international journals. She is also a Master Trainer for the POQI method of quality improvement. Professor Gunasekera has been Past President of the Sri Lanka College of Pediatricians and the Perinatal Society of Sri Lanka, during which time she was instrumental in promoting basic newborn care in the peripheral regions of Sri Lanka.

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In any health care setting, as health services improve, together with survival figures, emphasis should essentially shift to improving quality of care. Contrary to popular belief, quality improvement (QI) does not need excessive financial inputs, expensive infrastructure or outsourced expertise. The process of quality improvement (POQI) method shows how QI could be done at an institutional level utilizing the available resources and manpower. POQI is based on 4 simple rules, identifying the problem (making an AIM statement), finding the root cause of the problem (by using Fish Bone (root cause) analysis, 5-whys or Pareto charts), identifying the current processes and point of care issues which are causing/leading to the problem with possible interventions to overcome the problem (Process Flow chart) and devising a mechanism to overcome the problem; plan-do-study-act cycle (PDSA cycle). Two simple examples will be taken (e.g. preventing post-partum hemorrhage in the mother and preventing hypothermia in the newborn) to demonstrate how this methodology could be used to improving quality of care using locally available expertise and resources.

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Maria Margaretha Ulemadja Wedho has completed her Masters and working as a Lecturer in the Department of Health, at Health Polytechnic, Indonesia.

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President and founder of the non-profit “Foundation En Pantalla Contra la Violencia Infantil”.   Twenty years of experience on research in various criminal and medical disciplines that delve into the origin of the child abuse and risk factors associated.  She developed various initiatives of law, achieving the Mexican government had assumed and considered as the Edict of Law to protect infants from child abuse and abandonment.  Pedagogue by profession, other studies in criminal psychology, and investigative journalism.  Member of the National of Health Secretariat Commission for Child abused. Guest Member and founder  of “Children  Research” at the Instituto de Investigaciones Jurídicas.  Autonomous University of Mexico .  Author of two books, six documentary, five scientific publications-.

Abstract:

Child abuse and homicide perpetrated by the mother  take place during  Pre and Post- natal stages, in women who fail to  emotionally bond their baby, during pregnancy and lactation afflicted by depression or  other  mental disorder, whose impulse control is low or null.

Notwithstanding the alarm signals,  they silently pass unnoticed by the medic or paramedical personnel, leaving the baby unprotected of irreversible damage under potential  violence future living conditions.  Neuroscientific findings have demonstrated the devastating effect of disruptive and dark emotions in the mother during  the gestational stage, her endocrine system, generates cortisol and norepinephrine. These hormones cross the placenta  affecting the embryo’s brain development. Significantly.

The mother's heart  is connected to her nasciturus through the umbilical cord occurring  a neurological, hormonal, and emotional  symbiosis of information, in the middle of an electromagnetic field,  which impregnates codes of permanent information in the molecules and cells of both mother-baby.

Advance researches of cardiology, evidence that the emotional flow released during pregnancy, can be propositively modified, by inducing sensations of empahty in the mother through heart palpitations. This and other procedures are presented as a promising  clinical model for the prevention of child abuse and filicide.

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Cynthia is a registered nurse, midwife with a Master Degree in Public Health and an International Board Certified Lactation Consultant. As the Assistant Director of Nursing she oversees the Lactation Services and KK Human Milk Bank at KK Women’s and Children’s Hospital.

She is a member of the Sales of Infant Food and Ethics Committee (Singapore), Country Coordinator for the International Board Lactation Consultant Examiners (IBLCE) and Lead Associate in Education with the Duke-NUS Graduate Medical School, Singapore. She is also the Honorary Secretary of the Association for Breastfeeding Advocacy (Singapore) and member of the Baby Friendly Hospital Initiative (BFHI) Committee, Singapore.

She played a key role in the setting up of the KK Human Milk Bank and the development of the guidelines and workflows from donors to recipients.

Abstract:

Breast milk is the ideal nutrition for babies in the first six months of life, as it contains enzymes to help with digestion, nutrients, growth factors, hormones and protective antibodies.

Mothers of preterm babies can experience difficulty in providing breast milk, especially in the initial days, due to a variety of reasons including complicated deliveries, or pre-existing medical conditions.

Premature and sick babies are prone to feeding intolerance and are at risk of developing necrotising enterocolitis (NEC) and infections. Breast milk can be life-saving for these vulnerable preterm babies.

The provision of safe, pasteurized donor breast milk is aimed at reducing the risk of these conditions, while optimizing their immunity, development and overall health.

KK Human Milk Bank is set up in accordance with the international guidelines and protocols by the United Kingdom National Institute of Health and Care (NICE) and Human Milk Banking Association of North America (HMBANA). The Milk Bank only recruits mothers who are healthy and do not engage in high-risk behaviors. Donors are required to undergo a stringent donor screening process as well as education on the handling and storage of the breast milk prior to donation.

The donor human milk is screened, processed and dispensed by prescription to preterm babies whose mothers are unable to provide sufficient breast milk. These babies must also meet the following criteria for eligibility:

•     born prematurely at less than 32 weeks of gestation,

•     weighing 1,800 grams or less at birth and

•     at a high risk of or diagnosed with NEC.

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Pre-pregnancy weight gain and gestational weight gain (GWG) are important factors in

both maternal and infant outcomes. Several other factors like genetic characteristics,

socio-cultural, demographic, pre-pregnancy body mass index (BMI) contribute to birth

weight of the newborn. The Institute Of Medicine (IOM) 2009, has recommended that

total weight gain of the mothers should be based on pre-pregnancy body mass index, i.e. BMI <18.5 kg/m2, weight gain between 12-18.5 kg, BMI 18.5-24.5 kg/m2 , weight gain between 11.5-16 kg, BMI 25-29 kg/m2 , weight gain between 7-11.5 kg and BMI >30 kg/m2 , weight gain between 5-9kg.34With the increase of gestational weight gain, the

risk of small for gestational age decreased and the risk for macrosomia and large for

gestational age increased. Newborn weight is positively affected by both maternal pre BMI and gestational weight gain.35 In view of these, the presence study is carried out

with the following objectives, to determine the weight gain by the mother who delivered

a singleton baby to find out the relation between gestational age, pregnancy weight gain

and newborn weight. 

Biography:

She completed Ph.D in 1998 from Punjab University Chandigarh, (Nsg. Service Administration), M.Sc. (Psych. Nsg., 1989), M.A. (Pub. Admn., 1980), Short-term course in Intensive Care, 1979. Total experience in PGI is more than 37 years. She is working on various posts simultaneously i.e. Director, WHOCC, NINE,PGI, Chandigarh, President, TNAI, UT Branch Chandigarh, Member Planning Board, BFUHS, Faridkot, President, IPHA, Member, Expert Advisory Committee, & Chairperson, Curricullum Development Committee, MOH&FW New Delhi,. Member & Convener, Board of Nursing Studies, Punjab University, Chandigarh. Technical Expert in selection committee: BMHRC, Bhopal, New Six AIIMS (Jodhpur, Patna, Rishikesh), PGIMER (CHD.), PGIMS Rohtak, GMCH-32,CHD, Institute of Dental Sciences and hospital, P.U, Member of committee for inspection of govt. / Pvt. Medical, Dental, Nursing and Physiotherapy colleges affiliated to BFUHS, Approved Inspector for Nursing Colleges by Indian Nursing Council, P.U, BFUHS, and PNRC. Dr. Ghai, Principal, National Institute of Nursing Education, PGIMER, Chandigarh, has been Dean, Faculty of Nursing Sciences, BFUHS, Member, Board of Nursing Studies, MMU, Mullana, Treasurer, I P H Assocation, Chandigarh Branch. She is the Principal Coordinator of INC project GFATM. Dr. Ghai has chaired more than thirty five scientific sessions. She has more than 50 publications and more than 35 paper presentations at National and International Conferences to her credit. She has contributed chapters in Books and is co-author of “Management of Hospitals: Hospital Administration in the 21st Century” & Clinical Neurosciences & Critical Care Nursing. Served as Paper setter in more than 10 Universities and have been Research Guide/ Co-guide for Ph.D., M.Sc. Nursing, B.Sc. Nursing, Masters in Hospital Administration students Principal Investigator/Co-Investigator in many research projects. She has bagged National Mahila Rattan Gold Medal Award, Best Educationist Award, Basanti Rai Award for Best Thesis. She is recipient of Best poster awards at International Conference on Nursing and Emergency Medicine held in Las Vegas, USA; and at National Conference on the theme " Today's Learner's Tomorrow's Leader-Transforming Nursing Education held at The North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong.

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Noise affects people psychologically and physiologically. The environment affects the delicate brain of the preterm deleteriously; thus, noise in NICU is a special concern. The AAP, 2007 recommends noise in NICU ≤ 45dB.

SMART AIMS:

1. To decrease the average noise in NICU by 25% from the pre – intervention levelsover 8 weeks.
2. To decrease the level of  stress of health care personal working in NICU by 25%over 8 weeks.

METHODS: Noise reduction program was implemented by taking baseline measurements using a Digital Sound Level meter, Casella Cell 63X at random locations. Multiple and Intensive discussions was conducted with staffs of NICU and the QI group consisting of active clinicians and nurses regarding their views on noise and its effects on stress level and to formulate strategies to reduce the noise level such as sensitization programme, quiet hours and so on. Interventions were grouped in Eisenhower matrix and a multiphase Plan–Do–Study–Act cycle was run. Regular feedbacks after each cycle was provided to motivate strategy adherence.

RESULTS:Descriptive and inferential statistics using SPSS and QI Macros 2017 was employed to analyse the data. The overall decrease in the mean of the equivalent level is 7.03%, 7.72% and 7.74%, and a significant decrease in the peak level is 11%, 7.02% and 12.45% in the morning, evening and night shift respectively. Major sources of noise reported to be from equipment’s, alarms and human voice. Stress score significantly decreased with a mean difference of 6.45 and p<0.001

CONCLUSIONS: Findings of the study have substantial inferences for neonatal care as well as the general health of the Health care providers and pinpoints the significance of noise monitoring in NICU. Constant reinforcement and regular interaction between the QI team and the staffs of NICU is essential to bring change in behaviour and culture and to reach the recommended goal.

Biography:

Irene Chain Kalinowski has practiced Midwifery through three continents, Europe, the Middle East and New Zealand. For 34 years she has practiced midwifery. Her first book, "The Heart and Soul of Midwifery" tells a story of how birth became so complex in our western society and how we need to make changes in the way we provide maternity services. She released her Second Book "My Body My Baby" in March 2013, Inspired by her niece’s traumatic childbirth experience and the alarming C Section rate.

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Preparing for parenthood is a life changing experience. The baby growing in the womb becomes the pregnant mom’s teacher. It teaches a woman how to take care of herself. Her learning determines the future health of her child. When her child grows she will teach her child all she has learned. The woman’s health and her baby’s health is a contribution to our world future generations, healthy in mind, body and spirit. Eating the right food and going for walks is only a part of delivering the best start to life that a baby needs. Breastfeeding is the best start for a baby’s immune system and intelligence but babies need much more than that. A baby needs to get emotional physical and spiritual wellness from its mother. Preparing for birth is much more than exercise and eating and there’s more to it than learning about birthing positions. When we don’t connect the mind with the care we give, we will not see birth celebrated. When women understand the amazing body that they live in and are connected to it mind body and spirit. They have confidence to birth. They stay in control and birth is celebrated. This presentation addresses all of the above and prepares women to birth.

Biography:

he completed Ph.D in 1998 from Punjab University Chandigarh, (Nsg. Service Administration), M.Sc. (Psych. Nsg., 1989), M.A. (Pub. Admn., 1980), Short-term course in Intensive Care, 1979. Total experience in PGI is more than 37 years. She is working on various posts simultaneously i.e. Director, WHOCC, NINE,PGI, Chandigarh, President, TNAI, UT Branch Chandigarh, Member Planning Board, BFUHS, Faridkot, President, IPHA, Member, Expert Advisory Committee, & Chairperson, Curricullum Development Committee, MOH&FW New Delhi,. Member & Convener, Board of Nursing Studies, Punjab University, Chandigarh. Technical Expert in selection committee: BMHRC, Bhopal, New Six AIIMS (Jodhpur, Patna, Rishikesh), PGIMER (CHD.), PGIMS Rohtak, GMCH-32,CHD, Institute of Dental Sciences and hospital, P.U, Member of committee for inspection of govt. / Pvt. Medical, Dental, Nursing and Physiotherapy colleges affiliated to BFUHS, Approved Inspector for Nursing Colleges by Indian Nursing Council, P.U, BFUHS, and PNRC. Dr. Ghai, Principal, National Institute of Nursing Education, PGIMER, Chandigarh, has been Dean, Faculty of Nursing Sciences, BFUHS, Member, Board of Nursing Studies, MMU, Mullana, Treasurer, I P H Assocation, Chandigarh Branch. She is the Principal Coordinator of INC project GFATM. Dr. Ghai has chaired more than thirty five scientific sessions. She has more than 50 publications and more than 35 paper presentations at National and International Conferences to her credit. She has contributed chapters in Books and is co-author of “Management of Hospitals: Hospital Administration in the 21st Century” & Clinical Neurosciences & Critical Care Nursing. Served as Paper setter in more than 10 Universities and have been Research Guide/ Co-guide for Ph.D., M.Sc. Nursing, B.Sc. Nursing, Masters in Hospital Administration students Principal Investigator/Co-Investigator in many research projects. She has bagged National Mahila Rattan Gold Medal Award, Best Educationist Award, Basanti Rai Award for Best Thesis. She is recipient of Best poster awards at International Conference on Nursing and Emergency Medicine held in Las Vegas, USA; and at National Conference on the theme " Today's Learner's Tomorrow's Leader-Transforming Nursing Education held at The North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong.

Abstract:

The occurrence of cow milk protein allergy (CMPA) has been recognized in India. Overall the incidence of CMPA in the infants fed with formula milk is 5-7% and in breastfed infants it is 0.5-1%. Though the incidence is less in breastfed infants and early presentation is rare here in this case report we present a case of CMPA associated with exclusive breastfeeding.  A 3 months old female baby presented with complaints of streaks of blood in stool. The infant had one episode of blood streak in stool at 2 months of age. At 3 months of age baby was brought for neonatal consultation when episode of blood streak in stool increased to 4 times in a week. The baby was otherwise well. Stool examination revealed reddish yellow ill formed Alkaline reaction with traces of mucus and blood, pus cells 12-15, RBC- 10-12/HPF, no cyst/ova,  and Eosinophil count was 3 Cells/cmm and occult blood- +ve. Colonoscopy revealed loss of vascular pattern and nodularity + throughout. Biopsy finding revealed intact colonic lining epithelium. Lamina propria shows focal congestion, moderate lymphoplasmacytic cells infiltrate with occasional eosinophils, bits of colonic mucosa with surface inflammatory cell exudate. No significant increase in eosinophils was noted. The mother reported an increased intake of  milk and almonds in the days prior to the episode. As  the episodes of blood streaks in stool increased, she was initially advised to stop almonds and eggs. But the  symptoms didn’t subside and she was then advised total exclusion of CMP in her diet.  The symptoms however, still persisted. Dietaryre-evaluation revealed intake of CMP from sources having hidden content of milk e.g. bread. Mother was again counselled for CMP free diet and breast feed was continued. The episodes of blood streaks in baby’s stools settled. Gradually complementary feed was started at 5 months of age with Semolina (suji) halva and mashed banana. In conclusion, we share our experience of managing a case of allergic procto-colitis due to CMPA in an exclusively breast fed neonate. It is important to remember hidden sources of CMP intake while modifying maternal diet.

Biography:

Wei Siang Yu is a globally renowned pioneer in healthcare TMT (Technology, Media and Telecommunication). He is the Founder and Executive Chairman of Borderless Healthcare Group of companies which operates borderless healthcare initiatives around the world. He graduated as one of the top students at Monash Medical School in 1995 and went against the conventional career path of an honors student to become a medical inventor in the space of digital bio-communication. He has gained worldwide recognition in his work on social application of digital bio-communication and became the youngest nominee of CNN People’s Choice Award in 2003.

Abstract:

Borderless Healthcare Group has developed a model of seamless care model from pregnancy planning to postnatal care using a connected hospital model where healthcare professionals in the hospital can inter-operate with the caregiver, mother and child at home using smart TV, smart phone, home robots, sensors and other internet of things. The platform also allows the convergence of local and international experts borderlessly. Multilingual case managers will manage every case of integrated care to ensure there is no language barrier during transmission. The ultimate aim of the platform is to generate maternal and child care big data where artificial intelligence can be applied. A new form of epidemiology of always on live data is expected to be derived from this platform which will herald a new era of predictive maternal and child care.

Biography:

Midwifery profession, Founder of China Midwifery Alliance, Founder of China Midwifery website, President of Qingdao Huikang Nursing Training School, Cochairman of China Maternal and Child Health Care Action Coalition, Director of China Medical Council for Promotion Modern Maternity Science and Technology Development. Awarded the “Top Ten Midwifery Angle ” in China from 2014 to 2015, Mengxue enjoys a higher reputation in midwifery circles in China, highly respected by the midwifery colleagues. She developed her own distinctive midwifery management system, team training method, maternity service modes, and held more than 300 lectures across China with high recognition. Mengxue , with more than 30 years of clinical working experience , leads the revolution and regeneration of modern maternity service in China. Starting from 2006，she undertook an journey of learning and investigation about midwifery education, midwifery technique and maternity service across New Zealand , America, Canada, German, Netherlands, Japan, UAE etc. Extremely obsessed with midwifery profession, she has accumulated extensive experience and resources, and studied midwifery technology and obstetric service model with a unique perspective.

Abstract:

Modern Maternity Service System is highly advocated consecutive service system (start from get ready for pregnancy to postpartum recovery) in China, developed by Meng Xue and her professional team of experts. MMSS covers seven-part Modules: midwifery clinic, pregnant woman’s school, doula skills, midwifery skills, pregnancy, labor and birth, prenatal education, breastfeeding, postpartum recovery and water therapy for baby. This mother and baby centered, diversified, individualized and inter-disciplinary service system is aimed to improve the happiness index of the midwife, the woman and her family. Training provides for the positive and safe delivery and experience of pregnant woman, normal birth and the decrease of C-section.

Biography:

Abstract:

The Cardiac Safety Research Consortium (CSRC) is a transparent, public-private partnership that was established in 2005 as a Critical Path Program and formalized in 2006 under a Memorandum of Understanding between the United States Food and Drug Administration, and Duke University. Our continuing goal is to advance paradigms for more efficient regulatory science related to the cardiovascular safety of new therapeutics, both in the United States and globally, particularly where such safety questions add burden to innovative research and development. This presentation is a summary of a White Paper that provided a summary of discussions by a cardiovascular committee cosponsored by the CSRC and the US Food and Drug Administration (FDA) that initially met in December 2014 and periodically convened at FDA’s White Oak headquarters from March 2015 to September 2016. The committee focused on the lack of information concerning the cardiac effects of medications in the premature infant and neonate population compared with that of the older pediatric and adult populations. Key objectives of this presentation are as follows: Provide an overview of human developmental cardiac electrophysiology, as well as the electrophysiology of premature infants and neonates; summarize all published juvenile animal models relevant to drug-induced cardiac toxicity; provide a consolidated source for all reported drug-induced cardiac toxicities by therapeutic area as a resource for neonatologists; present drugs that have a known cardiac effect in an adult population, but no reported toxicity in the premature infant and neonate populations and summarize what is not currently known about drug-induced cardiac toxicity in premature infants and neonates and what could be done to address this lack of knowledge. This presentation presents the views of the authors and should not be construed to represent the views or policies of the FDA or Health Canada.

Biography:

Abstract:

The aim of the research was to prospectively evaluate the frequency and reasons of vaccine rejection 0-24 months old children’s parents. The data of the study were determined by simple randomization and were obtained from two Family Health Centers in Istanbul between March 1st and October 31th 2017. The study's universe consists of 3942 parents who applied for two health centers within that period, and the sample was 470 parents who were willing to participate in the study. In the research, the questionnaire was applied face to face with the parents. Data were transferred to SPSS 21.0 program and analyzed with appropriate statistical tests.

Biography:

Abstract:

In many hospitals, resuscitation and transfer of sick newborns from delivery room to NICU requires transfer from a radiant warmer to an incubator or use of a transport incubator for transfer to the NICU. This usually means significant thermal stress as well as possible respiratory and hemodynamic instability. We have reduced unnecessary transfers between beds for critically ill Neonates and VLBWI by using a hybrid (OmniBed), which incorporates an overhead warmer and an incubator into one device, to improve the thermoneutral environment during this early critical phase. The purpose of this study was to compare the impact of using this device on admission thermal stability and stress to the newborns with traditional caregiving methods.

Biography:

Victoria Mattox is a Neonatal Nurse Practitioner and currently practices in the state of California. She has a special interest in neonatal research especially as it pertains to improving evaluative measures and the identification of risk factors for common conditions in the neonatal population, improving outcomes, and management of extreme preterm neonates. She also enjoys the collaboration when looking at the joint efforts to improve care alongside colleagues in obstetrics and perinatology.  Her goal is to continue to engage in research as she is preparing to pursue a PhD in Nursing.

Abstract:

Early onset sepsis (EOS) in newborns can be hard to identify due to multiple contributing factors and a lack of early reliable markers that allow for definite identification. Clinicians depend on determining whether risk factors such as prematurity, prolonged rupture of membranes (PROM), under treatment for GBS positive or unknown mothers, and chorioamnionitis are present to help determine if there is a need to evaluate and treat sepsis prospectively. The identification of cord blood neutropenia has been introduced as an independent and adjunct marker to help identify EOS. The purpose of this study was to establish reference values for cord blood neutrophil counts per gestational age and to look at the sensitivity, specificity and favorable likelihood ratio of cord neutropenia as an independent marker and as an adjunct marker to detect EOS in newborns >34 weeks’ gestational age. 

Biography:

Abstract:

The Health development targets are to accelerate the decrease in Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR). Aim: The purpose of this study was to explore women’s experiences of taking care of their infant/neonates (age 0-28 days) in Two Communities Arround Kupang, West Timor Desa Bipolo Kecamatan Sulamu and Kelurahan Sikumana Kota Kupang East Nusa Tenggara Indonesia. Method: Qualitative research with case study approach was used to assess women’s experience in taking care of neonates. Five women with neonates were choosen as population and purposive sampling was conducted to select the respondents. Data were collected by the way of structured interview with the mother. Moreover, there were 3 stages of data analysis consisting of: data reduction, display data, and conclusion drawing/verification. Result: Three themes related to women’s experiences in taking care of neonates were identified. Those are: neonatal check up or visitation, nutrition for five post neonate women, and the level of mother’s knowledge. The result of this study showed that not only respondents have never been visited by health worker based on the Government standard in NTT Province, but also they have never been educated on how to take care of and to feed their neonates well. Recommendation: Further study should be conducted by health care worker or government in this case the Provincial and District Health Office to motivate the mother and family to compliance to government regulation standard to take care of neonatal. Health workers are expected to design the guidelines and counseling to decrease infant mortality rate in the community through education during the prenatal period. Heads of the village are expected to insist that the community especially pregnant women to visit health facilities at least 3 times during the neonatal period. The health workers are expected to visit families with neonates at least 3 times in the first week of neonatal life

Biography:

Dulani Gunasekera got her FSLCP – Fellow, Sri Lanka College of Peadiatricians - August 2013 FRCP(Lon) - Fellow of the Royal College of Physician, London – 2003 MD (Paediatrics) January 1992 - Awarded the Professor Priyani Soysa Gold Medal for outstanding performance. Research – over 40 published papers & abstracts in international & national journals.President Perinatal Society of Sri Lanka 2015 - 2016 . She is the President, Sri Lanka College of paediatricians(SLCP) - 2013-2014 member, Board of Management. Post Graduate Institute of Medicine(PGIM), Colombo member, National Technical Advisory Committee on Newborn Care member, National committee on Maternal & Child Nutrition member Ethical Review Committee(ERC), PGIM, Colombo member Ethical Review Committee, (SLCP) Focal Point for Technical Advisory Group on Immunization(TAGI)- International Paediatric Association (IPA), in Sri Lanka. Her current research is involved in a multicenter clinical trial for developing a novel vaccine for Dengue Haemorrahagic Fever.

Abstract:

In any health care setting, as health services improve, together with survival figures, emphasis should essentially shift  to improving quality of care. Contrary to popular belief, quality improvement(QI) does not need excessive financial inputs, expensive infrastructure or outsourced expertise. The “Process of  Quality Improvement”(POQI) method, shows how QI could be done at an institutional level utilizing the available resources and manpower.

POQI is based on 4 simple  rules; identifying the problem(making an AIM  statement), finding the root cause of the problem(by using Fish Bone(root cause) analysis, 5-whys or Pareto charts), identifying the current processes and point of care issues which are causing/leading to the problem with possible interventions to overcome the problem (Process Flow chart)  and devising  a “plan of action” to overcome the problem; Plan-Do-Study-Act cycle(PDSA cycle).

Biography:

Sino George is a Board Certified Women’s Health Nurse Practitioner. She began her career in health care by working as Nurse Midwife. Since that time, she has accumulated nearly 35 years of nursing experience and education in various areas of patient care. Sino’s combination of clinical education and experience has enabled her to lead several quality improvement projects at division as well as at system levels.  She has presented at local, national and international levels on quality improvements and research. Her research work has been published in a peer reviewed nursing journal.

Abstract:

Newborns experience in-hospital falls at rate of approximately 1.6/10,000 live births, resulting in 600-1600 falls per year in the United States  Before the last decade, the topic of in-hospital newborn fall/drop was virtually nonexistent in the literature. Although in-hospital adult falls have long been a focus of research and intervention, there has been no tracking of data on the prevalence of falls among newborns and no published protocols specifically to prevent falls among newborns until recently. The birth of a baby can be one of the most joyous experiences for families. Dropping a baby after falling asleep or caring for an infant when an accidental injury occurs can be an emotional and life-changing experience for families, especially if serious injury occurs. Literature now shows that healthcare facilities can make a difference in newborn events by incorporating prevention methods such as family awareness, staff monitoring, and education for both staff and families.

Upon completion of this presentation, participants should be able to Identify inherent factors during hospitalization that increase the risk of a newborn fall/drop and potential interventions to prevent newborn falls.

Biography:

She completed Ph.D in 1998 from Punjab University Chandigarh, (Nsg. Service Administration), M.Sc. (Psych. Nsg., 1989), M.A. (Pub. Admn., 1980), Short-term course in Intensive Care, 1979. Total experience in PGI is more than 37 years. She is working on various posts simultaneously i.e. Director, WHOCC, NINE,PGI, Chandigarh, President, TNAI, UT Branch Chandigarh, Member Planning Board, BFUHS, Faridkot, President, IPHA, Member, Expert Advisory Committee, & Chairperson, Curricullum Development Committee, MOH&FW New Delhi,. Member & Convener, Board of Nursing Studies, Punjab University, Chandigarh. Technical Expert in selection committee: BMHRC, Bhopal, New Six AIIMS (Jodhpur, Patna, Rishikesh), PGIMER (CHD.), PGIMS Rohtak, GMCH-32,CHD, Institute of Dental Sciences and hospital, P.U, Member of committee for inspection of govt. / Pvt. Medical, Dental, Nursing and Physiotherapy colleges affiliated to BFUHS, Approved Inspector for Nursing Colleges by Indian Nursing Council, P.U, BFUHS, and PNRC. Dr. Ghai, Principal, National Institute of Nursing Education, PGIMER, Chandigarh, has been Dean, Faculty of Nursing Sciences, BFUHS, Member, Board of Nursing Studies, MMU, Mullana, Treasurer, I P H Assocation, Chandigarh Branch. She is the Principal Coordinator of INC project GFATM. Dr. Ghai has chaired more than thirty five scientific sessions. She has more than 50 publications and more than 35 paper presentations at National and International Conferences to her credit. She has contributed chapters in Books and is co-author of “Management of Hospitals: Hospital Administration in the 21st Century” & Clinical Neurosciences & Critical Care Nursing. Served as Paper setter in more than 10 Universities and have been Research Guide/ Co-guide for Ph.D., M.Sc. Nursing, B.Sc. Nursing, Masters in Hospital Administration students Principal Investigator/Co-Investigator in many research projects. She has bagged National Mahila Rattan Gold Medal Award, Best Educationist Award, Basanti Rai Award for Best Thesis. She is recipient of Best poster awards at International Conference on Nursing and Emergency Medicine held in Las Vegas, USA; and at National Conference on the theme " Today's Learner's Tomorrow's Leader-Transforming Nursing Education held at The North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong.

Abstract:

The occurrence of cow milk protein allergy (CMPA) has been recognized in India. Overall the incidence of CMPA in the infants fed with formula milk is 5-7% and in breastfed infants it is 0.5-1%. Though the incidence is less in breastfed infants and early presentation is rare here in this case report we present a case of CMPA associated with exclusive breastfeeding.  A 3 months old female baby presented with complaints of streaks of blood in stool. The infant had one episode of blood streak in stool at 2 months of age. At 3 months of age baby was brought for neonatal consultation when episode of blood streak in stool increased to 4 times in a week. The baby was otherwise well. Stool examination revealed reddish yellow ill formed Alkaline reaction with traces of mucus and blood, pus cells 12-15, RBC- 10-12/HPF, no cyst/ova,  and Eosinophil count was 3 Cells/cmm and occult blood- +ve. Colonoscopy revealed loss of vascular pattern and nodularity + throughout. Biopsy finding revealed intact colonic lining epithelium. Lamina propria shows focal congestion, moderate lymphoplasmacytic cells infiltrate with occasional eosinophils, bits of colonic mucosa with surface inflammatory cell exudate. No significant increase in eosinophils was noted. The mother reported an increased intake of  milk and almonds in the days prior to the episode. As  the episodes of blood streaks in stool increased, she was initially advised to stop almonds and eggs. But the  symptoms didn’t subside and she was then advised total exclusion of CMP in her diet.  The symptoms however, still persisted. Dietaryre-evaluation revealed intake of CMP from sources having hidden content of milk e.g. bread. Mother was again counselled for CMP free diet and breast feed was continued. The episodes of blood streaks in baby’s stools settled. Gradually complementary feed was started at 5 months of age with Semolina (suji) halva and mashed banana. In conclusion, we share our experience of managing a case of allergic procto-colitis due to CMPA in an exclusively breast fed neonate. It is important to remember hidden sources of CMP intake while modifying maternal diet.