Day 1 :
- Heart and Pediatric Cardiology
Rainbow Children’s hospital and Birth right, India
Title: Infants with acute pulmonary hypertensive crisis: a case series
Dr Suryakanthi completed her postgraduate training in Pediatrics under Diplomate National Board, New Delhi, and is currently doing fellowship in Pediatric Critical Care in Rainbow Children’s Hospital and Birth right, Telangana, India
Ahmad Pandu Pratama is a Cardiology trainee in National Cardiovascular Center Harapan Kita, teaching hospital of Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia.
University of Medical Sciences, Iran
Title: Association of Beverage Consumption with Cardio-metabolic Risk Factors and Liver Enzyme in Children
Roya Kelishadi is a Professor of Pediatrics in Isfahan University of Medical Sciences, Iran. She has more than 500 publications in English peer-reviewed journals. She is the chair of the Research Institute for Primordial Prevention of Non-Communicable Disease. She had presented her scientific works in several international conferences.
This nationwide study aims to evaluate the association of beverage consumption with cardiometabolic risk factors and alanine transaminase (ALT) levels in children and adolescents. Students, aged 7-18 years, were selected from 30 provinces by multi-stage cluster sampling. The weekly use of six different beverage types including milk, juice, tea, coffee, soda and non-alcoholic beer, was documented. Data of 3733 students were complete for this study. The mean (SD) age of participants was 12.58 (3.15) years; 52.6% were boys, and 72.7% lived in urban areas. Beverages types were clustered into healthy, containing high amounts of sugar and containing high caffeine levels categories. Mean ALT level was 7.70(3.42) IU/L. Tea was the beverage with highest frequency of consumption (73% had daily or weekly consumption). Beverages containing high levels of sugar such as soda and non-alcoholic beer were significantly associated with higher levels of ALT. Model coefficient of regression (SD) was 0.66 (0.31) (P-value:0.034). Healthy beverages such as milk and fresh juice and also beverages containing high levels of caffeine did not have significantly association with ALT levels (p-value=0.32, p-value=0.60). Healthy beverages had a significant and inverse relationship with triglycerides (P-value=0.029), total cholesterol (P-value=0.008) and low density lipoprotein (P-value=0.008) levels. This study showed that consuming sugar sweetened beverages are significantly associated with higher levels of ALT, whereas healthy beverages are associated with a better cardiometabolic profile meaning that consuming healthy beverages leads to lowers TG, TC and LDL levels. The effects of beverages on children health should be emphasized in health recommendations.
The First Affiliated Hospital of Nanjing Medical Universtiyy, Nanjing, China
Title: Hemodynamic effects of dobutamine versus dopamine in preterm infants: an update meta-analysis
Dr. Li Jiang has completed her MD at the age of 35 years from Nanjing Medical University. She is a pediatric cardiologist (associate chief physician) in the field of stuctrual congenital heart disease. She has published more than 10 papers in reputed papers.
Hemodynamic effects of dobutamine versus dopamine in preterm infants: an update meta-analysis: It is a meta-analysis to compare the effects and safety of dobutamine versus dopamine in preterm infants with abnormal hemodynamic status. Study sources were up to 2017 for RCTs in which dobutamine and dopamine treatment was adopted. Included studies were conducted on preterm infants with abnormal hemodynamic status that reported mortality < 28 days, treatment failure and organ effects. 7 articles were included with a total 286 patients. 5 studies reported mortality (180 patients), 4 studies reported P/IVL (145 patients), 4 studies reported P/IVH (160 patients), 2 studies reported severe P/IVH (105 patients), 3 studies reported NEC (140 patients), 2 studies reported BPD (55 patients), and 6 studies reported treatment failure (266 patients). Meta-analysis showed an increased probability in treatment failure using dobutamine treatment (RR, 1.67; 95% CI, 1.14-2.45; P = 0.008), whereas there was no significant difference in mortality < 28 days (RR, 1.16; 95% CI, 0.70– 1.91; P = 0.57), P/IVL (RR, 2.90; 95% CI, 0.93-9.11; P = 0.07), P/IVH (RR, 1.23; 95% CI, 0.73-2.08; P = 0.44), severe P/IVH (RR, 0.58; 95% CI, 0.21-1.62; P = 0.30), NEC (RR, 2.21; 95% CI, 0.60-8.09; P = 0.23) and BPD (RR, 1.04; 95% CI, 0.38-2.82; P = 0.94) between two groups. Dopamine was more effective in treatment success in therapy of preterm infants with abnormal systemic hemodynamic status. No difference was found existed in mortality < 28 days and incidence of adverse organ effects in two groups.