Day 1 :
Royal Manchester Children Hospital, UK
Time : 10:00-10:45
Dr Michael has completed his residency training at the age of 25 years from Ain Shames University in Egypt, and postgraduate studies from Royal Collage of Paediatric and Child Health. He is currently one of speciality trainee in paediatrics in the United Kingdom. He has a passion toward paediatric cardiology and haemodynamic assessment.
Ventricular function may be the depressed in neonatal disease processes such as hypoxia, sepsis, haemolytic disease of new-born, surfactant deficiency lung disease, PPHN and transient tachypnoea of new-born. In contrast to adult patients, little is known about the best way to assess ventricular function. Invasive monitoring of central venous pressure, capillary wedge pressure and cardiac output are seldom done in the neonate especially the preterm.
Usually heart rate and blood pressure are the only measured indices of cardiac function and they may be misleading. A dysfunctional heart maybe tachycardic, bradycardic, or have a normal rate. In hypotensive neonatal cardiac function may be depressed, normal, or even hyperdynamic.
Therapeutic interventions may modify cardiac function or cardiac output intentionally or incidentally, so an index of ventricular performance is needed to make sure that such interventions are appropriate this is now possible by echocardiography serial measurements allow rapid assessment of the effectiveness of therapeutic interventions.
In this presentation, or poster, I will discuss how to assess:
Systolic function of both Left ventricle and right ventricle including new principles in assessing right ventricular function.
Diastolic functions; especially that in recent years have seen an enormous increase in interest in other cardiology and the role of the diastole in ventricular performance particularly in ischemic heart disease, ventricular hypertrophy cardiomyopathy, and pericardial disease. Now that diabetic cardiomyopathy and dexamethasone induce cardiac hypertrophy are recognised in neonates, the assessment of the diastolic function should be an important subject of research.
Hamad Medical Corporation, Qatar
Time : 10:45-11:20
Hissa has completed her Master degree in medical imaging at the age of 33 years from Aberdeen University. She is the Radiology supervisor in Communicable disease Centre, member of HMC. She has published 1 paper in online OMICS Journal of Radiology and member of Quality team in CDC.
Down syndrome is a condition of the chromosomes that is caused when an error occurs during cell division creating an extra chromosome 21 (Gardiner et al., 2010). People with Down syndrome especially pediatric patients may develop several health conditions that may require to be diagnosed through imaging (Bull, 2011).
This research was used to identify environmentally friendly methods for pediatric patients with Down syndrome. These methods are aimed at reducing the radiation dose for a patient during a radiological procedure. Additionally, the methods should be able to provide the best quality images to improve diagnosis and hasten recovery.
We used the PRISMA guidelines to perform a systematic review of the current literature obtained from various databases. We searched for several articles and found a total of 51 articles related to environmentally friendly radiological procedures. Out of the 51 articles, 17 were analyzed in detail.
Caring for pediatric patients with Down syndrome requires environmentally friendly methods to improve the quality of care. Patients may not respond well to high dosages of radiation because they sometimes cause irritations. Both patients and clinicians need improved image quality of the radiological procedures to make the diagnosis of the condition easier and hasten the process of recovery.
Methods that create a friendly environment for pediatric patients with Down Syndrome during radiological procedures such as CT scans and X-rays are important in the diagnosis of disease. High radiation dosages may not suit patients sometimes thus affecting the quality of care. Improving image quality is also important in the diagnosis and management of the condition.