Day 2 :
Keynote Forum
David Stanley
University of New England, Australia
Keynote: Exploring clinical leadership myths and legends: Florence nightingale and mary seacole
Biography:
David has contributed significantly to nursing and midwifery education since he began teaching Enrolled Nurses in South Australia, in 1987. Since then, David has developed into a consummate professional educator who is student focused and driven to maintaining high quality, supportive, clinically relevant and up-to-date learning experiences in a range of presentation/learning formats.
Abstract:
Aim: To identify the attributes and characteristics of clinical leaders by exploring the contrasting the myths and legends that surround the lives and practice of Mary Seacole and Florence Nightingale.
Background: Literature will be presented and used to highlight the attributes and characteristics of these two famous nurses. Ten clinical leader attributes will be outlined with examples of how Mary Seacole and Florence Nightingale can be viewed (or not) as clinical leaders.
Discussion Design: The clinical leader attributes identified by Stanley (2016) are explored alongside an outline of the attributes and characteristics of the two great nursing leaders. Assessed are their approaches to being; approachable and open, effective communicators, visible in practice, role models for clinical practice, empowered decision makers, their clinical competence and the application of their values and beliefs.
Results: Historical record and contemporary literature will be used to facilitate the discussion. The examples used and historical information provided will shed light on the lady with the “lamp” and her contemporary, Mary as we explore how clinical leaders and clinical leadership is understood and applied in a more modern context (Stanley, 2010).
Keynote Forum
Vinit Wankhede
Nelson Mother and Child hospital. Nagpur.
Keynote: Evaluation of a low cost model for the delivery of therapeutic moderate hypothermia in neonates with moderate to severe encephalopathy secondary to perinatal asphyxia.
Biography:
Dr. Vinit Wankhede is a Consultant Pediatric Neurologist and Epileptology’s, currently practicing in Nagpur City in the state of Maharashtra, India. He has done his MBBS from Government Medical College and Hospital, Nagpur. He completed his DCH from BJ Medical College, Pune and DNB from Choithram Hospital & Research Centre, Indore. He underwent fellowship training in Pediatric Neurology & epilepsy at Bharati Hospital & Research Centre, Pune. He received honors and gold medals in his master's educations from Maharashtra University of Health Sciences and also from Neurology chapter of Indian Academy of Pediatrics for 1st rank in India. Currently, he is editor of the Indian Journal of pediatric neurology and has organized various Pediatric Neurology seminars, workshops, and conferences.
Abstract:
Introduction: Pilot studies and results of a meta-analysis of randomized controlled trials in neonates with ischemic encephalopathy have reported that therapeutic hypothermia decreases the mortality and improves the neurological outcome of neonates with perinatal asphyxia. However as servo controlled equipment to deliver therapeutic hypothermia is extremely expensive, we assessed the low-cost delivery method using cool packs. We also studied the problems and complications associated with this technique of maintaining sustained hypothermia.
Materials and methods: This was a prospective observational study conducted at NICU after ethical committee clearance. Inclusion criteria were 1.Gestational age > 36wks, 2.Birth weight > 2 kg, 3.Age < 6 hours, 4. Documented moderate to severe birth asphyxia defined in the study protocol. After obtaining informed consent from the parents, the neonates underwent cooling by using ice packs. The core temperature of the baby was recorded by inserting an oesophageal probe. All supportive management was started as per our NICU protocol. The core temperature of the neonates was monitored serially till the total period of 84 hours. Serial laboratories were obtained at the time specified by the protocol. After 72 hrs, the neonates were rewarmed slowly to a normal core temperature by 0.5°C every hour. Thereafter detailed daily examination was noted till discharge.
Results: Of 32 neonates admitted with perinatal asphyxia in1 year study period, only 6 were eligible for therapeutic hypothermia. The mean time taken to achieve target oesophageal temperature in 6 patients who underwent therapeutic hypothermia was 90 minutes. Mean oesophageal temperature was 33.75ËšC and could be maintained for 72 hours with the use of cool packs. Rewarming phase took mean of 6 hours 45 min± 55min. Adverse events observed during cooling were sepsis, coagulopathy, hyponatremia, hypotension and abnormal renal function.
Conclusion: We have demonstrated that it is feasible to deliver therapeutic hypothermia using a low-cost model of room temperature modulation and ice packs in resource-limited settings. However, the adverse events may limit its use in resource-limited settings.
- Nursing Education | Pediatric Hospitalist responsibilities
Location: Boston,USA
Chair
Tochi O. Ubani,
NursesDrCommunication, USA
Session Introduction
Karan Soni
Ahalia Hospital Musaffah,UAE
Title: Triploidy syndrome: A rare fatal anomaly in an arab child
Biography:
Karan Soni has graduated from Christian Medical College, Ludhiana, India in 2017 achieving numerous accolades during his studies. He is undergoing Medical Observership at Ahalia Hospital Musaffah, Abu Dhabi, UAE. He has acquired the ECFMG certificate in 2018. He is applying for Residency in USA for 2019. Ahalia Hospital Mussafah, Abu Dhabi,U.A.E.
Abstract:
Introduction: Triploidy is a rare chromosomal abnormality of an additional set of chromosomes in the cell for a total of 69 chromosomes rather than the normal 46 chromosomes per cell. The extra set of chromosomes originates either from the father or the mother during fertilization. Infants with triploidy usually are miscarried early in the pregnancy or die within the first days of life. (1,2). We are reporting a case of this rare fatal anomaly from Kuwait.
Case report: A girl baby was born to unrelated Syrian parents in Kuwait at 35 weeks by LSCS. Mother was 25-year primigravida without antenatal care. Pregnancy was uneventful except preterm labor at 35 w. Multiple dysmorphic features noted were-IUGR with relative macrocephaly, parieto-occipital prominence, microphthalmia, small palpebral fissure, flat large low set ears, beaked and deviated nose, micrognathia, thin lips, triangular face, camptodactyly with partial syndactyly 3,4,5 fingers, prominent calcaneum, rocker bottom feet, camp to-partial syndactyly feet(figure 1-5). US head: prominent choroids plexus. ECHO: ASD and PDA. US abdomen: agenesis left kidney.Karyotype: 69xxx Baby died after 40 days with cardiorespiratory failure.
Discussion: Triploidy accounts for 1-3 percent of all pregnancies. This disorder does not run in families and is not associated with maternal or paternal age(3). Apart from multisystem anomalies, they have abnormal facies and syndactily of third and fourth fingers of the hands and the second and third toes of the feet (2,3). Antenatal diagnosis possible by karyotyping by amniocentesis or chorionic villus sampling. The diagnosis can be confirmed after birth by chromosome analysis of tissue (skin) obtained from the affected infant. Treatment of triploid syndrome is symptomatic and supportive(2,5).