Biography:

Lekha  has 20 years of Experience as a Clinical Dietitian .She is the Senior. Clinical Dietitan at Apollo Children’s Hospitals India.She has completed  Masters in Food and nutrition and  certificate course in pediatric nutrition .Currently pursuing Doctor of Philosophy  in Clinical Nutrition at Bharathiar University  India  and the area of research is   Pediatric Crohn’s Disease. She is involved in implementing the systems and protocols to ensure best clinical practices in Paediatric Nutrition in her hospital. She has presented papers at various national and international forums. She has published articles in Newsletters, Nutrition in disease Management (update series) and has Co-authored the chapter Diet in Luminal Gastrointestinal Disorders in Nutrition and Diet for children–Simplified. She has also been involved in the release of Apollo Clinical Nutrition Manual for adults and Paediatrics, and Dietitians Pocket Books on Basics of Clinical Nutrition for Adults, Pediatrics and Beyond the Basics.

 

Abstract:

Background: Exclusive Enteral Nutrition (EEN) is a well established primary therapy for Pediatric Crohn's disease (CD). In the Indian sub-continent, there are no pediatric studies published till date   Aim: To assess the outcome of EEN and to compare the therapeutic efficacy of polymeric formulae (PF) Vs semi -elemental formulae (SEF) to maintain clinical remission in pediatric CD. Method:  Children commenced on EEN for active CD from March 2012-March 2018 were enrolled. The cohorts were assessed nutritionally and their disease activity measured using Pediatric Crohn’s disease activity Index (PCDAI).Formulae selection was based on target calorie requirement and tolerance of the individual.EEN was considered successful if clinical remission was achieved as defined by PCDAI score, increase in weight and subjective well being of the child at the end of  EEN therapy. Data measured at baseline and after 8 weeks of therapy. Results: Thirty five children were enrolled, 20 children were treated with SEF and 15 with PF orally.  At the onset of therapy, 42.8 % were well nourished and 57.1% children were under weight. One child relapsed from both the cohorts within a year. A mean increase of 4.1 kg weight was seen in children using SEF and 4.01 kg in children using PF. At the end of therapy, 91 % were well nourished and 8.5% children were under weight.  PCDAI differences were seen in all patients and an improvement was noted .In patients who achieved complete remission, weight for height improved significantly between the commencement and end of treatment with EEN. Significant weight gain in both the groups (P < 0.05) at the end of therapy.   Conclusion: EEN using either formulae was effective in inducing clinical remission in active pediatric CD with no systemic side effects. Differences in nitrogen sources of enteral feeds are not relevant to their therapeutic efficacy.

Recent Publications (minimum 5)

1 .Luo Y, Yu J, Lou J, Fang Y, Chen J (2017) Exclusive Enteral Nutrition versus Infliximab in Inducing Therapy of Pediatric Crohn's Disease. Gastroenterol Res pract  2017  :6595048

2. Connors J, Basseri S, Grant A, et al . Exclusive Enteral Nutrition Therapy in Paediatric Crohn's Disease Results in Long-term Avoidance of Corticosteroids: Results of a Propensity-score Matched Cohort Analysis. J crohns colitis 2017 Sep 1;11(9):1063-1070.

3. Grover Z , Burgess C, Muir R, Reilly C, Lewindon P. J. Early mucosal healing with exclusive enteral nutrition is associated with improved outcomes in newly diagnosed children with luminal Crohn’s disease. Journal of Crohn's & Colitis. 2016;10(10):1159–1164.

4. Penagini F, Dilillo D, Borsani B, et al. Nutrition in pediatric inflammatory bowel disease: from etiology to treatment. A systematic review. Nutrients. 2016;8(6)

5. Lee D, Baldassano R. N, Otley A. R, et al. Comparative effectiveness of nutritional and biological therapy in North American children with active Crohn’s disease. Inflammatory Bowel Diseases. 2015;21:1786–1793

 

Biography:

Dr.Keta Vagha has completed her undergraduation from Jawaharlal Nehru Medical College, Sawangi(Meghe) and is pursuing postgraduation in Pediatrics. She is a third year resident and wants to work in the field of pediatric cardiology. She aspires to work at the grass root level in India and wants to work for rehabilitation of children with congenital heart diseases.

Abstract:

The prevalence of congenital heart disease (CHD) is estimated to be 9 per 1000 live births. Children with CHD are under risk of delayed growth and development. Neurodevelopmental delay in children with CHD is reported to be more common with cyanotic CHD, and in those requiring surgical intervention. There are many developmental screening tools. DDST-II is a formal developmental screening tool that assesses children from birth to 6 years of age. There is scarce information available on the neurodevelopmental status of Indian children with CHD thus this study was conducted. AIM- To assess the neurodevelopmental status in a child with CHD by applying the Denver Developmental Screening Test (DDST-II). Objectives: To determine the prevalence of developmental delay in children with CHD and comparison of neurodevelopmental status in children with acyanotic and cyanotic CHD. Methods- Cross-sectional study; cases of CHD were included after confirmation by 2-D ECHO and children with recognizable genetic syndromes were excluded. DDST-II was performed on these children and developmental delay was determined. Results- DDST-II showed developmental delay in 65 out of 82 children(79.26%) with more predilection in children with cyanotic congenital heart disease (85.71%). Conclusion- The children with congenital heart disease are more susceptible for developmental delay with predilection for cyanotic congenital heart diseases. Early recognition and palliative treatment can provide these children a better life.

 

Biography:

MR Tigabu is a nurse graduted teda health scinse college in 1999 E.C and BSC health officer graduted from debre markos tropica college of medecin in 2006E.C and started working in debre markos hospital for three years then moved to dangila hospital where he is currently working at.

 

Abstract:

Poland syndrome is a rare congenital condition presentingwith typical features including an absent costosternal head of pectoralis major andipsilateral brachysyndactyly. There are many clinical variations of the syndrome including rib defects, absence of shoulder girdle muscle and breast hypoplasia or agenesis. Dextrocardia is rarely associated with Poland Syndrome with only 22 cases being previously reported in the worldwide literature. Whereas 'classical' Poland syndrome is predominantly right sided, all cases associated with dextrocardia have been left sided. We report a further case of left sided Poland syndrome with dextrocardia which might have important implications for the understanding of the pathogenesis of this unusual condition.here we will report a case which is the first to be reported from our country.its presentation antenatal diagnosis and postpartal followup and detail investigation and sonographic and radiographic images will be presented.

 

Biography:

Saeed Valadi  has completed his MA at the age of 23 years from Islamic Azad University, Science and Research Branch. He has published several articles in prestigious journals (English and Persian).

 

Abstract:

Kindergarten as a preschool institute can have positive but different effects on the awareness level of families to provide a better home environment for motor development. The present study aimed at comparing the affordances in the home environment for motor development among non-daycare and daycare children. This study was cross-sectional and applied. The studied included families having children aged 18- to 42 months living in Tehran, Iran. Fifteen health centers were randomly selected by multistage cluster sampling. Among these centers, 247 children’s parents volunteered at involved in the study (104 attended daycare and 143 were non-daycare). Homes were assessed using the Persian translation of the Affordances in the Home Environment for Motor Development-Self-Report. The findings were analyzed by descriptive statistics, t-tests, one-way analysis of variance, Mann–Whitney non-parametric tests, Pearson correlation tests, and Eta tests. The results indicated a significant difference between the level of affordances in the home environment for motor development among non-daycare and daycare children. That is, there was a significant difference between four dimensions of inside space, variety of stimulation, gross-motor toys, and fine-motor toys for the two groups. The daycare group received higher scores in three dimensions of inside space, fine- and gross-motor toys and the non-daycare children obtained high scores in variety of stimulation. There was no significant difference between the two groups in terms of outside space. Based on the total AHEMD score, daycare children used more opportunities to move in the home environment than the non-daycare due. Furthermore, the level of affordances in the home environment for the motor development of daycare children appears to be more favorable and of a higher quality and quantity than the setting for non-daycare children