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In Utero Surgery: Exploring New Dimensions for Infants

Posted on November 24, 2017 by Jamie Irvine


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Presentation Description:
The use of ultrasound and other diagnostic modalities have permitted the diagnosis of many fetal conditions, including fetal tumours. This presentation will review the options for managing prenatally-diagnosed surgical conditions, including the use of a variety of fetal surgical interventions.

Speaker:
Jacob C. Langer, MD
Professor of Surgery
University of Toronto, Toronto, ON
Attending Pediatric Surgeon
The Hospital for Sick Children, Toronto, ON

Dr. Jacob C. Langer was educated and trained at the University of Toronto and The Hospital for Sick Children in Toronto. He did research fellowships at the University of California, San Francisco, and McMaster University, funded by the Ontario Ministry of Health, the Medical Research Council of Canada and the McLaughlin Foundation

Dr. Langer was assistant professor of surgery and pediatrics at McMaster University and a pediatric surgeon at the Children’s Hospital at Chedoke-McMaster from 1989 to 1992. He then moved to St. Louis and became associate professor of surgery and pediatrics at Washington University and a pediatric surgeon at St. Louis Children’s Hospital from 1992 to 1999. He came back to Canada in 1999 to become professor of surgery at the University of Toronto, and chief of the division of general and thoracic surgery at The Hospital for Sick Children, a position he held until 2012. He was also the inaugural holder of the Robert M. Filler Chair in Pediatric Surgery. Dr. Langer has travelled widely to operate, and to lecture on a variety of topics in pediatric surgery. He has received many prestigious honours, is widely published in peer-reviewed journals, and has authored many book chapters on a variety of subjects.

Posted in 2017 Symposium | Tagged 2017 Symposium, surgery

Rare Tumours of Infancy

Posted on November 24, 2017 by Jamie Irvine


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Presentation Description:
The tumours in infants differ from older children in clinical presentation, biological characteristics and response to therapy. The therapy may be impaired by concerns about increased adverse effects due to chemotherapy and radiotherapy. Many of the tumours are related to disruption of normal embryonic development, and as such, embryonal tumours are more common. This presentation will give an overview of rare solid tumours that occur in infancy, and review the use of molecular studies for accurate diagnosis and targeted therapies for their treatment.

Speaker:
Rajkumar Venkatramani
, MD, MS, FAAP
Associate Professor Department of Pediatrics
Baylor College of Medicine, Houston, TX
Texas Children’s Cancer Center, Texas Children’s Hospital, Houston, TX

Dr. Venkatramani completed his pediatric training at King’s College in London, and obtained membership in the Royal College of Paediatrics and Child Health. He completed a fellowship in pediatric hematology oncology at Children’s Hospital, Los Angeles. He is currently the director of the Rare Tumors Program and Thyroid Cancer Program at Texas Children’s Hospital in Houston, Texas. He is the author of more than 50 original publications, multiple reviews and book chapters, and is a member of the Pediatric Blood and Cancer editorial board and PREP Hematology/Oncology editorial board.

Posted in 2017 Symposium | Tagged 2017 Symposium, tumours

The Art and Science of Keeping Infants with Cancer Well-Nourished

Posted on November 24, 2017 by Jamie Irvine


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Laura Collins Presentation Description:
Cancer and its therapy can negatively affect nutritional status due to limited intake, increased metabolic needs and poor absorption. Malnutrition has been shown to decrease tolerance to therapy, impair wound healing, decrease quality of life and increase length of stay. Malnutrition in infants and young children is particularly concerning due to periods of rapid growth and limited body reserves. Baseline nutrition assessment, proactive nutrition support and monitoring to improve nutritional status is an essential adjunct to cancer therapy in this patient population. This workshop will review the importance of a multi-disciplinary team, assessment, nutrition interventions and monitoring of an infant with cancer to promote normal growth and development.

Speakers:
Laura Collins
, RD
Registered Dietitian in Pediatric Oncology
McMaster Children’s Hospital, Hamilton Health Sciences Centre, Hamilton, ON

Laura Collins graduated with concurrent degrees from the University of Western Ontario with a BSc Human Nutrition and a BA Kinesiology. She successfully completed her dietetic internship at the Hamilton Health Sciences Centre in 2000 and accepted a full-time position in pediatric oncology where she continues to practice as a clinical registered dietitian in the acute care setting. She has a particular interest in nutritional assessment, proactive enteral nutrition and anthropometric measures, resulting in several publications, posters and lectures over the past 17 years. Her most recent publication in 2017 was on anthropometry in long-term survivors of acute lymphoblastic leukemia. Laura has been involved in several COG- and POGO-nutrition related initiatives since 2003, including proactive enteral feeding lectures, CAM investigations and enteral nutrition guideline development. Laura also provides education about the importance of optimizing nutrition during and after cancer therapy to learners, including dietetic interns and medical trainees.


Deborah L. O’Connor, PhD, RD
Professor, Department of Nutritional Sciences
University of Toronto, Toronto, ON
Senior Associate Scientist
Translation Medicine Program, Research Institute
The Hospital for Sick Children, Toronto, ON
Scientific Associate Staff, Department of Pediatrics
Mount Sinai Hospital, Toronto, ON

Dr. Deborah O’Connor (PhD, RD) is a professor in the Department of Nutritional Sciences at the University of Toronto where she holds a Chair in Vitamin Research in Human Milk and Development. She also holds scientific appointments at The Hospital for Sick Children (SickKids) and Mount Sinai Hospital. Dr. O’Connor served as the Director of Clinical Dietetics and Breastfeeding Support at SickKids from 2000 to 2012 and then as associate chief of academic and professional practice until 2013. Dr. O’Connor’s research career has focused on maternal and infant nutrition and she has published extensively in the area of the nutritional requirements of pregnant and lactating women, children, and strategies to support the provision of human milk to vulnerable infants. Dr. O’Connor has received numerous awards including the 2015 Khursheed Jeejeebhoy Award for best application of research to clinical practice from the Canadian Nutrition Society. She currently serves as co-chair of the Advisory Committee for the Rogers Hixon Ontario Human Donor Milk Bank, and was co-chair of the Canadian Society of Obstetricians and Gynecologists’ Nutrition Working Group that recently published their first national female nutrition practice guidelines.

Posted in 2017 Symposium | Tagged 2017 Symposium, nutrition

Measuring, Managing and Mitigating Cancer and Treatment Pain in Infants

Posted on November 24, 2017 by Jamie Irvine


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Speakers:
Anna Taddio
, PhD
Full Professor, Leslie Dan Faculty of Pharmacy
Senior Associate Scientist
The Hospital for Sick Children, Toronto, ON

Anna Taddio is a professor of pharmacy at the University of Toronto, and senior associate scientist at SickKids. Her program of research examines: (1) the short‐term and long‐term effects of pain in children; (2) the effectiveness and safety of pain management interventions; and (3) evidence‐based practice and implementation research. Dr. Taddio currently leads a national inter‐disciplinary team, Help Eliminate Pain in Kids and Adults (HELPinKids&Adults), investigating and promoting evidence based pain management during vaccination. She has authored over 200 scientific papers and book chapters, and is the recipient of numerous awards recognizing her scholarly and advocacy achievements in pediatric pain.

Jason Thomas Maynes, PhD, MD
Wasser Chair in Anesthesia and Pain Medicine
Associate Chief of Perioperative Services, Research
Director of Research, Anesthesia and Pain Medicine
Scientist, Division of Molecular Medicine
The Hospital for Sick Children, Toronto, ON

Jason Maynes, PhD, MD, is the associate chief of perioperative services (research), director of research for anesthesia and pain medicine, and an anesthesiologist at The Hospital for Sick Children. He is the holder of the Wasser Chair in Anesthesia and Pain Medicine. He has a doctorate in biophysics and completed clinical training at the University of Alberta, Stanford University, and Washington University in St. Louis, moving to Toronto in 2012. His research primarily involves finding new ways to quantify drug action, both therapeutic and toxic, including how to improve the clinical effect of anesthetics and pain medications. His lab has developed new therapies for heart failure, modelling cardiac function using stem‐cell derived tissue, and has created platform technologies that measure cardiomyocyte function for the purposes of drug discovery. He holds patents and intellectual property around new therapies for heart failure, novel methods for quantifying cardiomyocyte function and for anti‐viral small molecule therapies. He is currently funded by the CIHR, NSERC, Canada Foundation for Innovation, The Ontario Research Fund, and The Labatt Family Heart Centre, in addition to being funded by pharmaceutical and venture capital groups.

*Anna Taddio presentation slides not included

Posted in 2017 Symposium | Tagged 2017 Symposium, pain, pain management

Developmental and Psychosocial Aspects of Caring for Infants with Cancer

Posted on November 24, 2017 by Jamie Irvine


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Vanessa Burgess Presentation Description:
Research has shown that infants and toddlers who were treated for cancer will achieve their developmental milestones later than their healthy peers will. According to the NIH (Bornstein et al., 2012), vocabulary, cognitive functions and motor skills progressed slower in children who were treated for cancer before age four. This prospective study showed that children with cancer were below average for both mental and motor development. With increasing survival rates for children with cancer, the developmental implications for our smallest patients are an important concern. Timely rehabilitation to optimize all areas of development is essential. This workshop will provide a clinical overview of the role of the occupational therapist on a multidisciplinary oncology team, the patient issues resulting from surgeries and treatment protocols, the difficulties to promoting typical development, and the referral process along with its challenges. Case studies of infants with brain tumours, acute lymphoblastic leukemia and neuroblastoma will highlight their clinical rehabilitation to maximize their development throughout their cancer journey.

Speakers:
Melissa A. Alderfer, PhD
Senior Research Scientist, The Center for Healthcare Delivery Sciences
Nemours Children’s Health System/Alfred I. duPont Hospital for Children, Wilmington, DE
Associate Professor of Pediatrics
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

Dr. Alderfer completed a doctorate degree in clinical psychology at the University of Utah and a post doctoral fellowship in pediatric psychology in the Division of Oncology at The Children’s Hospital ofPhiladelphia (CHOP). After fellowship, she stayed on in the Division of Oncology at CHOP and joined the standing faculty in the Department Pediatrics at Perelman School of Medicine at the University of Pennsylvania. She rose to the level of associate professor before transitioning in 2013 to her current position as a senior research scientist in the Center for Healthcare Delivery Sciences within Nemours Children’s Health System. Under the broad umbrella of healthcare delivery science, her program of research focuses on how childhood chronic illness impacts families, how families adapt and learn to manage illness and the healthcare system, and how we can intervene to improve the experience. Her research has been funded by the National Institutes of Health, American Cancer Society, and various other cancer foundations. She currently has 92 peer‐reviewed manuscripts and chapters.

Vanessa Burgess, MSc OT, OT Reg. (Ont.)
Occupational Therapist, Pediatric Oncology
McMaster Children’s Hospital, Hamilton Health Sciences, Hamilton, ON
Preceptor/Lecturer, Occupational Therapy Program
McMaster University, Hamilton, ON

Vanessa Burgess completed a Master of Science in Occupational Therapy at the University of Toronto following the completion of her undergraduate degree. She practiced at ErinoakKids Children’s Treatment Centre, conducting community rehabilitation with pediatric clients with developmental disabilities, neurological impairments, multiple disabilities, complex disabilities and sensory processing difficulties. Here she focused on oral motor and feeding skills, activities of daily living, fine motor skills and written productivity, and sensory processing. She continued her community practice experience at a private practice, focusing on oral motor and feeding skills and sensory processing with clients with a wide variety of diagnoses and undiagnosed issues. Vanessa has been practicing in oncology at McMaster Children’s Hospital for the past eight years. She is part of the multi‐disciplinary team on the inpatient ward, outpatient active therapy clinic and neuro‐oncology clinic. Her focus includes oral feeding and dysphagia including videofluoroscopic swallow studies, infant development, activities of daily living, functional mobility and equipment, fine motor skills and school participation. She enjoys working directly with patients and their families to empower them to overcome barriers in their everyday lives throughout their cancer journey.

Posted in 2017 Symposium | Tagged 2017 Symposium, psychosocial

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