on-going research project pediatrics scientific committee

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ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

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Page 1: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

ON-GOING RESEARCH PROJECTPediatrics Scientific Committee

Page 2: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Yasser Wali

• Principal investigator: Hemophagocytic Lymphohistiocytosis, Molecular correlates and clinical outcome. In collaboration with Karolinska Hospital, Stockholm. (Principal Investigator).

• Effect of adding IV paracetamol to opioid therapy in managing children with SCD in crisis. Dr. Hilal Al-Hashami is participating in this study.

• Hydroxymed for children with SCD in Oman. Dr. Maya is participating in this study.

Page 3: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. S N Joshi

• Maintenance of Omani Metabolic diseases database. Ongoing project to keep complete record of all IEM patients.

• UAE-SQU Cooperative research Grant: Molecular epidemiology and diagnosis study of common Inborn Errors of Metabolism Disorders IN Oman and UAE. This project is to identify genes responsible for causing common and or fatal metabolic disorders in Oman and UAE. The results from this study are likely to help families for confirming diagnosis, prenatal diagnosis, carrier identification and consequent genetic counselling etc.

Page 4: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. S N Joshi

• Routine Neonatal screening of all babies born at SQUH for Metabolic and other diseases. Dr Lalitha Krishnan, Dr S N Joshi, Dr Saif al-Yaarubi, Dept of child Health, SQUH, Prof Riad Bayoumi, Matar al-Mani, Dept. of Biochemistry, SQUH.

• Clinical trial on long-term effects of NTBC compound in treatment of six patients with Hepato-Renal Tyrosinemia (Tyrosinemia Type-1). In collaboration with Orphan Pharmaceuticals, Sweden. The trial is now in its 8 th. Year with excellent therapeutic results.

Page 5: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. S N Joshi

• International collaboration trial on Enzyme Replacement Therapy (ERT) in Gaucher Disease. The trial is conducted under guidance and supervision of Genzyme General Corporation, Cambridge, USA.

• High risk screening for Inborn errors of metabolism by Tandem Mass Spectrometery in Oman: The project involves all newborn babies and children referred to SQUH with clinical or biochemical features suggestive of IEM. The study aims to define the cost effectiveness of this approach to Mass screening in identifying new cases.

Page 6: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. S N Joshi

• Pre transplant Enzyme replacement therapy to facilitate reduced-intensity conditioning in Bone marrow transplantation for Type-1 Mucopolysaccharidosis.

Page 7: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Aisha Al Sinani

• Pamidronate effect in Osteogenesis Imperfecta Children.

• Short Stature in Omani Children.

• Identify Gene Mutation in CAH – 21 Hydrxalase def. in Oman.

Page 8: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Saif Al-Yaarubi

• Hypocalcemia Study in Omani Children.

• Nutritional Rehabilitation in Children with SCD.

• Carotid Intima Thickness in Children with Type 1 Diabetes Mellitus.

Page 9: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Adil Al Amry

• Audit of Asthma Management in a busy Ambulatory Setting.

• Incidence of Allergic Rhinitis in Omani Children and the Role of Nasal Steroids.

Page 10: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Ibtisam B. Elnour

• Assessment of some novel urinary biomarkers in the diagnosis of acute kidney injury (AKI) in Omani children.

• Correlation of estimated Glomerular Fiteration Rate (GFR) in paediatric patients with bilateral renal scarring with the Gold Standard GFR measured using Chromium-51- EDTA (Cr51-EDTA0).

• Clinicoepidemiological features of nephrotic Syndrome among children presented to SQUH.

Page 11: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Said Al HanshiDr. Mohammed Al Ghafri

• Extubation failure is a problem encountered in both adult and pediatric ICUs.

• Prospective observational study

• Primary outcome measures:-

- Extubation failure rate

• Secondary outcome measures:-

- Type of patients prone for failed extubation

- Causes of extubation failure

Extubation Failure in PICU

Page 12: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Said Al HanshiDr. Mohammed Al Ghafri

• JET is a well known complication after open heart surgery in children

• Prospective observational study

• Primary outcome:

- Incidence of JET after open heart surgery

• Secondary outcome:

- Lesions commonly associated with JET

- The need for anti-arrhythmic treatment

Incidence of Junctional Ectopic Tachycardia (JET) in the PICU

Page 13: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Said Al HanshiDr. Mohammed Al Ghafri

• PRISM score is one of the tools used to predict mortality in PICU

• Prospective observational study

• Outcome measure:

- Evaluate the observed mortality in the PICU with the predicted mortality estimated by PRISM score

PRISM Score as a predictor of mortality in the PICU

Page 14: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Lekha Hrishikesan

• Study of fluvastatin in children with nephrotic syndrome. Dr Khalid Riyami is participating in the study.

Page 15: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Lalitha Krishnan

• Blood stream infections in VLBW in a Level III NICU-a retrospective 4 year study.

• Principal Investigators: Dr. Ashfaq A. Khan/R-1 Resident

• Co-investigators:

Dr. Akbar Rafay

Dr. Zenaida Reyes

Dr. Abdel-Latif • Period of study: 4 years. July 2006 – June 2010

Page 16: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Lalitha Krishnan• Objective:

To determine the incidence, causative organisms and risk factors associated with blood stream infections (BSI) in

very low birth weight babies admitted to a level 3 NICU.

• Methods:Retrospective data were collected from the registry

maintained for all VLBW neonates admitted to the unit. Data on all positive blood cultures, organisms, sensitivity, time of onset of sepsis, presence of indwelling catheters and CRP response were collected. Complications of prematurity including patent ductus arteriosus, prolonged ventilation, bronchopulmonary dysplasia, and necrotizing enterocolitis were recorded. Maternal risk factors for early sepsis was also collected.

Page 17: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Lalitha Krishnan

• Early vs Late Parenteral Nutrition for VLBW infants.

• Principal Investigators: Dr. Amita Aroor

• Co-investigators:

Dr Lalitha Krishnan

Dr Zenaida Reyes

Dr Abdel-Latif

Page 18: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Lalitha Krishnan

• Objective: To compare the anthropometry, time to full feeds and

time to discharge between the EAA and LAA groups. To compare the incidence of biochemical disturbances

of early aggressive Vs late TPN in VLBW babies over the first week of life.

To compare the incidence of culture proven sepsis, osteopenia and cholestasis between the two group

Page 19: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Hashim Javad

• The Risk of Bacterial infection in Febrile Children with extreme leukocytosis.

• Objectives:

To determine the clinical significance extreme leukocytosis (WBC more than 25,000/mm3 ) as a predictor of bacterial infection (SBI)in children.

Page 20: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr. Hashim Javad

• Comparison of axillary and rectal temperature measurements in children

• Objectives:

The objectives of this study were to evaluate the agreement between temperature measured at the axilla and that measured in the rectum in children and young people, using a conventional glass mercury thermometer, to find if there is a direct mathematical relationship between axillary and rectal temperature, and to determine the optimum time required for testing.

.

Page 21: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Surekha, Dr.Abdul Hakim, Dr.Mathew Zachariah

• Study of Central line Infections in Leukemic Children in a Tertiary Care Centre

Retrospective Study –Six MonthsProspective Study Six Months

Page 22: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Wafa Bashir, Dr.Mathew Zachariah

• Study of Sensitivity and Resistance Patterns of Blood born Infections of a Paediatric Haematology Unit in a Tertiary Care Centre

Retrospective study – Six monthsProspective |Study - Six Months

Page 23: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Mohd, Dr.Mathew Zachariah

• Clinical Events after Splenectomy in Sickle Cell Children from one Centre

Retrospective study – Five Years

Page 24: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Ismail, Dr.Mathew Zachariah, Dr.Yasser Wali

• Prophylaxis Penicillin for Sickle Cell Children after five years of age

Randomised Study Retrospective study – Five Years

Page 25: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Abdul Hakim

• Pattern of Antibiotics Prescriptions for Febrile SCD Children in Ped Hematology Ward

Retrospective Study –One Year

Page 26: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Dr.Dana Al Nabhani, Dr.Abdul Hakim

• Onset of Proteinuria and Hematuria in Sickle Cell Children in One Centre

Page 27: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

“Abdwani R, Scheuster H, Hari M, Mani R, Abdulfattah M, Al Zakwani I.

• Blood stream infection in children” Retrospective study : positive blood cultures over 5yrs. We want to determine the rate of blood culture

contamination. In those children with true blood stream infections, we want

to look into the resistance profile, difference in length of stay (LOS), hospital acquired vs. community acquired, significant vs. non-significant BSIs, line-related vs. non-line related i.e. catheter-related BSI and the initial empirical therapy and changes made during hospitalisation and last but not least mortality rate

Page 28: ON-GOING RESEARCH PROJECT Pediatrics Scientific Committee

Reem Abdwani

• Clustering of Juvenile SLE in Oman.

• Ostepenia in Juvenile SLE in Oman.