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Saturday, April 29
8:00am–11:00am
2120—Management of Childhood Hypertension:
Guidelines and Controversies
PAS/ASPN/IPHA Mini Course
Room 2003-2005, Moscone West
Chairs: Steven R. Daniels, University of Colorado, Denver, CO;
and Ronald J. Portman, University of Texas Medical School,
Houston, TX
Target Audience: General
pediatricians, emergency medicine physicians, hospitalists,
intensivists, nephrologists and cardiologists.
The 2004 NHLBI guidelines for the
evaluation and management of childhood hypertension answered
many questions about how to approach hypertensive children,
but left others unanswered. This mini course is designed to
address some of the more controversial aspects of managing
hypertensive children, with the hope of stimulating further
discussion about the optimal approach to these patients.
Practical approaches to clinical management will be
emphasized.
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Overview
Stephen R. Daniels, The Children's Hospital/University of Colorado,
Denver, CO
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Overview of Treatment Guidelines
from the 4th Report
Bonita E. Falkner, Thomas Jefferson University, Philadelphia, PA
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Management of Pre-hypertension:
Lifestyle Changes or Pharmacologic Treatment?
Shawna D. Nesbitt, University of Texas Southwestern Medical Center,
Dallas, TX
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Choice of Agent for Children with
Primary Hypertension
Joseph T. Flynn, Children's Hospital at Montefiore, Bronx, NY
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Treatment of Severe Hypertension
in Ambulatory and Inpatient Settings
Joshua Samuels, University of Texas, Houston, TX
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Treatment of Hypertension in
Special Populations
Donald L. Batisky, Columbus Children's Hospital/The Ohio State
University College of Medicine, Columbus, OH
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Discussion
Sponsored jointly by
the American Society of Pediatric Nephrology, the
International Pediatric Hypertension Association and the
Pediatric Academic Societies
8:00am–11:00am
2135—Suicide in Children and Adolescents
PAS/SAM Mini Course
Room 2004, Moscone West
Chair: Sheryl A. Ryan, Yale University School of Medicine, New
Haven, CT
Target Audience: General
pediatricians, behavioral pediatricians and clinicians
interested in behavioral/mental health issues in children and
adolescents.
This mini course is designed to
provide an update on the topic of suicide among children and
adolescents, what new is known about the epidemiology and
etiology of suicidal behaviors (including ideation, threats,
attempts and completed suicides), the connection between
depression and suicide, genetics/familial associations,
screening techniques and treatment for those at risk for
completed suicide. This mini course will also address the
increasing phenomenon of self-injurious behaviors, such as
cutting, and explore how this is related/not related to
suicidal behaviors and depression. Brief mention will be made
about complexity of treatment for depression using
pharmacologic agents that may increase the risk of suicide.
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Overview
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
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Epidemiology and Assessment of
Suicidal Behaviors and Depression
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
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Cutting and Other Self-Injurious
Behaviors
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
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Questions and Break
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Management and Prevention of
Suicide, Depression and Self-Injurious Behaviors
Joseph L. Calles, Michigan State University, Kalamazoo Center for
Medical Studies, Kalamazoo, MI
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Discussion
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
8:00am–11:00am
2155—Gender-Variant Youth: The Role of the
Pediatrician
PAS Educational Workshop
Room Laurel, SF Marriott
Leader: Irene Sills, Albany, NY; Co-leader: Arlene Lev
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop is an overview of
sexual and gender identity development in children and youth
focusing on understanding the needs of transgender and
transsexual youth. By review of case presentations, attendees
will gain skills and knowledge in how to assist parents of
children with gender variant behavior, children with gender
identity confusion, and adolescents who exhibit cross-gender
behaviors. Ethical considerations in the care of this
population will be presented and discussed. Current standards
for hormonal therapy will be reviewed.
Objectives:
– The participant will
demonstrate an understanding of the developmental
appropriateness of youth with gender variant behavior.
– The participant will prepare to assist children and
adolescents with gender variant behavior and their families.
– The participant will demonstrate an understanding of the
ethical issues in the medical care of transgendered
adolescents.
Format: a) Short didactic
presentation; b) discussions of scenarios that might present
to the pediatrician; c) viewing of a short videotape; and d)
roundtable discussion of ethical issues.
8:00am–11:00am
2158—The National Survey of Children's
Health: Resources and Tips for Using New National and State
Data on Child and Adolescent Health
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: Christina Bethell, Portland, OR; Co-leaders: Stephen
Blumberg, Debra Read
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The National Survey of Children's
Health (NSCH) is the largest, nationally representative survey
conducted with families to assess the health, well-being and
health care of children and youth (n = 102,000). Publicly
released in 2005, NSCH provides a wide range of national and
state-level data on the health of children, youth and
families. Participants will: 1) identify research topics that
can be addressed using the NSCH; 2) Obtain hands-on experience
using the Data Resource Center—a new resource to easily
obtain and download findings from the NSCH; 3) gt ideas on
using findings to stimulate efforts to improve care for
children, inform research and grant development and advance
evidence-based policy, program development, and advocacy.
Objectives:
– Identify the range of
research topics that can be addressed using these data.
– Obtain hands-on experience using the Data Resource Center
on Child and Adolescent Health (DRC)—a new resource for
pediatric clinicians, researchers, and families to easily
obtain and download findings from the NSCH (www.childhealthdata.org).
– Get ideas on presenting findings to enhance state and
local efforts to improve the health and health care of
children, youth, and families.
Format: Presentations, question
and answer, hands-on practice using an online data resource
center, case examples, real time technical assistance and
problem solving.
8:00am–11:00am
2162—Transition to Adulthood: The Role of
Pediatricians
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Eric Levey, Baltimore, MD; Co-leaders: Patti Hackett,
Suzanne McLaughlin, Robert Blum
Target Audience: Fellows, junior
faculty, mid-level faculty, community practitioners.
This workshop will provide an
overview of health care transition concepts and tools for
primary care providers and specialists. The goal of transition
in health care for all youth with/without special health care
needs is to maximize lifelong functioning and potential
through the provision of high-quality, developmentally
appropriate health care services that continue uninterrupted
as one moves from childhood to adulthood, and from pediatric
to adult-oriented health care. We see an important role for
pediatricians in fostering health care decision-making,
self-determination and advocacy, as well as promoting health
and preventing secondary conditions and disability.
Participants will be divided into small, facilitated groups to
assess their current transition practices and strategize
regarding improvement within their own institutions and
communities.
Objectives:
– Discuss and evaluate the role
of the Medical Home and Specialists in preparing youth and
families for adulthood.
– Review and develop strategies and tools, useful to their
individual practice setting, to assist youth and family with
transition to adulthood including skill building in the areas
of health care decision-making, self-determination and
advocacy.
– Explore the importance of collaboration between pediatric
and adult-oriented health care providers, both in medical
education and clinical practice.
– Strategize about the next steps for putting national
policy into practice at the community level.
Format: Presentations by
pediatrician for children with disabilities, med/peds
physician, and parent advocate followed by question-and-answer
session. Facilitated group discussions and role-play followed
by reports back to the large group.
8:00am–12:00pm
2180A—LWPES Plenary Session I
LWPES Plenary Session
Room 3007-3009, Moscone West
Chairs: Lynne Levitsky, Massachusetts General Hospital,
Boston, MA; Henry Anhalt, Saint Barnabas Medical Center,
Livingston, NJ; and Alan D. Rogol, University of Virginia,
Charlottesville, VA
Target Audience:
Endocrinologists, nephrologists, cardiologists, general
pediatricians, immunologists, geneticists and molecular
biologists.
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Opening Remarks
Lynne L. Levitsky, Massachusetts General Hospital, Boston, MA
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Lawson Wilkins Lecture:
Recent years have witnessed a
significant revision of the traditional view of fat cells
as simple stores of excess energy. Studies in the
speaker's lab as well as many others have clearly
demonstrated that adipocytes produce and regulate many
metabolic and hormonal signals, which generate profound
effects on systemic endocrine equilibrium. In his earlier
studies, he also demonstrated that these cells exhibit an
inflammatory capacity that is abnormal in obesity and key
to the pathogenesis of insulin resistance and diabetes.
Recently, he identified a key molecular mechanism
underlying the link between inflammatory responses and
insulin action. This pathway involves obesity-related
activation of the serine, threonine kinase, JNK, and the
consequent inhibition of insulin receptor signaling via
phosphorylation of a substrate of insulin receptor, IRS-1.
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Integration of Metabolic and
Inflammatory Pathways in Metabolic Disease
Gokhan S. Hotamisligil, Harvard School of Public Health, Boston, MA
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Robert Blizzard Lecture:
One of the greatest questions asked of physicians
caring for children with autoimmune diabetes is "why
did this happen?" This session will unravel some of
the mysteries surrounding the etiology and pathogenesis of
autoimmune diabetes from an investigator who has dedicated
his life to this issue.
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On the Unravelling of the
Etiopathogenesis of Type 1 Diabetes: Are We Stuck or
Are We Winning?
Gian Franco Bottazzo, Ospedale Pediatrico Bambino Gesú, Scientific
Institute, Rome, Italy
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Break
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Esoterix Lecture:
The attendee will familiarize him/herself with newer
molecular mechanisms of growth failure that are due to
abnormalities in receptor and post-receptor translation of
GH signaling.
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Molecular Mechanisms and Defects
in Growth Hormone Receptor Signaling
Peter Rotwein, Oregon Health and Science University, Portland, OR
11:45am–2:45pm
2422—Sex Ed: Learning To Teach Sexual
Education Across the Pediatric Age Spectrum
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Michelle Barratt, Houston, TX; Co-leaders: Andrea
Bortot
Target Audience: Fellows, junior
faculty, and mid-level faculty
The workshop goal is to provide
resources for training residents and students in a stepwise
manner regarding sexuality and sex education for adolescents
and all age groups. Anticipatory Guidance regarding sex must
provide for the needs of a new mom (anatomic nomenclature,
etc.) through parent of an elementary aged child (upcoming
bodily changes, etc.) through parent and their adolescent
(direct conversation about healthy choices, etc.). Examples of
training by standardized patients, viewing video clips, role
modeling, and web-based resources will be presented.
Objectives:
– Participants will have two
new techniques to use when training students and residents on
age appropriate sexual education.
– Participants will have age specific sexual education
anticipatory guidance knowledge.
– Participants will increase their personal comfort
discussing sexual topics with parents and patients.
– Participants will be familiar with the use of brief
motivational interviewing with adolescents.
Format: The workshop will include
group discussion, videotape critiquing and small group
exercises.
11:45am–2:45pm
2424—Treatment of the Metabolic Syndrome in
Children and Adolescents
PAS Educational Workshop
Golden Gate Hall A1, SF Marriott
Leader: J. Darrell Nesmith, Little Rock, AR; Co-leaders: Alba
Morales, Mohammad Ilyas, Lisa Lubsch
Target Audience:
Endocrinologists, trainees, fellows, junior faculty, mid-level
faculty, senior faculty, and community practitioners.
The rise in pediatric obesity and
metabolic syndrome is well established. Less understood for
the pediatrician is the treatment of the metabolic syndrome.
In this workshop, we aim to: 1) briefly discuss the
epidemiology of the metabolic syndrome in children and
adolescents, 2) discuss non-pharmacologic and pharmacologic
treatment of the metabolic syndrome, and 3) review a stepped
approach in treating adolescents with the metabolic syndrome.
This workshop will be largely
case-based. Come prepared to devise treatment plans in a small
group setting. Participants are invited to bring their own
cases for discussion.
Participants will:
– Learn the epidemiology of the
metabolic syndrome in children and adolescents.
– Become familiar with existing treatment guidelines for
components of the metabolic syndrome in children and
adolescents.
– Identify gaps in the literature regarding treatment
guidelines of the metabolic syndrome in children and
adolescents.
– Consider pharmacologic treatment options of metabolic
syndrome treatment based on the available evidence.
Format: A short didactic
presentation will be given on diabetes, hypertension, and
dyslipidemia treatments from a diabetologist, nephrologist,
and endocrinologist respectively. Existing published
guidelines will be presented while gaps in the literature
regarding treatment will be discussed. Following these short
didactic presentations, small groups (at tables) will work on
cases which will be presented, and a treatment plan will be
derived by each group. At the end of these roundtable work
group discussions, the group as a whole will discuss the
treatment plans. Actual cases will be used when possible (with
appropriate de-identifiers) and their treatment plans
discussed.
11:45am–2:45pm
2438—Pediatric Tobacco Issues
APA Special Interest Group
Pacific Suite B, SF Marriott
Chairs: Sophie Balk, sbalk@montefiore.org;
Susanne Tanski, susanne.e.tanski@hitchcock.org;
and Tahniat Syed, tss28@drexel.edu.
The 2006 Pediatric Tobacco Issues
Special Interest Group welcomes all those who are interested
an all aspects of tobacco as it impacts children: tobacco
cessation, parental tobacco cessation, second-hand smoke
exposure prevention, education and advocacy efforts. The
“CigSIG” provides an excellent opportunity for networking,
a platform for discussing hot topics and valuable resources
for policy/advocacy awareness and skill building.
This year, planned presentations
will include several approaches to pediatric tobacco issues,
including office efforts to promote smoking cessation and
second-hand smoke exposure reduction, tobacco-related
curricula in pediatric training programs and national efforts
in training Smoke Free Homes Champions. We will also have a
presentation from the Smoke Free Movies Campaign, as well as
new information from the domestic and international arenas
regarding media effects on teen smoking.
The meeting will also include
reports from SIG members regarding their research and advocacy
projects. New and old members, faculty and trainees are
welcome and encouraged to participate and share. Bring your
lunch for an early afternoon of presentations, lively
discussion and networking. See you in San Francisco.
12:00pm–3:00pm
2520—Pediatric Assessment of Sexual Abuse:
State of the Science 2006
PAS Mini Course
Room 3011, Moscone West
Chair: Vince Palusci, Wayne State University School of
Medicine, Hospital of Michigan, Detroit, MI
This three-hour mini course will
address the medical evaluation of child sexual abuse in the
pediatric setting. The topics that will be addressed are:
– Physical sequelae of sexual
abuse: What’s new and how has the literature of the past 10
years shaped this field.
– Medical conditions that mimic sexual abuse: What a
clinician must know about anogenital medical conditions and
congenital findings.
– Sexually transmitted diseases in children: Beyond
cultures, DNA amplification techniques in children and the
newest recommendations for HIV post assault prophylaxis will
be presented.
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Overview
Vincent J. Palusci, Wayne State University School of Medicine, Hospital
of Michigan, Detroit, MI
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Interpretation of Medical
Findings in Suspected Child Sexual Abuse: Update 2006
Joyce Adams, University of California San Diego Medical Center, San
Diego, CA
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Mimics of Sexual Abuse
Lori Frasier, University of Utah School of Medicine, Salt Lake City UT
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Sexually Transmitted Diseases in
Children: Beyond Cultures, DNA Amplification Technology
Nancy Denny Kellogg, University of Texas San Antonio, San Antonio, TX
12:00pm–3:00pm
2525—Psychopharmacology for the Young
Adolescent
PAS/SAM Mini Course
Room 2004, Moscone West
Chair: Donald E. Greydanus, Michigan State University College
of Human Medicine, Kalamazoo, MI
Target Audience: General
pediatricians in practice, clinical adolescent medicine
specialists and researchers in adolescent medicine.
This 3-hour mini course will
present current concepts on the use of psychopharmacologic
agents for young adolescents with ADHD, depression and
psychosis. The session begins with a discussion of the biology
of puberty and the changes that occur in the central nervous
system as the child becomes an adolescent. Recent research on
the teenage brain will be considered, including the
biological, psychological and social changes that puberty
induces. This vision of a deeper sense of puberty will set the
stage for the status of current psychopharmacologic agents
used to manage key mental health disorders in this child, now
turned teenager. Medications reviewed will include stimulants,
antidepressants and atypical antipsychotics.
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Overview
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
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The Biology of Puberty
Bernard JM Stier, Kinder-und Jugendarzt, Butzbach, Germany
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Stimulants in Adolescents
Glen R. Elliott, The Children's Center at Langley Porter, University of
California, San Francisco, CA
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Antidepressants in Adolescents
Susan M. Smiga, The Children's Center at Langley Porter, University of
California, San Francisco, CA
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Atypical Antipsychotics
Chris K. Varley, University of Washington School of Medicine,
Children's Hospital and Regional Medical Center, Seattle,
WA
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
1:30pm–3:30pm
2670A—Controversies in Care in Pediatric
Endocrinology—The Great Debates
LWPES Workshop
Room 3001, Moscone West
Chairs: William Clarke, University of Virginia,
Charlottesville, VA; and Henry Anhalt, St. Barnabas Medical
Center, Livingston, NJ
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine specialists.
The attendee will be part of a
lively debate on a number of areas of controversy in pediatric
state-of-the-art diabetes management.
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Is Primary Prevention of Type 1
Diabetes Possible?
Pro—Desmond A. Schatz, University of Florida, Gainesville, FL
Con—Dorothy J. Becker, Children's Hospital of Pittsburgh, Pittsburgh, PA
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Should Glucose Sensors Be
Routinely Used?
Pro—Stuart Alan Weinzimer, Yale School of Medicine, New Haven, CT
Con—Darrell M. Wilson, Stanford University Medical Center, Stanford, CA
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Should Metformin Be Used To Treat
Pediatric Patients with Insulin Resistance?
Pro—Michael S. Freemark, Duke University Medical Center, Durham, NC
Con—Philip Scott Zeitler, University of Colorado at Denver and Health
Sciences Center, Denver, CO
2:15pm–5:15pm
2700—Educating Pediatric Fellows in a
Competency-Based World
PAS/APPD Mini Course
Room 2007, Moscone West
Chairs: Susan Guralnick, Stony Brook University Medical
Center, Stony Brook, NY; and Joseph Gilhooly, Oregon Health
and Science University, Portland, OR
Target Audience: Attendees
involved with fellowship programs.
Competency-based education is now
the standard for residency education. Residency programs have
integrated the ACGME Core Competencies into their curricula
and assessment methods. It is now time for fellowships to
enter the “competency” arena, and there is much to be
accomplished. This program will focus on several areas of
fellowship education including: the new RRC common
requirements for subspecialty training, development of a
competency-based fellowship curriculum, competency-based
assessment tools, and pediatric subspecialty fellows as
teachers. Attendees are encouraged to bring tools and ideas
for discussion and development. Attendees should leave with
useful materials to bring back to their home programs.
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Overview
Susan Guralnick, Stony Brook University Medical Center, Stony Brook, NY
Joseph Gilhooly, Oregon Health
& Science University, Portland, OR
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A Brave New World! New Common
Requirements for Subspecialty Training—Implementing the
Competencies
Carol Carraccio, Professor of Pediatrics and Associate Chair for
Education, University of Maryland School of Medicine,
Baltimore, MD
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"Survivor ACGME"—Fellowship
Competencies in Action
Joseph Gilhooly, Oregon Health & Science University, Portland, OR
John D. Mahan, Children’s
Hospital, The Ohio State University, Columbus, OH
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Turning to Fellows as Teachers:
From Curricula to Evaluation
Nancy D. Spector, St. Christopher's Hospital for Children,
Philadelphia, PA
Susan Guralnick, Stony Brook
University Medical Center, Stony Brook, NY
Sponsored jointly by
the Association of Pediatric Program Directors and the
Pediatric Academic Societies
Supported by an
unrestricted educational grant from Dey, L.P.
3:15pm–5:15pm
2725—Integrating Genetic Susceptibility and
Environmental Influences in Pediatric Research
PAS Topic Symposium
Room 2008, Moscone West
Chair: Bruce P. Lanphear, Cincinnati Children's Environmental
Health Center, Cincinnati Children’s Hospital Medical
Center, Cincinnati, OH
Target Audience: A broad
pediatric audience with the goal of promoting
interdisciplinary understanding and greater integration of
genetic and environmental research.
Asthma, preterm birth, ADHD and
other prevalent pediatric conditions are widely recognized to
result from interactions of environmental influences and
genetic susceptibility. Tremendous progress has been made in
measuring both environmental and genetic risk factors.
Increasingly, researchers are moving beyond ecological methods
(e.g., questionnaires, air monitoring) to directly measure in
humans hundreds of environmental chemicals, from nicotine to
metals to DDT and phthalates. Similarly, unprecedented
innovation has led rapidly to high-throughput methods that
assess DNA variation across large cohorts. New
interdisciplinary collaborations that integrate state of the
art approaches to both environmental and genetic influences
should greatly improve our ability to predict and prevent
disease and disability. Such studies will be critical for
understanding mechanistic pathways, defining susceptible
subpopulations and developing effective interventions. This
session will provide an overview of gene–environment
research, describe recent advances in biomarkers of
environmental exposure and review new methods for measuring
genetic variability.
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Gene–Environment Interaction in
Common Pediatric Conditions: Conceptual Overview and
Recent Evidence
Robert S. Kahn, Cincinnati Children’s Hospital Medical Center,
University of Cincinnati College of Medicine, Cincinnati,
OH
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Advances in Biomarkers of
Environmental Exposure in Pediatric Research
Bruce P. Lanphear, Cincinnati Children's Environmental Health Center,
Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
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Measuring Genetic Susceptibility
to the Environment: Study Designs and Genotyping Methods
Robert O. Wright, Harvard Children's Environmental Health Center,
Boston Children's Hospital and the Harvard School of
Public Health, Boston, MA
3:15pm–5:15pm
2776—Transition Issues for Adolescents with
Developmental Disabilities
PAS Educational Workshop
Room Yerba Buena Gardens Salon 13, SF Marriott
Leader: Thomas Webb, Cincinnati, OH; Co-leader: Nienke Dosa
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
community practitioners.
Up to 85% of children born with
developmental disabilities are surviving to adult age. As
these individuals reach adulthood they are simultaneously
leaving school, exploring community living and needing
adult-oriented health care. As compared to other adolescents
with special health care needs, those with developmental
disabilities have more significant cognitive and physical
difficulties that affect the transition process. This workshop
will use case-based learning to review the principles of
adolescent transition, describe barriers to transition more
prevalent in developmental disabilities, and highlight
web-based, community service, financial, and
vocational-educational resources available to assist patients,
families, and providers with the transition process.
Objectives:
– Understand the principles of
adolescent transition to adult services.
– Recognize the additional physical and cognitive
difficulties facing adolescents with developmental
disabilities.
– Assist adolescents in developing self-care and independent
living skills.
– Describe the role of community service providers, schools,
and vocational rehabilitation specialists in adolescent
transition.
Format: Case presentations,
question and answer, problem solving, and didactic—for
introduction.
3:45pm–5:15pm
2785A—Celiac Disease for the
Non-gastroenterologist
LWPES Workshop
Room 3010, Moscone West
Chair: Michelle M. Pietzak, Children's Hospital of Los
Angeles, Los Angeles, CA
Target Audience:
Gastroenterologists and endocrinologists.
Celiac disease affects
approximately 10-15% of children with diabetes. Often times
the screening tests are vexing. This workshop is aimed at
clarifying the disease process and how to diagnose it.
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Celiac Disease for the
Non-gastroenterologist
Michelle M. Pietzak, Children's Hospital of Los Angeles, Los Angeles,
CA
3:45pm–5:15pm
2790A—Hyperthyroidism
LWPES Workshop
Room 3000, Moscone West
Chair: Scott A. Rivkees, Yale School of Medicine, New Haven,
CT
Target Audience: Generalists.
Much controversy exists about the
most effective and safest treatments for hyperthyroidism in
children. This workshop will clarify some of the newer
evidence based approaches to the diagnosis and management of
hyperthyroidism, with a special emphasis on radioactive
ablation.
Sunday, April 30
8:00am–10:00am
3120—Adolescent Medicine I
PAS Platform Session
Room 2004, Moscone West
Chairs: Donald E. Greydanus and Bernard J.M. Stier
8:00am–10:00am
3155—Underserved Populations I
PAS Platform Session
Room 2009, Moscone West
Chairs: Wendy L. Hobson-Rohrer and Lolita M. McDavid
8:00am–11:00am
3200—Sports Medicine—Caring for the Young
Athlete
PAS/APPD Mini Course
Room 2008, Moscone West
Chair: Robert S. McGregor, St. Christopher's Hospital for
Children, Philadelphia, PA
"Sports medicine, not a
matter of life and death…it’s much more important than
that” is a bit overstated. However, some estimates suggest
pediatricians in training receive little more than 5 hours of
clinical training. This creates a generation of pediatric
clinicians and pediatric educators who didn't get it.
We suggest the time has come for
a mini course designed to address some basic concepts, as well
as more current controversial areas to attempt to catch-up the
contemporary pediatrician, and to provide a curricular base
for the pediatric educator.
Topics will include: the female
athlete, ergogenic substance use and abuse and current medical
issues including concussion guidelines. The course will
conclude with case discussions combined with live video
projection of pertinent physical examination techniques.
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Overview
Robert S. McGregor, St. Christopher's Hospital for Children,
Philadelphia, PA
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Female Athlete Issues
Jordan Daniel Metzl, Hospital for Special Surgery, New York, NY
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Ergogenic Substance Use, Abuse
and Cases
Cynthia Rose LaBella, Institute for Sports Medicine, Children's
Memorial Hospital, Chicago, IL
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Medical Considerations and
Concussion Management
Rani S. Gereige, University of South Florida/ All Childrens' Hospital,
St. Petersburg, FL
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Selected Sports Medicine Cases
with Video Feed
Rani S. Gereige, University of South Florida/ All Childrens' Hospital,
St. Petersburg, FL
Robert S. McGregor, St.
Christopher's Hospital for Children, Philadelphia, PA
Cynthia Rose LaBella, Institute for Sports Medicine,
Children's Memorial Hospital, Chicago, IL
Jordan Daniel Metzl, Hospital for Special Surgery, New
York, NY
Sponsored jointly by
the Association of Pediatric Program Directors and the
Pediatric Academic Societies
8:00am–11:00am
3246—The Teen–Tot Clinic: Innovative
Health Care Delivery and Medical Education
PAS Educational Workshop
Room Yerba Buena Gardens Salon 4, SF Marriott
Leader: Lee Beers, Washington, DC; Co-leader: Victoria
Garriett
Target Audience: Trainees,
fellows, junior faculty, and mid-level faculty.
This workshop will address
strategies for caring for adolescent parents and their
children in pediatric practice and the role these experiences
play in medical education. During the first part of the
workshop, the participants will brainstorm about effective
ways of providing health care to adolescent parents and their
children. Video clips of teen parents enrolled in the workshop
leaders teen-tot program will be used to facilitate
discussion. During the last part of the workshop, the group
will discuss how the teen-tot model of health care can be used
to teach trainees the principles of systems based practice and
family-centered care.
Objectives:
– The participant will gain
knowledge of the teen-tot model of care for adolescent parents
and their children.
Format: Roundtable discussion,
videotape viewing, question and answer and small group
workgroups.
2:00pm–4:00pm
3710—Non-Growth Related Issues in Girls
with Turner Syndrome
PAS/LWPES Topic Symposium
Room 3003-3005, Moscone West
Chairs: Judith G. Hall, The University of British Columbia and
BC Children's Hospital, Vancouver, BC, Canada; and Paul H.
Saenger, Montefiore Medical Center, The Bronx, NY
Target Audience: Geneticists,
endocrinologists, cardiologists and developmental
pediatricians.
Although the focus of the
pediatric endocrine community has been primarily on the growth
issues of girls with Turner Syndrome, other non-growth issues
continue to be described. This topic symposium will highlight
these non-growth-related issues and illuminate the problems
and strategies of dealing with them.
-
Evaluation of Congenital and
Acquired Heart Disease in Turner Syndrome
Carolyn A. Bondy, National Institute of Child Health and Human
Development, Bethesda, MD
-
Skeletal Health
Vladamir K. Bakalov, National Institute of Child Health and Human
Development, Bethesda, MD
-
Non-verbal Learning Disabilities
Marsha L. Davenport, University of North Carolina at Chapel Hill,
Chapel Hill, NC
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
2:00pm–4:00pm
3712—Adolescent Medicine II
PAS Poster Symposium
Room 2002, Moscone West
Chairs: Elizabeth M. Ozer and Sheryl A. Ryan
Monday, May 1
8:00am–11:00am
4150—The Skinny on the Adipocyte
PAS/LWPES Mini Course
Room 3010-3012, Moscone West
Chairs: Silva A. Arslanian, University of Pittsburgh,
Pittsburgh, PA; and Robert H. Lustig, University of
California, San Francisco, CA
Target Audience: General
pediatricians, gastroenterologists, endocrinologists,
cardiologists, pulmonologists and adolescent medicine
specialists.
Over the past five years much has
been learned about the adipocyte. The ability of the adipocyte
to function as an endocrine gland, elaborating inflammatory
cytokines that result in free radical formation and premature
apoptosis of the beta cell, is a relatively new concept. This
mini course will comprehensively address many of the newest
concepts in adipocyte function and their impact on health and
disease. Further discussion will include new concepts on the
interactions of IGF-II and other peptides' interactions with
the adipocyte. Lastly, there will be a call for new approaches
to the pediatric obesity epidemic.
-
Adipose Tissue as an Endocrine
Organ
Susan Fried, University of Maryland School of Medicine, Baltimore VA
Medical Center, Baltimore, MD
-
Obesity and Inflammation
Christopher Hug, Whitehead Institute and Children's Hospital,
Cambridge, MA
-
Effects of GH, IGF-I and Insulin
Therapies on Adiposity
Zvi Laron, Schneider Children's Medical Center of Israel, Petah Tikva,
Isreal
-
Pathology and Sequelae of
Childhood Obesity in Adult Life
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
10:15am–12:15pm
4320A—New Frontiers in Reproductive Science
LWPES Topic Symposium
Room 3001, Moscone West
Chairs: Ram K. Menon, University of Michigan, Ann Arbor, MI;
and Henry Anhalt, Saint Barnabas Medical Center, Livingston,
NJ
Target Audience:
Endocrinologists, geneticists, developmental biologists and
adolescent medicine.
The regulation of puberty remains
one of the greatest mysteries of medicine. A child is born
with all of the necessary components to undergo puberty at
birth but this process is quiescent until puberty occurs. The
attendee will learn the newest information on the biological
regulators of puberty.
In addition, the attendee will be
exposed to newer techniques available for preservation of
fertility in a variety of different pathological states.
Discussion will include the cryopreservation of the
pre-pubertal ovary.
-
Kiss-1 and GPR54 as New Players
in Gonadotropin Regulation and Puberty
Ursula Kaiser, Brigham and Women's Hospital, Boston, MA
-
Modern Preservation of Fertility
Kutluk Oktay, Weill Medical College of Cornell University, New York, NY
12:15pm–1:15pm
4470—The National Children's Study: Status
and Future Plans
PAS/PPC Special Symposium
Room 3010-3012, Moscone West
Chair: Elena Fuentes-Afflick, University of California, San
Francisco, CA
Target Audience: Practicing
pediatricians, academic child health professionals,
researchers, administrators and policymakers who are
interested in child health across the lifespan. Professionals
interested in the impact of environmental factors on health
outcomes will also be interested.
This special symposium will
present an update on the National Children's Study, which
recently selected 7 vanguard centers and is prepared to begin
recruitment of subjects. However, the President's budget
proposal allocated no further funding and stated that the
study would be terminated at the end of the current fiscal
year. The panel presenters will discuss the current budgetary
outlook, status of the study, options to implement the study
and respond to questions from the audience.
Panelists
-
Elena Fuentes-Afflick, University of California, San Francisco, CA
-
Duane Alexander, Director,
National Institute of Child Health and Human Development,
National Institutes of Health, Bethesda, MD
-
Peter C. Scheidt, Director,
National Children's Study, National Institute of Child
Health and Human Development, National Institutes of
Health, Bethesda, MD
-
Alan R. Fleischman, Chair,
National Children's Study Federal Advisory Committee, New
York Academy of Medicine, New York and National Institutes
of Health, Bethesda, MD
-
David J. Schonfeld, Member,
National Children's Study Federal Advisory Committee and
Chair, AAP Committee on Research, Cincinnati, OH
Sponsored jointly by
the Public Policy Council and the Pediatric Academic Societies
2:00pm–4:00pm
4580—Application of Translational Science
to Vaccinology: Varicella-Zoster Virus and Human
Papillomavirus
PAS/PIDS State of the Art Plenary
Room 3003-3005, Moscone West
Chairs: Ann M. Arvin, Stanford University School of Medicine,
Stanford, CA; and Anna-Barbara Moscicki, University of
California, San Francisco, CA
Target Audience: Infectious
disease specialists, primary care pediatricians, immunologists
and adolescent medicine physicians.
One of the major goals of
infectious diseases research is to understand the pathogenesis
of disease and to use this knowledge to prevent the illness
through vaccination. An understanding of varicella
pathogenesis led to the development of a successful vaccine,
and further insights into long-term success of the vaccine and
the future of varicella immunization are emerging. A more
recent success story is that of human papillomavirus, in which
basic science studies of pathogenesis led to the development
of vaccines based on virus-like particles. These two examples
serve as models of the success of translational science in
combating infectious diseases.
-
New Insights into Varicella-Zoster
Virus Pathogenesis
Ann M. Arvin, Stanford University School of Medicine, Stanford, CA
-
MMRV and the Future of
Immunization Against Varicella-Zoster Virus
Anne A. Gershon, Columbia University, New York, NY
-
Pathogenesis of Human
Papillomavirus Infections
Anna-Barbara Moscicki, University of California, San Francisco, CA
-
Development of Virus-like
Particles for Immunization Against Human Papillomavirus
John T. Schiller, National Cancer Institute, National Institutes of
Health, Bethesda, MD
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
3:00pm–5:00pm
4675—Obesity I
PAS Poster Symposium
Room 2002, Moscone West
Chairs: Robert H. Lustig and Jennifer Miller
Tuesday, May 2
8:00am–10:00am
5158—Endocrinology: Diabetes—Immune
Mediated
PAS Poster Symposium
Room 3020, Moscone West
Chairs: Bruce A. Boston and Susan B. Nunez
8:00am–11:00am
5180—Health Literacy/Health Communication
Challenges in the 21st Century: Effective Strategies for
Enhancing Patient Interactions
PAS Mini Course
Room 2011, Moscone West
Chairs: Shalini G. Forbis and John M. Pascoe, Wright State
University Boonshoft School of Medicine, Dayton, OH
Target Audience: All healthcare
providers.
This session will focus on
improving health care to children with low literacy parent(s).
It will employ a format created by the AMA-Foundation with
three separate presentations: (1) An overview of low health
literacy in the United States, including the definition of
health literacy as contrasted to general literacy; (2)
Creating a shame-free environment that encourages parents to
share their low literacy struggles with health providers; (3)
Strategies to enhance parent-provider
interaction/communication, with emphasis on improving
communication with low literacy parents. Ample time should be
built into the session to enable discussion of the major
themes/ideas presented.
-
Introduction
John M. Pascoe, Wright State University, Dayton, OH
-
Overview of Health Literacy
Shalini G. Forbis, Wright State University Boonshoft School of
Medicine, Dayton, OH
-
Creating a Shame-Free Environment
Kadriye Lewis, Cincinnati Children's Hospital Medical Center,
Cincinnati, OH
-
Break
-
Enhancing Patient Interaction and
Communication
Teri Lee Turner, Baylor College of Medicine, Houston, TX
-
Wrap-up/Discussion
John M. Pascoe, Wright State University, Dayton, OH
8:30am–9:45am
5200A—The Challenge of Diagnosis and
Outcome in Intersex
LWPES State of the Art Plenary
Room 3007-3011, Moscone West
Chair: Lynne Levitsky, Massachusetts General Hospital, Boston,
MA
Target Audience: Geneticists,
endocrinologists and general pediatricians.
The attendee will be presented
with an overview of intersex and then the challenges of
diagnosis and outcome will be addressed. Many previous
assumptions about outcome have proven to be false. This should
prove to be an exciting talk about a highly controversial
topic affecting pediatric endocrinologists and geneticists.
-
The Challenge of Diagnosis and
Outcome in Intersex
Ieuan Hughes, University of Cambridge, Cambridge, UK
10:00am–11:45am
5310A—Pitfalls in Endocrine
Assays—Results Are Not What They Seem
LWPES Workshop
Room 3000, Moscone West
Chairs: Jack Fuqua, Indiana University, Indianapolis, IN; and
John Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine.
All too often clinicians are
encountering laboratory tests that are difficult to interpret.
Sometimes the real problem lies in understanding the pitfalls
in assays and how they are performed. This symposium will help
the clinician and scientist understand the basis for assays
and what can go wrong with them. Many referrals to
subspecialists are made due to misinterpretation of laboratory
tests or unfamiliarity with age related norms. This symposium
will have wide appeal to all who order endocrine tests.
-
Overview
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
-
IGF–I/GH
George M. Bright, Tercica, Inc., South San Francisco, CA
-
Adrenal Steroids and Thyroid
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
-
Sex Steroids
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
-
Discussion
10:00am–2:00pm
Commercial Exhibits Open and Posters
Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West
Posters Available for Viewing:
10:00am–2:00pm
Author Attendance: 12:00pm–1:30pm
Level 1:
– Adolescent Medicine
– Emergency Medicine
– Epidemiology
– General Pediatrics
– Infectious Diseases
– Neonatal Epidemiology and Follow Up
Level 2:
– Neonatal Pulmonology
– Neonatology
10:15am–12:15pm
5430—Obesity II
PAS Platform Session
Room 3014, Moscone West
Chairs: Michael Cabana and John N. Udall
12:00pm–1:30pm
Poster Session IV
PAS Poster Session
Levels 1 and 2, Moscone West
Posters Available for Viewing:
10:00am–2:00pm
Author Attendance: 12:00pm–1:30pm
Level 1:
– Adolescent Medicine
– Emergency Medicine
– Epidemiology
– General Pediatrics
– Infectious Diseases
– Neonatal Epidemiology and Follow Up
Level 2:
– Neonatal Pulmonology
– Neonatology
Includes:
-
SPR Student Research Award: Metal
Contamination of Blood Bank Blood
Allison Blatz, Case Western Reserve University, Rainbow Babies &
Children's Hospital, Cleveland, OH
-
SPR House Officer Research Award:
Pathogenesis of Measles Virus Infection in Simian
Immunodefiency Virus-Infected, Measles Virus-Vaccinated
Rhesus Monkeys
Sallie R Permar, Children's Hospital and Boston Medical Center, Boston,
MA
1:45pm–3:45pm
5725—Meet the Red Book Committee: Update on
New Vaccines
PAS/PIDS Hot Topic
Room 3014, Moscone West
Chairs: Sarah S. Long, Drexel University College of Medicine
and St. Christopher’s Hospital for Children, Philadelphia,
PA; Larry K. Pickering, Emory University School of Medicine,
Atlanta, GA; David Kimberlin, University of Alabama,
Birmingham, AL; and Henry Bernstein, Dartmouth Medical School,
Lebanon, NH
Target Audience: Primary care
pediatricians, infectious diseases physicians and adolescent
medicine physicians.
Vaccines represent the best
return on investment in health care resources. Currently, this
is a dynamic time for new vaccine development and licensure.
Recent changes in the vaccine schedule include the development
and licensure of new rotavirus vaccines, meningococcal
conjugate vaccines, acellular pertussis vaccines for use in
adolescents, papillomavirus, hepatitis A vaccines for
1-year-olds and a new “combination” vaccines (including
mumps-measles-rubella-varicella). Human papillomavirus vaccine
is expected to be licensed. To update physicians in practice,
the American Academy of Pediatrics will co-sponsor a symposium
on new vaccines, entitled “Red Book Update: New Vaccines”.
Topics to be discussed include
the newly licensed products listed above, as well as new
indications and uses of existing vaccines.
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
1:45pm–3:45pm
5730—Obesity Symposium—The BIG Picture
PAS/LWPES Hot Topic
Room 3007-3011, Moscone West
Chairs: Janet H. Silverstein, University of Florida College of
Medicine, Gainesville, FL; and Josephine Z. Kasa-Vubu,
University of Michigan, Ann Arbor, MI
Target Audience: General
pediatrics, developmental pediatrics, adolescent medicine,
genetics, basic science, pediatric endocrinology and health
outcomes.
The obesity epidemic continues to
be a major public health threat and a top priority for a broad
range of researchers and clinicians. This symposium will
attempt to reach beyond descriptive statistics and will focus
on advances from bench to bedside with a focus on
intervention.
-
Overview
Josephine Z. Kasa-Vubu, University of Michigan, Ann Arbor, MI
-
Lessons from the Bench: Molecular
and Anatomical Models of Leptin Resistance
Martin Myers, University of Michigan, Ann Arbor, MI
-
Intensive Versus Behavior
Therapies for the Obese Child: What We Know and What We Do
Not Know
Jack Adam Yanovski, National Institutes of Health, Bethesda, MD
-
Long-Term Costs of Early Onset
Diabetes
William H. Herman, University of Michigan Medical School and School of
Public Health, Ann Arbor, MI
-
Prenatal Programming of Obesity
and Obesity-Related Behaviors
Peter D. Gluckman, Liggins Institute, University of Auckland, Auckland,
New Zealand
-
Discussion
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
1:45pm–3:45pm
5750—General Pediatrics V
PAS Platform Session
Room 3001, Moscone West
Chairs: Paul M. Darden and David P. McCormick
1:45pm–3:45pm
5760—Underserved Populations II
PAS Platform Session
Room 3000, Moscone West
Chairs: David M. Keller and Ronald C. Samuels
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