STATE-OF-THE-ART PLENARY

SUNDAY, MAY 2, 2:30 PM - 4:00 PM

Childhood Obesity**
Chair: Patricia Donohoue, University of Iowa Hospitals and Clinics, Iowa City

The session will consist of three presentations from leaders in the field. 1) Evidence supporting a major genetic influence on obesity, as well as recent advances that suggest a major genetic influence on obesity, as well as recent advances in our understanding of genetic defects causing obesity in rodents and humans will be presented. 2) The major determinants of energy expenditure and physical activity in children from different at risk populations, including body size and body composition as well as factors such as parental obesity and gestational diabetics will be reviewed. 3) Recent epidemiologic data on childhood risk factors will be reviewed, and implications of these data for formulating obesity prevention strategies will be discussed.

2:30 pm --- Genetic Determinants of Obesity
Rudy Leibel, Columbia University College of Physicians & Surgeons, New York

3:00 pm --- Determinants of Energy Expenditure and Physical Activity in Children: Results from Pima Indians
Arline Salby, National Institutes of Health

3:30 pm --- The Epidemiology of Childhood Obesity: Implications for Prevention
Bob Whitaker, Children’s Hospital Medical Center, Cincinnati

Mechanisms of Human Malformation
Chair: Kenneth Lyons Jones, University of California, San Diego

Recent applications of molecular genetic technologies to the study of mammalian development are providing dramatic insights into fundamental mechanisms of normal as well as aberrant development. The laboratories of each of the invited speakers are at the cutting edge of such discoveries and their presentations will provide an extraordinary view of the state-of-the-art in this dynamic and critical area, so vital to pediatric medicine.

How Do Hox Genes Specify Our Body Plan?
Mario Capecchi, Howard Hughes Medical Institute, University of Utah, Salt Lake City

Developmental Patterning Molecules and the Control of Conserved Functions: From Model Organisms to Man
William J. McGinnis, University of California, San Diego

Molecular Basis of Asymmetry during Vertebrate Embryogenesis
Juan Carlos Izpisua Belmonte, The Salk Institute for Biological Studies, La Jolla

State Child Health Insurance Programs (SCHIP) and Medicaid: Implications for Research*
Chair: James M. Perrin, Massachusetts General Hospital

The new State Child Health Insurance Programs (SCHIP) represent a major new investment in child health insurance across the country. States have the choice of expanding their current Medicaid programs by increasing age and income eligibility or of developing new insurance programs for uninsured children not eligible for Medicaid. The next few years will see the largest expansion in children’s access to health care. What are the research agendas (access, health services, quality, outcomes) that arise from this program; what should the pediatric research community do to increase quality and quantity of research; how can pediatric researchers interact effectively with policymakers at state and Federal levels to help shape these new programs?

Monitoring Expanded Health Insurance for Children
Paul W. Newacheck, Institute for Health Policy Studies and Department of Pediatrics, University of California, San Francisco

California’s Innovations in SCHIP: Access and Monitoring
Lorraine U. Brown, Managed Risk Medical Insurance Board, California Healthy Families Program, Sacramento

Implementing SCHIP: Interactions of Policy and Research
Sara Rosenbaum, George Washington University, Center for Health Policy Research, Washington, DC

MONDAY, MAY 3, 3:00 PM - 4:30 PM

Matching the Drug to the Patient: Genetic, Developmental, and Environmental Effects on Drug Responses
Chair: Thomas Hazinski, Vanderbilt University Medical School, Nashville

Advances in pharmacology and genetics have increased our understanding of individual responses to drugs. In this state of the art session, three nationally recognized experts will discuss recently discovered genetic and environmental mechanisms which explain why drugs such as opiods, chemotherapeutic agents, and cisapride are effective for some patients and toxic for others.

Effects of Ethnicity on Drug Metabolism and Drug Response
Alastair JJ Wood,
Vanderbilt University School of Medicine, Nashville

Cancer Pharmacogenomics: Why Chemotherapy is Like Pinball?
Fred Ledley,
Variagenics, Inc., Cambridge

Drug and Environmental Effects on a Cardiac Potassium Channel Gene: The Cisapride Controversy
Tom Klitzner,
Mattel Children’s Hospital, UCLA, Los Angeles

Human Genome Project: An Update
Chair: Maynard Olson, University of Washington, Seattle

This State of the Art Plenary session will focus on how molecular genetics research will be changed by the availability of the human genome complete sequence, current applications of genome technology in human clinical research, and ethical issues in genetic research in children.

How will the Sequencing of the Human Genome Change Biomedical Research?
Maynard Olson,
University of Washington, Seattle

Application of Genetic Strategies and Human Genome Project Resources for the Identification of Human Disease Genes
Val C. Sheffield,
Howard Hughes Medical Institute, University of Iowa, Iowa City

Genetic Testing in Children: Ethics Issues of Research and Clinical Practice
Benjamin S. Wilfond,
University of Arizona, Tuscon

Report of the Task Force of the Future of Pediatric Education II *
Chairs: Jimmy Simon, Wake Forest University School of Medicine, Winston-Salem
Russell W. Chesney, University of Tennessee, Memphis College of Medicine, Memphis

Sweeping societal changes (e.g. racial and ethnic diversity, single parent families, working parents, tobacco usage, firearms, violence) and changes in child health care (new vaccines, antibiotic resistance, the human genome project, psychopharmacology, diagnosis and therapy of serious conditions -acute and chronic- in an ambulatory setting) will have a vast impact on pediatric education. These changes will alter how the medical student, the pediatric resident, the subspecialty fellow, the practicing general and subspecialty pediatrician (both early and later in their careers) and other members of the child health team will be educated. This session will discuss the background of this Task Force, those recommendations that have arisen from the ongoing deliberations of the Task Force, the data gathered, the impact of the various working groups, as well as communications from public presentations and web site responses. We will specifically focus on those recommendations which are controversial or for which there is not a consensus of opinion. We will also discuss a process of implementation, evaluation and follow-up of the Task Force final recommendations. Further information is available at www.aap.org/profed/fopel.htm

Jimmy Simon, Wake Forest University School of Medicine, Winston-Salem

Russell Chesney, University of Tennessee, Memphis College of Medicine, Memphis

Errol Alden, American Academy of Pediatrics, Elk Grove Village

TUESDAY, MAY 4, 11:30 AM - 1:00 PM

Fetal and Neonatal Medicine: Control and Disorders of Lung Growth
Chair: David Carlton, University of Utah, Salt Lake City

Abnormalities in the growth and development of the fetal lung and the fetal pulmonary vasculature remain major causes of neonatal mortality and morbidity. Pulmonary hypoplasia is found in as many as 20% of all neonatal autopsies. Speakers in this session will review the relationship between fetal lung expansion and lung growth, the embryology and pathogenesis of congenital diaphragmatic (a major cause of fatal lung hypoplasia), and factors important in postnatal remodeling of abnormal pulmonary vasculature.

Fetal Lung Development: Roles of Mechanical and Metabolic Factors
Richard Harding
, Monash University, Melbourne, Australia

Pathogenesis of Experimental Diaphragmatic Hernia
John Greer,
University of Alberta, Edmonton

Developmental Changes in the Pulmonary Vascular Response to Injury
Kurt Stenmark,
University of Colorado Health Science Center, Denver

Molecular Pathogenesis of Infectious Diseases
Chair: Mike Tosi, Mount Sinai Medical Center, New York

The diversity of microorganisms, from prions to bacteria to yeast, and the role they play at the molecular and biochemical level in the pathogenesis of a variety of infectious diseases will be presented by three world-renowned speakers, with unsurpassable expertise in their field.

Role of Prions in the Pathogenesis of the Spongiform Encephalopathies
Fred E. Cohen, University of California, San Francisco

Molecular Pathogenesis of Salmonella Infections
Samuel I. Miller, University of Washington, Seattle

Molecular Pathogenesis of Candida Infections
Margaret K. Hostetter, Child Health Research Center, Yale University, New Haven

   

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Last Modified: April 06, 2000