PSN Convention Souvenir Program 2013 by Jimmy Hilario

Trends in Newborn Care

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Table of Contents History of PSNbM and PSNbM Mission Messages President, Republic of the Philippines Secretary, Department of Health President, Philippine Medical Association President, Philippine Pediatric Society President, Philippine Society of Newborn Medicine Over-all Chair, First International Conference Officers, Board of Trustees and Specialty Board of PSNbM 1st International Conference Executive Committee 1st International Conference Organizing Committees Scientific Program, Pre-Conference, Research/Poster Exhibits, Awards Registration, Documentation/Souvenir Program, Physical Arrangements, Commercial Exhibits Ways & Means, Publicity, Socials, Hospitality & Tours, Invitations & Programs Day 1 Schedule Pre-Conference Speakers Keynote Speaker Day 2 Schedule Day 2 Plenary and Simultaneous Symposia Speakers Program-at-a-Glance and Map of Conference Venue Day 3 Schedule Day 3 Plenary and Simultaneous Symposia Speakers PSNbM Research Forum Abstracts Sponsors and Exhibitors PSNbM Fellows and Diplomates with Hospital Affiliations by Regions

Layout by: Jaime Jim O. Hilario Printing by: Inkwell Publishing Co., Inc.

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

History of the Philippine Society of Newborn Medicine During the chairmanship of Dr. Emilio A. Hernandez, Jr., of the then Committee on Fetus and the Newborn of the Philippine Pediatric Society (PPS) way back in 1994-96, a proposal on the organization of a separate society of neonatologists was presented to the PPS. Dr. Gloria Baens-Ramirez, his successor spearheaded the formation of the Committee on Constitution with Dr. Aurea Dagdag-Matias at the helm. The next chairman, Dr. Socorro de Leon-Mendoza, painstakingly continued the crusade of her predecessors with the accomplishment of the Constitution. PPS allowed the transformation of the Committee into the Section of Neonatology within PPS. Her successor, Dr. Dolores Belmonte-Sy, finally obtained the approval and blessings of PPS under the initiative of the then PPS president, Dr. Joel Elises. The PPS Board of Trustees, with Dr. Estrella Paje-Villar as President, finally approved the proposal for the Section to become a Society. The Section registered the Philippine Society of Newborn Medicine, Inc. (PSNbM) with the Securities and Exchange Commission (SEC) which approved its registration on November 17, 2005. PSNbM was launched on February 10, 2006 by PPS President Dr. Estrella Paje-Villar in the presence of DOH Secretary, Dr. Francisco Duque III, as guest and inducting officer. Dr. Emilio A. Hernandez, Jr. was inducted as the first president of the PSNbM. Dr. Dolores Belmonte-Sy became its second president in 2009. PSNbM found a stable home at the newly erected PPS building at Diliman Quezon City in 2010. Dr. Wilfredo R. Santos was elected as the third president in 2011. Numerous accomplishments and projects have continually paved the way to an active Society, known for its genuine love for its members and all the newborns of the country being provided with the best standards of neonatal care.

PSNbM Mission We, the members of the Philippine Society of Newborn Medicine, an organization of board-certified neonatologists, are firmly committed to establish, promote and provide a continuum of care of the highest standard for all newborn infants thereby ensuring their optimal outcome.

As the recognized leader and staunch advocate of comprehensive neonatal care, the Society resolves to: a. Formulate policies, clinical guidelines, strategies and programs; b. Establish, uphold and advance standards of all training programs on neonatal care; c. Facilitate and synthesize neonatal research including epidemiologic studies in the formulation of policies and practice guidelines; d. Coordinate with national and international agencies; e. Disseminate information and provide education; f. Promote compassionate and ethical practice of neonatology; and g. Enhance personal and professional growth of all its members.

With the help of Divine Providence, the Society will pursue this mission with integrity and fervor – all for the purpose of improving the survival of newborn infants in order to maximize their potential.

Trends in Newborn Care

MESSAGES

MALACAÑAN PALACE MANILA

My warmest greetings to the Philippine Society of Newborn Medicine Inc. as you hold your 7th Annual Meeting and 1st International Conference. Ensuring that our people get the best health-care services is among our administration’s priorities. We count you among our primary partners in the fulfillment of this task. For seven years, your Society has been at the forefront of safeguarding the welfare of Filipino newborns. May this meeting and conference drive the advancement of neonatal care, which is crucial to our goal of investing in our nation’s children and to our national program of Universal Health Care. More than two years ago, we committed ourselves to the revitalization of our country; since then, we have made significant strides to sustain our reforms. Let us keep the momentum of our collective efforts towards equitable progress. By continuing our excellent work in our respective endeavors, we will surely realize a brighter tomorrow for future generations.

BENIGNO S. AQUINO III MANILA 6 February 2013

I convey my warmest greetings to the officers and members of the Philippine Society of Newborn Medicine in celebration of its 7th Annual Meeting and the holding of its 1st International Conference entitled, “Trends in Newborn Care.” Provision of quality neonatal care to newborns is crucial to first hours of life and on most serious cases, it is lifesaving. Through the years, various newborn care modalities are being discovered, launched, and used to attain quality neonatal care services. Thus, this year’s convention is a good avenue to share our medical advancements in newborn care to our fellow medical practitioners. The Department of Health salutes your organization for your unwavering commitment in promoting neonatal care that greatly aids our endeavor to improve the quality of child health in our country. May your organization continuously seeks innovations and advancements in newborn care to deliver quality, accessible, and affordable newborn care to all Filipino infants. The Department of Health is grateful to have your organization as our ally in improving the health status of our people. As we double our efforts to achieve our noble vision of Universal Health Care or Kalusugan Pangkalahatan, we are counting on your continued support as partners. Your steadfast commitment will push us to closer to our goal of a healthier Philippines. Congratulations and Mabuhay!

6-8 February 2013

ENRIQUE T. ONA, M.D. Secretary of Health

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

MESSAGES Warmest greetings! In behalf of the National Officers and the Board of Governors of the Philippine Medical Association (PMA), allow me to greet and to congratulate the Officers and Members of the Philippine Society of Newborn Medicine, Inc. (PSNbM) on your 7th Annual Meeting and 1st International Conference on February 6-8, 2013. Care of the newborn is vital to the eventual health of an individual. Growth and Development is a continuous process that started from the womb to adulthood. Active care however, starts with the newborn which will form the foundation for the child. Diseases peculiar to the newborn are quite difficult to diagnose and will require technology and expertise of the pediatricians. The Theme of the Annual Meeting: “Trends in Newborn Care” is a welcome development and should be updated from time to time. The exchanges and sharing of knowledge, ideas and advances in newborn care will surely improve further the knowledge of our pediatricians in this field. PMA joins you and wishes that you have a very successful and productive annual meeting and First International Conference.

MODESTO O. LLAMAS, M.D. President, Philippine Medical Association The Philippine Pediatric Society Inc. is one in congratulating the Philippine Society of Newborn Medicine on the occasion of its 7th Annual Meeting February 6-8, 2013 with the theme, “Trends in Newborn Care”. This scientific event is proof of your commitment to further the practice of pediatric and neonatal medicine and cascade knowledge reviewed or acquired from this gathering to your daily clinical practice bearing in mind the ultimate benefit of your patients. The PPS is fully supportive of endeavors like this. As we work hand in hand towards collective goals, our individual achievements must likewise contribute to the over-all success of our society’s initiatives. Under my leadership, I have envisioned a “personalized and professionalized” PPS. A PPS that informs membership of news, links colleagues to action and motivates people to bring out the best for the best. The PPS P.R.E.S.S has successfully conducted two press briefings on “dengue hemorrhagic fever” and “child bullying”. The PPS has become more felt, more heard and more appreciated with media releases on relevant childhood issues. The PPS Hub and the PPS Heritage Museum will hopefully generate the same enthusiasm and support generously extended by members to previous notable endeavors. The PPS lauds the leadership and membership of the PSNbM for continuing to level up their level of competence. It is only through efforts like this that we discover and rediscover the real essence of our vocation.

MELINDA M. ATIENZA, MD, MHPEd, FPPS, FPSPME President, Philippine Pediatric Society, Inc.

Trends in Newborn Care

MESSAGES Greetings! In behalf of the officers and members of the Philippine Society of Newborn Medicine, I would like to invite all of you to our 7th Annual Meeting and First International Conference in Neonatology which will discuss latest “TRENDS IN NEWBORN CARE,”. We are inviting you, as well as our international colleagues to participate in this scientific endeavor. The topics to be discussed are relevant to your practice as neonatologists, pediatricians and nurses caring for the special and intensive care of neonates. Thru the efforts of the indefatigable Over-all Chair of the Conference, Dr. Emilio A. Hernandez, Jr. and the members of the Organizing Committee, top-notch international faculty of neonatologists will share their expertise in the field. We assure you that the new issues and concerns which will be discussed in the Plenary Sessions and the Simultaneous Sessions will greatly benefit your practice in neonatal care. See you all in Manila on February 6-8, 2013! Yours truly,

WILFREDO R. SANTOS, MD, FPPS, FPSNbM President, 2011-2013

The Philippine Society of Newborn Medicine takes pride in coming up with its 1st International Neonatology Conference coinciding with the celebration of its 7th Annual Meeting. It is with distinct honor and immense pleasure, as the overall chair, that I invite you to this event entitled “Trends in Newborn Care” to be held on February 6 - 8, 2013 at EDSA Shangri-La Hotel, Mandaluyong, Philippines. The organizing committee has meticulously prepared a wide array of interesting topics, both innovative and opportune, related to the everyday care of the newborn which will be discussed thru didactic lectures, inter-active sessions and workshops with neonatology experts both local and international. Indeed, this will truly be an interesting learning experience for us all. Sincerely,

EMILIO A. HERNANDEZ JR., MD, FPPS, FPSNbM Over-all Chair, 1st International Conference

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC. BOARD OF TRUSTEES OFFICERS

WILFREDO R. SANTOS, MD President

CARINA C. QUIMBO, MD Vice-President

MARIA CONCHITINA T. BANDONG, MD Assistant Secretary

JOSIE N. KHO, MD Secretary

ALMA M. DELA MERCED, MD Assistant Treasurer

MA. LOURDES C. MARTINEZ, MD Treasurer

DOLORES B. SY, MD Immediate Past President

MEMBERS

MELISSA M. JUICO, MD

JACINTO BLAS V. MANTARING III, MD

JOSE B. SALAZAR, MD

SHEILA ANN D. MASANGKAY, MD.

MA. CRISTINA VC. WOO, MD

SPECIALTY BOARD

WILFREDO R. SANTOS, MD Chair

CARINA C. QUIMBO, MD

JOSIE N. KHO, MD

PURA FLOR D. ISLETA, MD

MARY CHRISTINE ALICE D. TUMALE, MD

MA. LUISA DV. MANLAPAZ, MD

BELEN AMPARO E. VELASCO, MD

Trends in Newborn Care

PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC. 1st INTERNATIONAL CONFERENCE EXECUTIVE COMMITTEE

WILFREDO R. SANTOS, MD Honorary Chair

MARIA CONCHITINA T. BANDONG, MD Conference Secretary

EMILIO A. HERNANDEZ, JR, MD Over-all Chair

JOSIE N. KHO, MD Over-all Co-Chair

MA. LOURDES C. MARTINEZ National Treasurer

ALMA M. DELA MERCED, MD Conference Treasurer

ORGANIZING COMMITTEES SCIENTIFIC PROGRAM MEMBERS: Ma. Imelda V.Bautista, MD Mary Anne L. Ilao, MD Jacinto Blas V. Mantaring III, MD Belen Amparo E. Velasco, MD E milio A. Hernandez, Jr, MD Chair

Jose B. Salazar, MD Co-Chair

PRE-CONFERENCE MEMBER: Mary Christine Alice D. Tumale, MD

Mary Anne L. Ilao, MD

Charito D. Corpuz, MD Chair

Melissa M. Juico, MD Co-Chair

RESEARCH/POSTER EXHIBITS MEMBER: Ma. Lourdes S. Imperial, MD

Socorro DL. Mendoza, MD Chair

Ma. Theresa G. Cacas,MD Co-Chair

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC. ORGANIZING COMMITTEES AWARDS MEMBER: Lucia Liz D. Aliwalas, MD

Aurea Alicia D. Matias, MD Chair

Susana L. Lopez, MD Co-Chair

REGISTRATION MEMBERS: Dennis James E. Absin, MD Aurora Gloria L. Libadia, MD Clinton Balud, MD Patrizia M. Nafarrete, MD Alma M. Dela Merced, MD Chair

Christopher J. Grageda, MD Co-Chair

DOCUMENTATION/SOUVENIR PROGRAM MEMBERS: Clinton B. Balud, MD Victor Q. Zapanta, MD

Luis Emmanuel O. Esguerra, MD Chair

Glenn A. Tolentino, MD Co-Chair

PHYSICAL ARRANGEMENTS MEMBERS: Resti Ma. M. Bautista, MD Ernesto E. Sia, MD

Marlon V. Murallon, MD Chair

Janet Marriane R. Go, MD Co-Chair

COMMERCIAL EXHIBITS MEMBERS: Josie N. Kho, MD

elen Amparo E. Velasco, MD B Chair

Carlos T. Nuñez, Jr., MD Co-Chair

Marian G. Colasito, MD Co-Chair

Trends in Newborn Care

PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC. ORGANIZING COMMITTEES WAYS & MEANS MEMBERS: Milagros B. Andres, MD Wilfredo R. Santos, MD

Carina C. Quimbo, MD Chair

Josie N. Kho, MD Co-Chair

Belen Amparo E. Velasco, MD Co-Chair

PUBLICITY Dolores B. Sy, MD Ma. Esterlita V. Uy, MD Chair Co-Chair

MEMBERS: Eleanor R. Cuarte, MD (North Luzon) Glenn A. Tolentino, MD (Central Luzon) Aurora Gloria I. Libadia, MD (Southern Luzon) Dahlia C. Go, MD (Visayas) Mutya Kismet T. Macuno, MD (Visayas) Ma. Cristina VC. Woo, MD (Visayas) Dennis James E. Absin, MD (Mindanao) Cesar Jeffrey G. Masilungan, MD (Mindanao) Monina P. Quiambao, MD (Mindanao)

SOCIALS, HOSPITALITY & TOURS

Sheila Ann D. Masangkay, MD Melissa M. Juico, MD Chair Co-Chair

MEMBERS: Maria Theresa G. Cacas, MD Mary Christine Alice D. Tumale, MD Janet Marriane D. Go, MD Fatima Claire S. Navarro, MD Ma. Lourdes S. Imperial, MD Jose B. Salazar, MD Rita Josephine E. Dolendo, MD Reinalissa E. Manaois, MD

INVITATIONS & PROGRAMS MEMBER: Glenn A. Tolentino, MD

Ma. Luisa DV. Manlapaz, MD Ma. Imelda V. Bautista, MD Chair Co-Chair

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 1 SCHEDULE 9:00 – 1:00

Annual Business Meeting & Election of Officers (Exclusively for PSNbM Members)

Isla Ballroom 1

PRECONFERENCE SYMPOSIUM 2:00 – 4:30 pm SYMPOSIUM A: THE NICU NURSE AT THE FRONTLINE Moderator: Eleanor D. Cuarte, MD

Isla Ballroom 2

Storage and Handling of Breastmilk: From the Milk Bank to the NICU Remedios Salonga, RN IV therapy: Transfusion and Parenteral Nutrition Procedures in the NICU Mercy del Rosario, RN Keeping the NICU Infection Free: Care of the Airway and Vascular Lines Dominga C. Gomez, RN Pain Assessment and Management in the NICU Teresita Batanes, MD Transitioning the Preemie to Home Breastfeeding Christine Bernardo, MD 2:00 – 4:30

SYMPOSIUM B: NICU DIAGNOSTIC PROCEDURES Moderator: Cesar Jeffrey G. Masilungan,MD

Isla Ballroom 3

Neonatal ECG Made Easy Jonas del Rosario. MD Bedside Echocardiography in Neonatal Emergencies Dexter Cheng, MD Cranial MRI in Vascular and Metabolic Conditions Anthony Cheng, MD Neonatal seizures: Video EEG Ana Berroya, MD 6:00 – 10:00

OPENING CEREMONIES (By Invitation Only) KEYNOTE ADDRESS “The Adventures and Misadventures in Newborn Care” Enrique M. Ostrea Jr., MD Professor of Pediatrics, Wayne State University

Isla Ballroom 1

Trends in Newborn Care

PRE-CON SPEAKERS PRECONFERENCE SYMPOSIUM A: THE NICU NURSE AT THE FRONTLINE Storage and Handling of Breastmilk : From the Milk Bank to the NICU Remedios Salonga, RN • Member, Breastfeeding Committee, Philippine Children’s Medical Center (PCMC) • Co-Chairman, Infection Control Committee, PCMC • Infection Control Nurse Supervisor, PCMC • Quality Manager, Nursing Care, PCMC • Member, Philippine Nurses Association • Master of Arts in Nursing, Manila Central University • Bachelor of Science in Nursing, Pines City Educational Center IV therapy: Transfusion and Parenteral Nutrition Procedures in the NICU Mercy Rosalina C. del Rosario RN • Division Chief II, PCMC • Part-time Faculty, JP Sioson General Hospital and Colleges Inc • Nursing Service Consultant, JP Sioson General Hospital and Colleges Inc • Lifetime member, Philippine Nursing Association • Master in Health Service Administration, Ateneo de Manila University • Bachelor of Science in Nursing, Manila Doctors College of Nursing Keeping the NICU Infection-Free: Care of the Airway and Vascular Lines Dominga C. Gomez, RN • Co-Chair, Hospital Infection Control Unit (HICU), Philippine General Hospital (PGH) • Chief Nurse (N -VI), Infectious Disease Cluster, Rehabilitation Ward • Founding President, Philippine Hospital Infection Control Nurses’ Association, Inc.. • Founding Member and Immediate Past President, Philippine Hospital Infection Control Society, Inc. • Member , Philippine Nurses Association • Master of Arts in Health Policy Study- Social Science Track, Univ. of the Philippines, Manila • Bachelor of Science in Nursing, Pamantasan ng Lungsod ng Maynila Pain Assessment and Management in the NICU Teresita N. Avendaño-Batanes, M.D., DPBA • Chair, Department of Anesthesia, “Amang” Rodriguez Memorial Medical Center • Training Officer, Division of Pediatric Anesthesia, PCMC • Professor, Department of Pharmacology, College of Medicine, UERMMMCI • Secretary, Philippine Society for Pediatric Anesthesia • Member, Philippine Society of Anesthesiologists • Member, Asian Society of Pediatric Anaesthesia • Master of Science in Biology, area of specialization in Genetics, University of the Philippines • Doctor of Medicine, University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC)

Transitioning the Preemie to Home Breastfeeding Ma. Cristina Cornelio-Bernardo, M.D., DPPS, IBCLC • Chair, Breastfeeding Committee – Philippine Pediatric Society • Chair of the Breastfeeding Working Group – SLMC Global City • Head, Lactation Center – The Medical City • BFHI Coordinator – The Medical City • International Board Certified Lactation Consultant • Certified Lactation Counselor – UP-PGH • Lactation Medicine – Public Health Department, Santa Barbara California • Diploma in Family Practice Dermatology – National University of Singapore/National Skin Center • Diplomate, Philippine Pediatric Society • Residency in Pediatrics – The Medical City • Doctor of Medicine – De La Salle University Medical Center

PRECONFERENCE SYMPOSIUM B: NICU DIAGNOSTIC PROCEDURES Neonatal ECG Made Easy Jose Jonas D. del Rosario, MD • Head, Center for Congenital Heart Disease, St. Luke’s Medical Center, Bonifacio Global City • Chief, Section of Cardiology, PCMC • Head, Pediatric Cardiac Catheterization Laboratory, Philippine General Hospital • Chair of Council of Congenital Heart Disease, Philippine Heart Association • Clinical Associate Professor, UP College of MedicinePhilippine General Hospital Bedside Echocardiography in Neonatal Emergencies Dexter Eugene D. Cheng, MD • Head, Congenital Interventional Cardiology, St. Lukes Medical Center, Q.C. • Head, Section of Pediatric Cardiology, The Medical City • Pedicatric Cardiology Fellowship, PGH • Pediatric Residency, Department of Pediatrics, PGH Cranial MRI in Vascular and Metabolic Conditions Anthony E. Cheng, MD • Director, Cardinal MRI Center, Cardinal Santos Medical Center • Director, Chinese General MRI Center, Chinese General Hospital • Member, Philippine Medical Association • Member, American Roentgen Ray Society • Member, International Society for Magnetic Resonance in Medicine • MRI Fellowship, Long Beach Memorial Medical Center, Long Beach, California • Radiology Residency, Kaiser Permanente Medical Center,Los Angeles, California • Doctor of Medicine, UCLA School of Medicine Neonatal Seizures: Video EEG Maria Anna G. Berroya, MD • Head, Epilepsy Monitoring Unit (EMU), SLMC Global City • Head, Section Pediatric Neurology, SLMC Global City • Training Officer, Clinical Epilepsy and EEG Fellowship, PCMC • Member, Child Neurology Specialty Board, 2010-2015 • Medical Specialist II, Section of Child Neurology, PCMC • Consultant, Department of Pediatrics, Our Lady of Lourdes Hospital & The Medical City

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

KEYNOTE SPEAKER ENRIQUE M. OSTREA, JR., MD Enrique M. Ostrea, Jr., M.D., is a tenured Professor of Pediatrics at Wayne State University School of Medicine, Detroit, Michigan. He graduated from the University of the Philippines (UP) School of Medicine in 1965, cum laude and class valedictorian. He trained in Pediatrics at the Philippine General Hospital and Children’s Hospital Medical Center in Boston, Massachusetts (1966-1968) and fellowship in Neonatology at the Johns Hopkins Hospital in Baltimore, Maryland (1969-1972). He was former Chief of Pediatrics and Director of University Nurseries at Hutzel Hospital, Detroit Medical Center, Wayne State University. He is a reviewer for the Journal of Pediatrics, Pediatrics, Pediatric Research, Journal of Perinatology and Achieves of Pediatrics and Adolescent Medicine. He has been recognized nationally and internationally for his work on neonatal hyperbilirubinemia, neonatal drug addiction and pioneering work for the detection of fetal exposure to illicit drugs, licit drugs, tobacco smoke (nicotine), alcohol and environmental toxicants by analysis of meconium (first stools of the newborn infant). He is considered as the foremost expert in the field on meconium testing. He has authored 80 original peer reviewed articles, 27 books, chapter or monographs and numerous abstracts, lectures and scientific presentations at national and international meetings. Among his many honors and awards, he has been named visiting professor in many universities and medical centers in the United States, Europe, South America and the Philippines. He received the Outstanding Faculty Recognition Award from the Board of Governors, Wayne State University (1990), the Most Outstanding Medical Educator Overseas Award by the University of the Philippines Medical Alumni Association (1990), the Outstanding Alumnus in Medicine Award by the University of the Philippines Alumni Association of America (1991) and the Most Outstanding Filipino Physician Award by the Association of Philippine Physicians in America (1993). He has been consistently named in the annual publication of the “Best Doctors in America”. In 2004, he was given the “Achievement Award in Medicine” by Filipinas Magazine. In 2005, he was the recipient of the UP Centennial Award in Research. Centennial Celebration of the UP College of Medicine, Manila. In 2006 he received the Pamana ng Pilipino Presidential Awards for Filipino Individuals and Organizations Overseas from President Gloria Macapagal Arroyo and in 2008, he was awarded as the Most Outstanding Alumnus Overseas by the University of the Philippines Alumni Society. Among his distinct achievements, he is the recipient of 2 United States patents for the “Detection of illicit drugs in newborn infants by analysis of meconium”. The meconium drug testing kit (Mectest) which emanated from the patent was the first of its kind to be approved for clinical use by the United States Food and Drug Administration and is now considered a standard test for illicit drug exposure in newborn infants. Because of this achievement, he was included as one of the scientists of the Philippine Science Heritage Center, Department of Science and Technology, Philippines and has been featured in 2 books as one of the Philippines’ Outstanding Scientists. Recently, he was

elected into the Academy of Scholars of Wayne State University, the highest recognition that the university can bestow to its faculty. He has been the recipient of numerous research grant awards from the March of Dimes, the Michigan Department of Public Health and the United States National Institutes of Health. In 2002, he achieved the distinction of simultaneously receiving two multimillion research grant awards from the United States National Institutes of Health and the United States Environmental Protection Agency to study fetal exposure to environmental toxins by meconium analysis in the Philippines and infant outcome, the studies from which were conducted in the Philippines for 5 years (2002-2007) at the Bulacan Provincial Hospital and the UP National Institutes of Health (Manila). In 2008, he received a competing continuation award from the US National Institutes of Health National Institute of Health (National Institute of Child Health and Human Development for the continuation of his study, “Fetal Exposure to Environmental Toxicants and Child Outcome.” One of Dr. Ostrea’s keen interests has been to utilize his expertise in promoting educational programs and training in developing countries, particularly in the Philippines. He has annually visited the Philippines, since 1976, as a lecturer, speaker, visiting professor and consultant in many universities, hospitals and medical centers in Metro Manila as well as in the provinces. He has helped train Filipino neonatologists and perinatologists who have come to Wayne State University, either in full training or as observers in Neonatology. As past president of the Philippine Medical Association of Michigan, UP Alumni Association of Michigan (UPAAM) and UP Medical Alumni Society of America (UPMASA), Michigan chapter, he was instrumental in establishing 3 professorial chairs in UP Diliman for the College of Arts and Letters and the College of Science. He was the director of the Continuing Medical Education Program of the Association of Philippine Physicians in America, which later awarded him as the Most Outstanding Physician in 1993. He was past chair of the Postgraduate committee of UPMASA and is current chair of its Project Coordinating Committee. Keynote Address

“The Adventures and Misadventure of Newborn Care” During the past 50 years since Neonatology was established as a subspecialty in Pediatrics, there have been many advances and milestones that have significantly impacted on improving the mortality and morbidity of infants, particularly of the premature infants. These include, among others, improvements in infant nutrition, antibiotics, control of infection, treatment of respiratory distress syndrome with surfactant, improvement in ventilators, treatment of persistent pulmonary hypertension with nitric oxide and ECMO, etc. While these advancements have highlighted the achievements in Neonatology, the road towards these achievements has not been all rosy and sweet. For strewn along the way have been fiascos and misadventures that have been the causes of many infant deaths and adverse outcomes in the survivors. It is the intent of this presentation to present these misadventures in the hope that the factors and conditions that led to them can be avoided in the future. For the students and practitioners of Neonatology it is equally important to learn of the past so as to avoid committing the same mistakes in the present and future. As George Santayana put it, ““He who is ignorant of the past is bound to repeat its mistakes”.

Trends in Newborn Care

DAY 2 SCHEDULE 8:00 - 8:10

Conference Overview Emilio A. Hernandez Jr., MD

PLENARY I: Moderator: Josie N. Kho, MD

8:10 - 8:45

Overview of Neonatal-Perinatal Care in the Asia Oceania Region: Towards 2015 Socorro DL. Mendoza, MD

8:45 - 9:30

The Science and Art Behind the New NRP Rowena G. Cayabyab, MD

9:30 - 9:45

BREAK

OPENING OF COMMERCIAL EXHIBITS

PLENARY II: Moderator: Carina C. Quimbo, MD

9:45 - 10:30

WHO Treatment Guidelines on Newborn Sepsis Wilfredo R. Santos, MD

10:30 - 11:15 RDS: Surfactant, High Flow Nasal Cannula or CPAP? Krishnamurthy C. Sekar, MD 11:15 – 12:00 Enteral Feedings in the Premature Neonate: How, When, How Much? Ekhard E. Ziegler, MD 12:00 – 1:45 INDUSTRY SPONSORED LUNCHEON SYMPOSIUM

Simultaneous Symposium I: INFECTIONS IN THE NICU (Isla Ballroom 1) Moderator: Jose B. Salazar, MD

2:00 - 2:30

Neonatal Bacteremia: Patterns of Antibiotic Resistance Jacinto Blas V. Mantaring III, MD

2:30 - 3:00

Future Directions in the Evaluation and Management of Neonatal Sepsis Jaime A. Santos, MD

3:00 - 3:30

Superdrugs for the Superbugs: New Antibiotics in the NICU Benjamin G. Co, MD

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 2 SCHEDULE 3:30 - 4:00

Antifungal Strategies in the NICU Josefina C. Carlos, MD

Simultaneous Symposium II: NUTRITION, GASTROENTEROLOGY AND JAUNDICE (Isla Ballroom 2) Moderator: Aurea Alicia D. Matias, MD

2:00 - 2:30

PREbiotics and PRObiotics in the Preterm Infant Jatinder J. Bhatia, MD

2:30 - 3:00

New Discoveries in Breastmilk Sheila Ann D. Masangkay, MD

3:00 - 3:30

Current Status in the Management of Hyperbilirubinemia in the Neonates Ma. Esterlita V. Uy, MD

3:30 - 4:00

Practical Principles of Parenteral Nutrition in the NICU Ma. Luisa DV. Manlapaz, MD

Simultaneous Symposium III: NEUROLOGY, CARDIOLOGY AND HEMATOLOGY (Isla Ballroom 3) Moderator: Ma. Imelda V. Bautista, MD

2:00 - 2:30

Neonatal Cranial Ultrasonography: A Call for Established Protocols Jose A. Robles, MD

2:30 - 3:00

Primer on Neonatal Seizures Ignacio V. Rivera, MD

3:00 - 3:30

Cured by the Blood: Transfusion Guidelines in the NICU Godfrey Chi Fung Chan, MD

3:30 - 4:00

Diagnosis and Management of Critical Congenital Heart Disease: From Birth to NICU Discharge Rowena G. Cayabyab, MD

6:00 - 10:00

FELLOWSHIP NIGHT AND INDUCTION DINNER (Garden Wing Ballroom) (By Invitation Only)

Trends in Newborn Care

DAY 2 SPEAKERS CONFERENCE OVERVIEW “Trends in Newborn Care” EMILIO A. HERNANDEZ, JR., MD Over-All Chair, 1st International Conference

PLENARY I

continues to practice. She is board certified by the American Board of Pediatrics and its Sub-Board of Neonatology. Aside from her teaching and administrative responsibilities, she continues to conduct research studies in the field of Neonatology. She was the recipient of a Somanetics Corporation research grant in 2009-2010. She has authored and co-authored many articles in peerreviewed publications and book chapters.

PLENARY II

“WHO Treatment Guidelines on Neonatal “Overview of Neonatal-Perinatal Care in Sepsis” the Asia Oceania Region: Towards 2015” WILFREDO R. SANTOS, MD SOCORRO DL. MENDOZA, MD Dr. Mendoza graduated with a degree of Doctor of Medicine from the FEU-NRMF Institute of Medicine. She is a fellow of the Philippine Pediatric Society and the Philippine Society of Newborn Medicine. She is currently the President of the Bless-Tetada Kangaroo Mother Care Foundation Phil., Inc. and the Secretary General of the Federation of AsiaOceania Perinatal Societies (FAOPS). She is a member of the Research Committee of the PPS and PSNbM, as well as the Permanent Monitoring Panel for Mother and Child of the World Federation of Scientists (WFS) and the Expert Panel and Steering Committee of the International Network on Kangaroo Mother Care (INK). She is a past president and present chair of the Nominations Committee of the Perinatal Association of the Philippines. She is one of the contributors to the Handbook on Newborn Care published by the PSNbM.

“The Science and Art Behind the New NRP” ROWENA G. CAYABYAB, MD Dr. Cayabyab is currently an Assistant Professor of Clinical Pediatrics of the Keck School of Medicine, University of Southern California and the Associate Medical Director of the NICU of Good Samaritan Hospital in Los Angeles, California. She obtained her medical degree and residency training in Pediatrics from the University of Santo Tomas Philippines. She further training in Pediatrics and Neonatology at the LAC+USC Medical Center in Los Angeles where she

Dr. Santos is the current President of the Philippine Society of Newborn Medicine and Honorary Chair of the 1st International Conference on Neonatology. He received his BS Psychology and Doctor of Medicine degrees from the University of Santo Tomas. He took his Pediatrics residency and Neonatology fellowship training at the UST Hospital and received post-fellowship training at the Hutzel Hospital and the Children’s Hospital of Michigan in Detroit, Michigan, USA. He is a fellow of the PPS and PSNbM. He is currently an Assistant Professor of the Departments of Pediatrics, Clinical Epidemiology, and Preventive, Family and Community Medicine at the Faculty of Medicine and Surgery of UST, Assistant Professor of Pediatrics at the De La Salle University Health Sciences Institute, Training Officer of the Section of Neonatology, Department of Pediatrics of UST Hospital, and Head of the NICU of the De La Salle University Medical Center and San Juan de Dios Hospital. He is the current Vice-President of the Kangaroo Mother Care Foundation of the Philippines. He is one of the assistant editors of the third edition of the Standards of Newborn Care published by the PSNbM.

“RDS: Surfactant, High Flow Nasal Cannula or CPAP” KRISHNAMURTHY C. SEKAR, MD Dr. Sekar received his initial medical education from the University of Madras in India. He underwent pediatric residency training at the Polyclinic Medical Center in Harrisburg, Pennsylvania and Georgetown

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 2 SPEAKERS University Hospital in Washington, DC. He also received Neonatology fellowship training at Georgetown University Hospital. Thereafter, he went to practice at the University of Oklahoma Health Sciences Center where he is currently Professor of Pediatrics and Associate Chief of Staff and NICU Medical Director of the Oklahoma University Medical Center Children’s Hospital. His currently funded research involve the resuscitation of premature infants with oxygen versus room air, use of inhaled nitric oxide as adjunct to neonatal resuscitation, and the role of adrenal immaturity in systemic hypotension following PDA ligation. He has been awarded one of the Best Doctors in Oklahoma and America from 2007-2009 and 2010.

training at the Wayne State University, Detroit Medical Center, Hutzel Hospital and Children’s Hospital of Michigan. He obtained a Masters degree in Clinical Epidemiology at the UP College of Medicine. At present, he is the Section Chief of Neonatal Medicine of the UP-PGH, President and Chairman of the Foundation for the Advancement of Newborn Technology and Services, Inc., Chair of the UP Manila Research Ethics Board. He is an Associate Professor in Clinical Epidemiology and Clinical Associate Professor of Pediatrics if the UP College of Medicine. He is a member of the Board of Trustees of PSNbM. His numerous researches have been published locally and internationally.

“Enteral Feedings in the Premature Neonate: How, When, How Much?”

“Future Directions in the Evaluation and Management of Neonatal Sepsis”

EKHARD E. ZIEGLER

JAIME A. SANTOS, MD

Dr. Ziegler was born in Saalfelden, Austria and received his medical and pediatric training from the University of Innsbruck in Austria. He also received training in pediatric nutrition from the University of Iowa. He is currently a Professor of Pediatrics and Director of the Fomon Infant Nutrition Unit of the University of Iowa. The author of numerous peer-reviewed articles, his research interests include the nutritional requirements of preterm infants, iron metabolism and iron nutrition of breastfed infants, the use of breast milk for premature infants and vitamin supplementation for breastfed infants. His clinical interests include neonatal medicine, specifically on the nutritional management of term and preterm infants.

SIMULTANEOUS SYMPOSIUM I: INFECTIONS IN THE NICU “Neonatal Bacteremia: Patterns of Antibiotic Resistance” JACINTO BLAS V. MANTARING, MD Dr. Mantaring is a graduate the UP College of Medicine. He has trained in Pediatrics at the UP-Philippine General Hospital where he became Chief Resident in 1989. He pursued Neonatology fellowship

Dr. Santos graduated magna cum laude from the University of Santo Tomas Faculty of Medicine and Surgery. He later underwent residency training in Pediatrics at the Philippine Children’s Medical Center (PCMC). He was a SEAMEO Fellow in Tropical Medicine at Mahidol University in Bangkok, Thailand. He is currently the Chairman of the Infectious Disease Section of PCMC and Professor and Chairman of the Department of Microbiology of Fatima University College of Medicine. He was a former President of the Pediatric Infectious Disease Society of the Philippines. He has also authored several research papers, book chapters, and articles on the field of infectious disease.

“Superdrugs for the Superbugs: New Antibiotics in the NICU” BENJAMIN G. CO, MD Dr. Co obtained his medical degree from the University of Santo Tomas and started teaching Pharmacology in 1985. He later underwent pediatric residency training at the UST Hospital and joined the faculty of Pediatrics with emphasis on Infectious Disease and Preventive Pediatrics until 2008. He did fellowship in Clinical and Molecular Pharmacology at the Boston University Medical Center in Massachusetts.

Trends in Newborn Care

DAY 2 SPEAKERS He is currently the Medical Director of Otsuka Philippines Pharmaceuticals, Inc. and Chair of the Department of Pediatrics of Asian Hospital and Medical Center and Chair of the Pharmacy and Therapeutics Committees of the Asian Hospital and the Cardinal Santos Medical Center. He is also the Executive Director of the UST Center for Drug Research, Evaluation and Studies, Inc. He currently remains a professorial lecturer in Biostatistics and Biopharmaceutics of the Graduate School of the University of Santo Tomas.

“Antifungal Strategies in the NICU” JOSEFINA C. CARLOS, MD A frequently invited speaker in pediatric infectious disease, Dr. Carlos is a fellow of the Philippine Pediatric Society, the Pediatric Infectious Diseases Society of the Philippines (PIDSP), the Philippine Society of Microbiology and Infectious Diseases, and the Philippine Academic Society of Microbiology and Parasitology. She obtained her medical degree and pediatric residency training at the University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC). She further trained in Infectious Disease under Dr. John Cross at the US Naval Medical Research Unit in Manila and in Tropical Medicine and hygiene at the Mahidol University in Bangkok, Thailand. She is currently an Associate Professor in Pediatrics at the UERMMMC, Chair of the Infection Control Committee of the Philippine Heart Center, and member of the PIDSP Specialty Board. Her research interests include vaccines, nosocomial infections, tuberculosis, and neonatal infections.

SIMULTANEOUS SYMPOSIUM II: NUTRITION, GASTROENTEROLOGY AND JAUNDICE

of the University of Texas Medical Branch in Galveston where he rose to the rank of Associate Professor. He returned to the Georgia Health Sciences University as Professor of Pediatrics and later named Chief of the Section of Neonatology. He is an honorary consultant for the Philippine Children’s Medical Center. He has been recognized for his academic and clinical work throughout his career with honors such as the Distinguished Faculty Award for Institutional Service at the Georgia Health Sciences University and the Georgia Nutrition Council Award of Excellence. He is the immediate past president of the Southern Society of Pediatric Research and serves on the American Academy of Pediatrics Committee on Nutrition. He is an active reviewer for numerous journals and serves on the editorial board of Journal of Perinatology, Journal of Maternal-fetal and Neonatology Medicine, eMedicine. Dr. Bhatia’s areas of research interest include a wide variety of neonatal issues such as neonatal nutrition, total parenteral nutrition, reaction oxygen species, hepatic dysfunction and outcomes research. He is the author of more than 100 articles, abstracts and book chapters and has made presentations of his work nationally and internationally.

“New Discoveries in Breastmilk” SHEILA ANN D. MASANGKAY, MD Dr. Masangkay is the Chair of the Department of Pediatrics of the De Los Santos Medical Center, Head of the NICU and Associate Professor of the FEU-NRMF Medical Center, and the Associate Head of Perinatal Care of the Neonatology and Pediatric Gynecology Center of Philippine Children’s Medical Center (PCMC). She is a graduate of the FEU-NRMF Institute of Medicine and underwent residency training in Pediatrics and fellowship training in Neonatology at PCMC. She is a member of the Board of Trustees of the PSNbM. She was a former President of the Perinatal Association of the Philippines.

“PREbiotics and PRObiotics in the Preterm “Current Status in the Management of Infant” Hyperbilirubinemia in the Neonate” JATINDER J. BHATIA, MD Dr. Bhatia graduated from the Armed MA. ESTERLITA V. UY, MD Forces Medical College of the University of Poona, India. He completed his pediatric residency at the Georgia Health Sciences University in Augusta followed by a joint fellowship in neonatology and pediatric nutrition at the University of Iowa. He then joined the faculty

Dr. Uy graduated from the UP College of Medicine and took her pediatric residency at the UP-PGH. She completed her Clinical and Research Fellowship in Neonatology at the Wayne State UniversityChildren’s Hospital of Michigan and Hutzel

PROGRAM-AT-A-GLANCE

MAP OF CONFERENCE VENUE

Isla 3

Isla 2

Isla 1

LEGEND: PRECON A - PRECONFERENCE SYMPOSIUM A: THE NICU NURSE AT THE FRONTLINE PRECON B - PRECONFERENCE SYMPOSIUM B: NICU DIAGNOSTIC PROCEDURES SS I - SIMULTANEOUS SYMPOSIUM I: INFECTIONS IN THE NICU SS II - SIMULTANEOUS SYMPOSIUM II: NUTRITION, GASTROENTEROLOGY & JAUNDICE SS III - SIMULTANEOUS SYMPOSIUM III: NEUROLOGY, CARDIOLOGY & HEMATOLOGY SS IV - SIMULTANEOUS SYMPOSIUM IV: RESPIRATORY PROBLEMS & VENTILATORY MANAGEMENT SS V - SIMULTANEOUS SYMPOSIUM V: RENAL, ENDOCRINE & METABOLIC SS VI - SIMULTANEOUS SYMPOSIUM VI: SPECIAL CONCERNS IN THE NICU

MAP OF CONFERENCE VENUE

COMMERCIAL RESEARCH EXHIBITS POSTERS

SECRETARIAT REGISTRATION

The Philippine Society of Newborn Medicine 7th Annual Meeting and 1st International Conference

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 2 SPEAKERS Hospital. She is the Training Officer of the Neonatology Fellowship Training Program of UP-PGH as well as the Pediatric residency Training Officer of the Dr. Jesus Delgado Memorial hospital. She serves as Co-chair of the Technical Review Board of the UP Manila–NIH. She is the Primary Investigator for the PEER Health Research Grant study on the applicability of the Hour of Life Approach for Hyperbilirubinemia among Filipino Term Infants.

“Practical Principles of Parenteral Nutrition in the NICU” MA. LUISA DV. MANLAPAZ, MD

After obtaining her medical degree from the UP College of Medicine, Dr. Manlapaz received training in pediatrics at UP-PGH. She underwent Neonatology fellowship training at the Monash Medical Centre and the Mercy Hospital for Women in Australia. She returned to the Philippines and has practiced at Philippine Children’s Medical Center, St. Luke’s Medical Center, QC and Global City. She was a former Head of the NICU and Chairman of the Department of Pediatrics of St. Luke’s Medical Center QC. She is also a member of the Breastfeeding Working Group of the same institution. She is a member of the Specialty Board of the Philippine Society of Newborn Medicine. She also hold a Masters degree in Health Professions Education from the National Teacher Training Center-HP of UP Manila.

SIMULTANEOUS SYMPOSIUM III: NEUROLOGY, CARDIOLOGY AND HEMATOLOGY “Neonatal Cranial Ultrasonography: A Call for Established Protocols” JOSE A. ROBLES, MD

Dr. Robles received his medical degree from FEU-NRMF and training in Pediatrics and Pediatric Neurology at the Philippine Children’s Medical Center (PCMC). He underwent further training in Neuropathology at the Jefferson Medical Center in Philadelphia, Pennsylvania, Neuroradiology at the University of Texas Galveston Branch, and Neurosonology at the Medical College of Georgia. He is a fellow of the Philippine Pediatric Society, the Philippine Neurological Association and the Child Neurology Society of the Philippines. He is currently the Chairman of the Child Neuroscience Center at PCMC.

“Primer on Neonatal Seizures” IGNACIO V. RIVERA, MD

Dr. Rivera graduated from the University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC) College of Medicine. He completed his Pediatric residency at the Beth Israel Medical Center in New York and Pediatric Neurology fellowship at the University of Miami-Jackson Memorial Medical Center in Florida. He returned to the Philippines after training and has since practiced in Metro Manila at Cardinal Santos Medical Center, The Medical City, and UERMMMC, where he is currently Associate Professor of Pediatrics. He is also currently the head of the Residency Training Unit of the Medical City. He is a fellow and past president of the Child Neurology Society Philippines.

“Cured by the Blood: Transfusion Guidelines in the NICU” GODFREY CHI FUNG CHAN, MD

Prof. Chan obtained degrees in both Dentistry and Medicine from the University of the East Ramon Magsaysay Memorial Medical Center and is currently both a registered dentist and medical doctor in Hong Kong. He joined the Department of Paediatrics & Adolescent Medicine of the University of Hong Kong in 1989. He also pursued fellowship training at the St. Jude Children’s Research Hospital, USA, Diploma of Palliative Medicine from the University of Wales, and Master of Science in Palliative Medicine from the University of Birmingham. He joined the Faculty of Medicine, University of Hong Kong as Clinical Associate Professor in 1999, was later appointed as the Assistant Dean (External Affair) of the LKS Faculty of Medicine and Clinical Professor. Since 2012, he has been the Head & Chief of Service of the Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital & HKU-Shenzhen Hospital, The University of Hong Kong. He has published more than 210 full articles, 9 book chapters and 1 book. He received multiple prestigious research grants as principle investigator. He owns 3 patents on a collagen microsphere device for the delivery of human stem cells. He has multiple prestigious International Awards (ANR, SIOP, ASPR, and Endeavor Executive AwardAustralian Government) for his clinical and laboratory research works on childhood neurogenic tumors and stem cell biology.

“Diagnosis and Management of Critical Congenital Heart Disease: From Birth to NICU Discharge” ROWENA G. CAYABYAB, MD

Trends in Newborn Care

DAY 3 SCHEDULE 8:00 - 9:00

Research Forum

PLENARY III: Moderator: Socorro DL. Mendoza, MD

9:00 - 9:45

Nutrition of the Growing Premature Neonate Jatinder J. Bhatia, MBBS

9:45 - 10:30

Hypoxic Ischemic Encephalopathy: Cooling and Beyond Winston M. Manimtim, MD

10:30 - 10:45

BREAK

PLENARY IV: Moderator: Dolores Belmonte-Sy, MD

10:45 - 11:30

Oxygen Therapy in the Preterm Infant: Hitting the Target Krishnamurthy C. Sekar, MD

11:30 - 12:15

Defining Neonatal Hypoglycemia: Continuing Debate Jacob V. Aranda, MD

12:30 â&#x20AC;&#x201C; 1:45

INDUSTRY SPONSORED LUNCHEON SYMPOSIUM

Simultaneous Symposium IV: RESPIRATORY PROBLEMS AND VENTILATORY MANAGEMENT (Isla Ballroom 1) Moderator: Ma. Cristina VC. Woo, MD

2:00- 2:30

Current Management of PPHN Josie N. Kho, MD

2:30 - 3:00

Preventive Approaches in BPD Winston M. Manimtim, MD

3:00 - 3:30

Strategies in Optimizing Conventional Ventilation Krishnamurthy C. Sekar, MD

3:30 - 4:00

Best Practices in Respiratory Care In the NICU Ma. Lourdes C. Martinez, MD

Simultaneous Symposium V: RENAL, ENDOCRINE AND METABOLIC (Isla Ballroom 2) Moderator: Melissa M. Juico, MD

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 3 SCHEDULE

2:00 - 2:30

Acute Kidney Injury: What Do We Need to Learn More? Maria Rosario S. Cruz, MD

2:30 - 3:00

Fluids & Electrolytes in a Preterm Neonate Ma. Teresa G. Cacas, MD

3:00 - 3:30

Epidemic of Metabolic Syndrome: Decline in Cognition? Belen Amparo E. Velasco, MD

3:30 - 4:00

When to Consider a “Metabolic Problem” in a Newborn Infant? Eva Marie Cutiongco-Dela Paz, MD

Simultaneous Symposium VI: SPECIAL CONCERNS IN THE NICU (Isla Ballroom 3) Moderator: Susanna Lim-Lopez, MD

2:00 - 2:30

When Things Go Wrong : How and When to Disclose? Charito D. Corpuz, MD

2:30 - 3:00

Neonatal Skin Care: Evidence-Based Updates Ma. Victoria C. Dizon, MD

3:00 - 3:30

Management Strategies in Apnea of Prematurity Resti Ma. M. Bautista, MD

3:30 - 4:00

Autologous Cord Blood Transfusion & Perinatal Asphyxia Godfrey Chi Fung Chan, MD

4:15 - 4:45

LAST CHANCE WITH THE EXPERTS (Isla Ballroom 2) Moderator: Maria Conchitina T. Bandong, MD

4:45 - 5:00

CLOSING CEREMONIES

Trends in Newborn Care

DAY 3 SPEAKERS PLENARY III “Nutrition of the Growing Premature Neonate” JATINDER J. BHATIA, MD

“Hypoxic Ischemic Encephalopathy: Cooling and Beyond” WINSTON M. MANIMTIM, MD

Dr. Manimtim is a graduate of the University of Santo Tomas Faculty of Medicine and Surgery. He took his residency in Pediatrics at the Philippine Children’s Medical Center and at the Albert Einstein College of Medicine-Montefiore Medical Center (Bronx, NY). He obtained his Neonatology training from PCMC, Mercy Hospital for Women (Melbourne, Australia) and at the University of Maryland School of Medicine (Baltimore, Maryland). He is currently an Assistant Professor of Pediatrics at the University of Missouri – Kansas City School of Medicine and an active Neonatology consultant in numerous hospitals in the Kansas City Missouri area. He is the author and coauthor of several peer-reviewed and other published articles. His research interests include chronic lung disease and long term respiratory and developmental outcome, neonatal resuscitation and simulation in health care, quality improvement in physician EMR documentation and communication, and international medicine and global neonatology.

PLENARY IV “Oxygen Therapy in the Preterm Infant: Hitting the Target” KRISHNAMURTHY C. SEKAR, MD “Defining Neonatal Hypoglycemia: Continuing Debate” JACOB V. ARANDA, MD

Dr. Aranda is the Director of Neonatology and Professor of Pediatrics and Ophthalmology at the State University of New York (SUNY) Downstate Medical Center and Professor of Pediatrics and

Pharmacology at the Wayne State University Medical School. He graduated from the McGill Faculty of Medicine and Graduate Studies (Montreal Canada) with a PhD in Pharmacology and medical degree from the Manila Central University (MCU), Philippines. He received his training in Pediatrics and Neonatology from SUNY Upstate Medical Center (Syracuse, NY), Case Western Reserve University – Cleveland Metro Hospital, and the McGill UniversityMontreal Children’s Hospital. He is a member of more than 20 scientific and academic societies and a recipient of multiple international awards. He has served as speaker/lecturer and visiting professor all over the world and is indeed one of the key opinion leaders in Neonatal and Pediatric Pharmacology and Drug Therapy. He pioneered and developed new drug therapies for newborns including caffeine and intravenous ibuprofen, both approved by the US FDA and the European Medication Agency for newborns. He is the Director of the NIH New York Developmental Pharmacology Research Consortium and was recently awarded an NICHD grant for his research on the molecular and clinical pharmacology of retinopathy of prematurity. He is the author of five books including the Textbook on Neonatal and Pediatric Pharmacology, now in its 4th edition, more than 250 peer-reviewed papers and book chapters.

SIMULTANEOUS SYMPOSIUM IV: RESPIRATORY PROBLEMS & VENTILATOR MANAGEMENT

“Current Management of PPHN” JOSIE N. KHO, MD

Dr. Kho is a graduate of the University of Santo Tomas Faculty of Medicine and Surgery. She took her residency in Pediatrics at North Shore University Hospital in Manhasset, New York and fellowship in Neonatal-Perinatal Medicine at the State University of New York Hospital

at Stony Brook. A fellow of the Philippine Pediatric Society and The Philippine Society of Newborn Medicine, she is the current Secretary of PSNbM Board of Trustees. She is an Associate Professor in Pediatrics at UST Faculty of Medicine and Surgery while being the Section Chief of Neonatology and Head of the Newborn Services Unit of the Department of Pediatrics of UST Hospital. She is also the Head of the Newborn Unit and NICU of Chinese General Hospital and Medical Center.

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

DAY 3 SPEAKERS “Preventive Approached in BPD” WINSTON M. MANIMTIM, MD “Strategies in Optimizing Conventional Ventilation” KRISHNAMURTHY C. SEKAR, MD “Best Practices in Respiratory Care in the NICU” MA. LOURDES C. MARTINEZ, MD

Dr. Martinez graduated from the University of the Philippines College of Medicine in 1983, completed internship at the Philippine General Hospital (1984), after which she pursued her residency in Pediatrics in St. Luke’s-Roosevelt Hospital in New York City and in the Rush-PresbyterianSt. Luke’s Hospital in Chicago, Illinois (1988). She proceeded to complete her Fellowship in Neonatology at the Cincinnati Children’s Hospital (1991), and received her Masters in Epidemiology at the University of Cincinnati (1992). She is currently the Treasurer of the Board of Trustees of the Philippine Society of Newborn Medicine, and Chairperson for Newborn Services at the Makati Medical Center.

SIMULTANEOUS SYMPOSIUM V: RENAL, ENDOCRINE AND METABOLIC “Acute Kidney Injury: What Do We Need to Learn More?” MA. ROSARIO S. CRUZ, MD

Dr. Cruz graduated from the UP College of Medicine and completed her pediatric residency and pediatric nephrology fellowship at the Philippine Children’s Medical Center. She also obtained a Master of Science degree in Health Systems Management at the Philippine Women’s University. She is currently an Associate Professor and Training Officer of the Department of Pediatrics of the Manila Central University-FDTMF. She is also the Chief of the Pediatric Lung, Heart, Kidney and Liver Center of PCMC. She chairs the Committee on Preventive Health Care of the Philippine Pediatric Society. She is the current Vice-President of the Pediatric Nephrology Society of the Philippines.

“Fluids & Electrolytes in a Preterm Neonate” MA. THERESA G. CACAS, MD

Dr. Cacas received her medical degree from the University of Santo Tomas and underwent Pediatric residency and Neonatology fellowship training at the Department of Pediatrics of UST Hospital. She holds a Masters degree in Public Health from the Institute of Community and Family Health, Inc. She is an Assistant Professor of Physiology at the UERMMMC College of Medicine where she was the recipient of the Dean Esperanza Lansang Best Teacher Award for Basic Sciences for multiple years. She currently heads the NICU of the University of Perpetual Help Medical Center in Biñan, Laguna. A fellow of the Philippine Pediatric Society and PSNbM, she is also a past president of the Perinatal Association of the Philippines.

“Epidemic of Metabolic Syndrome: Decline in Cognition?” BELEN AMPARO E. VELASCO, MD

Dr. Velasco graduated from the University of Santo Tomas Faculty of Medicine and Surgery. She took her pediatric residency and neonatology fellowship training at the Philippine Children’s Medical Center (PCMC). During her Neonatology training, she had a neonatology observership rotation at the Wayne State University-Children’s Hospital of Michigan and Hutzel Hospital. She is currently the Head of the NICU of the Amang Rodriguez Medical Center and Medical Specialist of the Neonatology section of the PCMC. She is a fellow of the Philippine Pediatric Society and the Philippine Society of Newborn Medicine (PSNbM). She also serves in the Specialty Board of the PSNbM.

“When to Consider a ‘Metabolic Problem’ in a Newborn Infant” EVA MARIE CUTIONGCO-DELA PAZ, MD Dr. dela Paz was a TOYM (Ten Outstanding Young Men) awardee for the field of Genetic Medicine in 2002 and was also recognized by the National Academy of Science and Technology as one of the Outstanding Young Scientists in the same year. She was also awarded as one of The Outstanding

Trends in Newborn Care

DAY 3 SPEAKERS Women in the Nation’s Service (TOWNS 2007) for Medicine. She is a fellow of the American Society of Human Genetics. Her research interests include birth defects and the genetics of muscular dystrophies, heart disease, diabetes, and cancer. She finished her medical degree at the UP College of Medicine and Pediatric residency at the UP-PGH. She studied Molecular Genetics at the International Center for Medical Research in Kobe University Graduate School of Medicine in Japan and took her subspecialty training in Clinical Genetics at the Hospital for Sick Children in Toronto Canada. She is currently the Director of the Institute of Human Genetics of the National Institutes of Health UP Manila, Clinical Associate Professor of Pediatrics of UP College of Medicine, Head and Training Officer of the Section of Clinical Genetics of the Department of Pediatrics of UP-PGH.

SIMULTANEOUS SYMPOSIUM VI: SPECIAL CONCERNS IN THE NICU

“When Things Go Wrong: How and When to Disclose?” CHARITO D. CORPUZ, MD Dr. Corpuz is a Fellow of the Philippine Pediatric Society and the Philippine Society of Newborn Medicine. She received his medical degree from the University of the East Ramon Magsaysay Memorial Medical Center College of Medicine. After her Pediatric residency training at The Medical City, she had her post-residency fellowship training in Neonatology at the Philippine Children’s Medical Center (PCMC). She holds a Masters degree in Hospital Administration from the Ateneo Graduate School of Business. At present, she is the Chair of the Committee on Neonatal Resuscitation Program of the PSNbM. She is an active consultant at PCMC where she holds various positions and committee memberships, among which as Co-chair of the Blood Transfusion Committee, member of the Bioethics, Breastfeeding and Hospice Committees, Training and Research Officer of the Neonatology Fellowship Training Program.

“Neonatal Skin Care: Evidence-Based Updates” MA. VICTORIA C. DIZON, MD Dr. Dizon graduated from the University of Santo Tomas Faculty of Medicine and Surgery and took residency training in Dermatology at the UST Hospital. She underwent training in Pediatric Dermatology at the Children’s Memorial Hospital of Northwestern University Medical School in Chicago, IL. She is a fellow of the Philippine Dermatology Society (PDS). She is currently the Head of the Section of Pediatric Dermatology and Associate Professor of the Department of Dermatology of UST Hospital. She is likewise the Head of the subspecialty group of Pediatric Dermatology of the PDS. She is a member of the Johnson’s Global Clinical Advisory Board (Johnson & Johnson’s) and Chairman of the Asian Academy of Eczema (ACE) Steering Committee (LEO Pharma Asia PTe., Ltd.). She had been a member of the Board of Directors of the Philippine Dermatology Society and member of the Board of Examiners of the Philippine Board of Dermatology.

“Management Strategies in Apnea of Prematurity” RESTI MA. M. BAUTISTA, MD Dr. Bautista completed the INTARMED program from the University of the Philippines College of Medicine. He took subsequently his Pediatric residency and Neonatology fellowship training from the Department of Pediatrics of the UP-Philippine General Hospital where he is now Clinical Associate Professor of the Section of Newborn Medicine. He is also a Clinical Research Professor of the Institute of Child Health and Human Development of the UP Manila-National Institutes of Health. He is an attending neonatologist, NICU Coordinator, Site Coordinator for the Essential Intrapartum and Newborn Care (EINC) Program and Birth Defects Surveillance Program Coordinator of the UP-PGH.

“Autologous Cord Blood Transfusion & Perinatal Asphyxia” GODFREY CHI FUNG CHAN, MD

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PSNbM RESEARCH FORUM ABSTRACTS A Comparative Analysis of the Effects of Neonatal Outpatient Continuity of Care Follow-Up Versus Random Care Follow-Up Among Discharged Neonates at National Children’s Hospital: A Randomized Controlled Trial

A Meta-Analysis on Standard Intravenous Immunoglobulin for the Treatment of Neonatal Sepsis

Charmaine V. Micu M.D. Judith G. Milan M.D. National Children’s Hospital

Background: Neonatal sepsis remains to be an important cause of neonatal morbidity and mortality and has been implicated to cause perinatal brain damage and cerebral palsy. Intravenous Immunoglobulin (IVIG) has been postulated to have a beneficial effect on treatment of newborn sepsis

BACKGROUND: Continuity of neonatal care is fundamental in primary care. OBJECTIVE: To determine the effect of continuity of care among neonates discharged from neonatology ward of National Children’s Hospital followed-up for 5 months. DESIGN: Randomized controlled trial SETTING: National Children’s Hospital PARTICIPANTS AND METHODS: A total of 87 parentsneonates were randomized to continuity of care group with an index pediatrician (n=44) or no single source of care (random care, n=43) for five consecutive months of follow-up. Included were those discharged from neonatology ward, residing at National Capital Region, with informed consent. Outcomes assessed were monthly clinic attendance, readmission rates, Z-scores for weight and length for age, weight for length, actual weights and length. Tests of significance at .05 level . Demographic and economic profiles (all p-values >.05) as well as neonatal profile were noted.. To date, there’s no significant difference between random and continuity care. The proportion of children with normal Z-scores for anthropometric measures, and readmission rates have slightly higher clinic attendance noted but not significantly different. CONCLUSION: The follow-up care offered by the continuity clinic is new to the hospital and needs improvement in terms of its mechanisms of appointment scheduling and physician assignments. Cost of care, relevance to training and physician-patient satisfaction need yet to be explored. Keywords: Continuity Care, Neonates

Christian Nasir, M.D., Angel Andrea Moral, M.D. Ann Marie Tan-Ting, M.D. Cardinal Santos Medical Center

Objective: To evaluate the effect of standard IVIG on mortality and morbidity caused by suspected or proven early-onset sepsis in neonates on conventional antibiotic treatment; to compare the age of gestation, sex, birth weight, and organism causing sepsis upon starting treatment among the study population; to compare mortality, the need for oxygen supplementation, and duration of hospital stay of neonates with suspected or proven sepsis who have been given intravenous immunoglobulin versus placebo as adjunctive treatment to conventional antibiotic. Methods: A systematic search using MEDLINE, Cochrane Library, PUBMED, and New England Journal of Medicine was done with the use of the following search terms: ‘intravenous immunoglobulin, IVIG, treatment, neonatal sepsis, neonatal infection. The articles selected should have been published from January 1992 to January 2012. The search was performed without language restriction but was limited to trials in humans. A meta-analysis was conducted on published randomized controlled trials on neonates (28 days or less) with suspected or proven earlyonset neonatal sepsis. All patients should be treated with antibiotic therapy and standard IVIG (Polyclonal IVIG). Results: Meta-analysis of 3630 infants from 4 studies of IVIG showed that there is no difference in the effect between IVIG and placebo in reducing mortality (OR 1.03; 95 % CI 0.87 to 1.23). The meta-analysis also showed that there is no difference between IVIG and Placebo in reducing the duration of hospital stay (MD -0.88; 95% CI -1.90 to 0.14). Moreover, there is no difference between IVIG and Placebo in reducing the need for ventilation or oxygen supplementation (OR 0.96; 95% CI 0.82 to 1.11).

Trends in Newborn Care

PSNbM RESEARCH FORUM ABSTRACTS Conclusions: The routine use of standard (polyclonal) IVIG is not indicated in neonatal sepsis. The use of IVIG is not associated with reduction of mortality, duration of hospital stay, and need for ventilation. However, a study on the effect of IVIG in antibiotic-resistant sepsis might be considered in the future.

Kangaroo Care Transport Versus Transport Incubator in Transporting Stable Preterm Neonates: A Randomized Controlled Trial Renelyn P. Ignacio, M.D., Esterlita V. Uy, M.D., Jacinto Blas V. Mantaring III, M.D. UP-Philippine General Hospital BACKGROUND: Neonatal transport is not good for neonates especially to those born prematurely. Numerous studies have cited the beneficial effects of KMC on the physiological outcomes of preterm neonates; however, only one study has documented it as a safe and effective alternative to transport incubator. OBJECTIVES: To determine whether kangaroo care transport would result to (1) a significant change in heart rate, respiratory rate, oxygen saturation and temperature (2) occurrence of adverse events such as cardiorespiratory and temperature instability, oxygen desaturation, restlessness, and intraventricular hemorrhage; and (3) reduced occurrence of sepsis as compared to use of transport incubator. METHODOLOGY: This is a randomized-controlled trial of physiologically stable preterm neonates weighing < 2200 grams delivered at a tertiary government hospital from September 10, 2011 to April 18, 2012. After written consent was obtained from the mother, randomization to either the kangaroo care transport group or the transport incubator group was done. Participants in the intervention group were transported from the delivery room to the NICU while on skin-to skin contact with the caregiver while the control group were placed in a transport incubator. Heart rate, respiratory rate, temperature, oxygen saturation and blood glucose were measured prior to transport and upon arrival at NICU. Monitoring of adverse effects and morbidities was also done. Data were recorded using a standard data base. RESULTS: Ninety-two participants were recruited. Two were dropped out. The mean change in heart rate in the kangaroo care transport decreased by 1.6 beats per minute, respiratory rate decreased by 0.18 breaths per minute, temperature increased by 0.01 0C, oxygen saturation decreased by 0.07%, blood glucose decreased by 5.07 mg/

dl. Statistical analysis on the mean change on the physiologic responses (heart rate, respiratory rate, temperature, oxygen saturation and capillary blood glucose) of participants pre-transport and upon arrival showed no significant difference with the transport incubator group. Moreover, in the kangaroo care transport, there was a trend to lower incidence of hypothermia, hypoglycemia, tachypnea and tachycardia; however; there was a trend to higher incidence of sepsis but were not statistically significant. CONCLUSION: There is no significant difference in the heart rate, respiratory rate, temperature, oxygen saturation and blood glucose levels among preterm neonates on kangaroo care transport compared with those on transport incubator. Nonetheless, the findings of this study do not confirm that kangaroo care transport is neither superior nor inferior to transport incubator in transporting physiologically stable preterm neonates.

A Comparative Study on the Presence of Lactic Acid Bacteria on Human Milk at Different Stages of Lactation Michelline M. Sangalang-Gutay, M.D., Ospital ng Makati Breast milk is an important nutrient source for neonates. Studies show that human breast milk is a natural source of lactic acid bacteria. The aim of this study was to determine the presence of Lactic Acid Bacteria (LAB) in human breast milk and compare its quantity through colony forming unit (CFU) at different stages of lactation. This is an experimental study conducted in a tertiary hospital. Breastmilk was collected from 10 clinically healthy mothers for each of the 3 different stages of lactation: Early Milk (Colostrum & Transition Milk) first 7 days of lactation and Mature milk: Early Lactation (>1week to 3 months) Mid Lactation (4-6 months), and Late Lactation (more than 6 months). A 1ml sample of expressed breast milk from each mother was cultured in triplicate on de Man, Rogosa, and Sharpe agar plates for isolation of LAB. The plates were anaerobically incubated at least 48 hours and the LAB CFUs were counted manually. Kruskall Wallis Test was used to compare CFU in the 3 stages. After 48 hours of incubation, all samples yielded LAB CFUs. There was no significant difference in the amount of LAB CFU found in breastmilk at different stages of lactation. Lactic acid bacteria is present in human breast milk in amounts which were comparable in Early milk and Mature milk: Early, Mid and Late lactation. Keywords: Breastmilk, Lactation, Lactic Acid Bacteria

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PSNbM RESEARCH FORUM ABSTRACTS Effect of Different Storage Conditions on the Growth of Lactic Acid Bacteria in Human Breast Milk Frances Blanche S. Blanco, M.D., Ospital ng Makati Breast milk has been shown to be a continuous source of probiotic bacteria to the infant’s gastrointestinal tract including lactic acid bacteria (LAB). With this regard, an experimental study was done to assess and compare the LAB growth in expressed breast milk under different storage conditions. This was done in a tertiary government hospital. Ten samples were obtained from 10 mothers less than or 7 days post partum. The samples were cultured for Lactic acid bacteria (LAB) immediately after collection then stored at the following conditions: 1 hour room temperature (>25oC), 8 days in refrigerator (<4oC) and 2 weeks in freezer of a 1-door refrigerator (<0oC). All fresh samples have LAB growth after 48 hours anaerobic incubation in MRS plates. Subsequent cultures at different storage conditions all showed LAB growth but with decreasing trend. Mean bacterial count differences among storage conditions were statistically significant using ANOVA at p <0.05. This study proved that stored breast milk preserves the viability of Lactic acid bacteria. Despite the diminished count of LAB in breast milk after storage, it remains the better option to sustain the needs of the baby for the first 6 months of life. Key words: Storage, Lactic acid bacteria, Breast milk

Efficacy, Applicability and Acceptability of Breastfeeding and Breast Milk Feeding Via Cup Vs No Treatment in the Reduction of Pain During Newborn Screening Test: Randomized Clinical Trial Kristie Noelle Cantal-Bacaltos, M.D., Jacinto Blas V. Mantaring III, M.D. Manila Doctors Hospital Background: A systematic review documented breastfeeding’s effectiveness in analgesia yet this has not been adopted. Objectives: The objective was to determine the efficacy, applicability and acceptability of breastfeeding (BF) and breast milk feeding via cup (BMFC) versus no treatment (NT) in pain reduction. Design: Randomized controlled trial

Subjects: Term neonates undergoing heel lance for Newborn Screening. Methodology: Newborn infants were randomized to three groups. All infants were held until recovery. The procedure was recorded for outcome assessment. Three assessors evaluated pain, using the COVERS scale and duration of cry. Implementation failures were compared and interviews were done to determine contributing factors. Acceptability was determined using a validated global satisfaction scale. Statistical Analysis: One way ANOVA was used for COVERS scores and duration of cry. Chi square test was used for implementation failure rates. P-value < 0.05 was significant. Results: Fifty six patients were included. Sixteen (16) to BF, 24 to BMFC and 16 to NT. There was a lower COVERS score (3.4 ± 2.4 vs 5.3 ± 2.6 vs 6.3 ± 2.9, p=0.023) and duration of cry (57.2 ± 50.3 vs 108.0 ± 67.7 vs 113.6 ± 63.2, p=0.0049) in the BF. The proportion of babies whose cry >2 minutes was lower in BF (18.75 vs 50 vs 54, p=0.068). There was a higher implementation failures in the BMFC (79%, p=0.007). The reasons were poor attachment (n=2), irritability (n=1), sleepiness (n=1). The reason in BMFC was insufficient or no breast milk (n=19). Satisfaction of parents and phlebotomists for BF and BMFC were comparable. Conclusion: Breastfeeding is an effective intervention for the alleviation of pain among newborns undergoing heel lance. It is applicable and stakeholders are satisfied with its implementation. Keywords: breastfeeding, neonatal pain, analgesia, heel lance, cry duration

Exchange Transfusion for Prevention of Mortality in Neonatal Sepsis: A Meta-Analysis Kathlynne Anne Abat-Senen, M.D. Jacinto Blas V. Mantaring III, M.D. UP-Philippine General Hospital Rationale: Neonatal sepsis remains a major cause of morbidity and mortality despite dramatic advances in neonatal care. To improve survival, clinicians have considered adjunctive modes of treatment such as exchange transfusion (ET). However, the trials conducted failed to provide substantial evidence as to the benefit of ET owing to their small sample size. A meta-analysis of available trials is needed to determine its overall effect as an adjunct therapy for neonatal sepsis.

Trends in Newborn Care

PSNbM RESEARCH FORUM ABSTRACTS Objectives: 1. To determine the effect of exchange transfusion (ET) as adjunct to management for sepsis versus no ET on mortality among septic newborns. 2. To determine the effect of ET on immunoglobulin levels and neutrophil counts of septic newborns. Design: This is a meta-analysis of randomized and quasirandomized, controlled trials involving newborns who underwent exchange transfusion as adjunct to treatment for sepsis. Methods: Trials were identified by electronic database searches (PubMed, LILACS, HERDIN NeON) and journal handsearch. Two authors independently assessed study quality and extracted data. RevMan Version 5.1 was used to analyze the data gathered. The summary relative risks and 95% CI for each outcome variable were estimated using a random-effects model. T2, Chi2 and I2 were computed to assess for heterogeneity of results. Results: Five trials involving 187 neonates were included. Analysis showed significant reduction in risk of mortality in the ET group compared to control group (RR 0.60 [0.47, 0.77]). There was no significant difference in IgG levels (MD 765.30 [-1183.18, 2713.78]) and IgM levels (MD 453.20 [-492.36, 1398.76]) between the ET and control groups. One trial reported significant increase in neutrophil counts in the ET group compared to control group (MD 662.00 [328.49, 995.51]). Conclusion: There is evidence to suggest that ET, when performed as adjunct to management of sepsis, can decrease risk of mortality from neonatal sepsis. There is insufficient evidence to suggest that ET will increase IgG and IgM levels. The result of one study suggests that exchange transfusion can increase neutrophil counts in septic infants.

Kangaroo Mother Care: A Randomized Controlled Trial on Its Effects on Growth and Neonatal Stability for Low Birth Weight Infants < 2000 Grams in a Tertiary Government Hospital Remelie M. Ballesteros, M.D. Ernella A. Agulay, M.D., Aurea Alicia Dagdag-Matias, M.D., Socorro de Leon-Mendoza, M.D. Mariano Marcos Memorial Hospital and Medical Center Background: Kangaroo Mother Care (KMC) is a comprehensive method of care for low birth weight infants

that allow an earlier establishment of mother-infant bonding, increased breastfeeding rates and duration, and leads to better utilization of the technological and human resources available. Objectives: To compare the effect of KMC versus conventional method on the growth and neonatal stability of low birth weight infants weighing <2000 grams. Method: A randomized controlled trial was conducted at a tertiary care government hospital for a total of five-month duration. Out of 82 infants weighing <2000 grams 47 met the inclusion criteria. The subjects were randomized into two groups: interventional group received KMC (KMC-24) and control group received conventional method of care (CMC-23). They were monitored for weight gain, length and head circumference, neonatal stability particularly thermoregulation and glycemic control and incidence of other neonatal morbidity and mortality until they reached a weight of 2500 grams. Results: The KMC babies had 65% higher weight gain (p-<0.0001) as compared to the CMC group. The weekly increments in length and head circumference were also significantly higher in the KMC group (p-<0.0001). Also, significantly higher random blood sugar (RBS) readings and faster attainment of normal RBS was noted (p<0.0001). A better temperature control was observed among KMC group (p<0.0001). A significantly higher number of babies in the CMC group suffered from nosocomial sepsis (p<0.0001). There was also a significant decrease in time to discharge in the KMC group (p<0.0001). Conclusions: KMC improved clinical outcomes of low birth weight infants weighing <2000 grams in terms of faster gain in weight, length, and head circumference; faster attainment of normal RBS and temperature control eventually facilitating earlier hospital discharge.

Risk Factor Determination for Retinopathy of Prematurity in Preterm Infants Admitted in a Tertiary Hospital from Year 2007-2012 Carlene S. Solidum, M.D. Marlon V. Murallon, M.D., Madelline M. Sosa, M.D. De La Salle University Medical Center Objectives: To determine the associated risk factors for retinopathy of prematurity in preterm infants delivered in a Tertiary Hospital from 2007 to 2012 Research Design: Analytic Cross Sectional Study

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PSNbM RESEARCH FORUM ABSTRACTS Setting: Neonatal Intensive Care Unit of a tertiary hospital Patient/ Participant: All infants admitted at the Neonatal Intensive Care Unit of a tertiary hospital from January 2007 to January 2012 with the diagnosis of Prematurity tested for Retinopathy of Prematurity. Intervention: Presence of Retinopathy of Prematurity was determined using Indirect Ophthalmoscopy by an Ophthalmologist Outcome Measure: Risk factors of all the infants that tested positive for retinopathy of prematurity were obtained. Risk factors determined were Maternal Factors, Neonatal Factors, Nutrition and Level of Oxygenation. Result: A total of 53 preterm infants were screened for Retinopathy of Prematurity over the 5 year study period. Twenty three (23) tested positive for Retinopathy of Prematurity. The risk factors for retinopathy of prematurity that were significant in this study were: maternal comorbidities (pvalue 0.0910, OR: 0.8, 90% CI: 0.1-9.2), age of gestation (pvalue 0.0970, OR: 2.1, 90%; CI: 0.6 to 7.7), birth weight (pvalue 0.0640, OR: 1.5; 90% CI: 0.0640), oral feeding (pvalue 0.0620, OR: 3.0; 90% CI: 1.18.1), and duration of O2 support (pvalue 0.0610, OR 3.2, 90% CI: 1.1-8.8). Conclusion: This study reaffirmed that the development of retinopathy is multifactorial and an interplay of both fetal and maternal factors.

The Effect of Essential Newborn Care in the Outcome of Neonates Born Via Normal Spontaneous Delivery in a Tertiary Government Hospital: A 2-Year Retrospective Cohort Study Jennlayn M. Pinlac, M.D. Ospital ng Maynila Medical Center Objective: To compare the outcome of neonates born via normal spontaneous delivery in a Tertiary Government Hospital before and after the Implementation of Essential Newborn Care. Design: Retrospective Cohort Study Setting: A Tertiary Government Hospital

2009 to August 2011 – July 2012. Statistical analysis was done using Pearson Chi Square. Results: Included in the study are a total of 6999 livebirths with 119 admissions (NON ENC group) and 5188 livebriths with 72 admissions (ENC group). Comparison of the morbidity rate revealed a significant decrease in the ENC group with a p value of 0.001. Morbidity rate and Infection rate are significantly increased in the ENC group (p < 0.001 and <0.04 respectively). The percentage of low birth weight admission and subsequently discharged well is increased by 19% in the ENC group however not statistically significant with a p of 0.07. The average duration of illness of to recovery of admitted neonates in the ENC group is increased (10-13 days) compare to NON ENC group (7-9 days). The most common growth on blood culture of admitted neonates on both groups revealed the organism Burkholderia cepacia. Conclusion: This study revealed that the implementation of Essential Newborn Care has significantly reduced the morbidity rate of neonate. Contrary to this, there is an increased in mortality and infection rate that are statistically significant. The percentage of low birth weight neonates admitted and subsequently discharged is increased however it is not statistically significant. There is also noted longer duration of illness to recovery of neonates admitted after the initiation of Essential Newborn Care. The study revealed that Burkholderia cepacia remained to be the predominant bacterial growth in the Nursery Intensive Care Unit even after the Essential Newborn Care was implemented.

A Review on the Clinical Profile of Neonatal Candidemia from June 2010 to October 2012 at Jose B. Lingad Memorial Regional Hospital Neonatal Intensive Care Unit Roselyn Mae Takashima-Daroy, MD Jane Stewart, MD Jose B. Lingad Memorial Regional Hospital Objective: To describe the clinical profile of neonatal candidemia

Subjects: All neonates born on August 2008 – July 2009 and August 2011 – July 2012 born via normal spontaneous delivery, roomed in or subsequently admitted, has a ballard score of 34-42 weeks with good APGAR score of at least 7 on the first minute.

Design: Descriptive study

Methodology: Review of the department’s monthly Nursery Intensive Care Unit census from August 2008- July

Methodology: Patients with Candida growth from June 1, 2012 to October 31, 2012 were identified and charts

Setting: Jose B. Lingad Memorial Regional Hospital Subjects: 70 out of 80 neonates admitted in the NICU who were positive for Candida growth

Trends in Newborn Care

PSNbM RESEARCH FORUM ABSTRACTS evaluated. There were a total of 80 patients with candida growth seen however only 70 patients were evaluable. The following data were collected: demographic profile, signs and symptoms on admission and reassessment, clinical and laboratory features on admission, cited risk factors, use of antibiotics, blood culture results and anti fungal treatment used. Results: The incidence rate is 4.7% and mortality rate is 59%. Of the 70 subjects evaluated, 9 patients had candida growth on admission and 61 had candida growth on reassessment of which 2 isolates were Candida albicans, 21 were Candida non-albicans and 47 unclassified Candida spp. 29% of the subjects had VLBW and 59% had LBW. 73% of the patients were premature with 18:1 male to female ratio. 60% were born from multigravid mothers and 66% of the mothers had illness during their pregnancy. 54% patients presented with tachypnea on admission. Grunting and retractions were the second most common symptoms. On reassessment, sclerema was the most common findings followed by jaundice, tachypnea and OGT residuals. On admission, 90% had good APGAR score and 77% had normal platelet count. Of the cited risk factors, 74% of the subjects had umbilical catheterization and 26% on peripheral line. 46% had OGT feeding, 30% had direct breastfeeding and 24% on NPO. 74% of the patients who developed candidemia stayed more than 7 days in the NICU. 61% received parenteral nutrition. For the antibiotics used, 91% had 3rd and 4th gen cephalosphorins, 77% used Î˛-lactamase inhibitors and 59% used Meropenem. Only 1 patient received Fluconazole prophylaxis. Of the 47 patients who died, only 14 patients received treatment, Fluconazole and Amphotericin. Of the 7 patients who survived, 6 received antifungal therapy. Conclusion: Candida has become important nosocomial pathogen in NICU. Morbidity and mortality are significant. Neonatal candidemia must be recognized and diagnosed early enough so that appropriate management and treatment can be instituted early.

A Systematic Review of Randomized Controlled Trials on Early Versus Delayed Bathing of Newborns and the Incidence of Hypothermia Angelica Victoria R. Porcalla, MD Dr. Jesus Delgado Memorial Hospital

of morbidity and mortality in the neonatal subgroup. Bathing newborns immediately after birth may predispose newborns to hypothermia. The World Health Organization issued a guideline to postpone bathing until six hours after birth. However, traditional postpartum care of early bathing is still commonly done worldwide. Objective: To compare the incidence of hypothermia in term newborn infants bathed early (within 2 hours after delivery) versus those who were bathed late (after 2 hours of delivery). Search Methods: The authors searched Medline via Pubmed, MDConsult, Uptodate, Scirrus, Scopus, Lilacs, Herdin and Cochrane Library. Selection Criteria: The authors included randomized controlled trials. These studies compared the temperature of newborns bathed early (within 2 hours after delivery) with those bathed after 2 hours of delivery. Data Collection and Analysis: Four authors assessed eligibility of the studies and extracted data. Any discrepancies were resolved via discussion and consultation with a fifth person who acted as a tie breaker. Extracted data was entered into the Review Manager software (Revman) and relative risks and confidence intervals were calculated. Results: The Chi Square for heterogeneity for the five studies was 4.83, with a p value of 0.30 and I2 of 17%. Under the fixed method, the pooled risk ratio was 0.66 (95% CI 0.51 - .85) in favor of delayed bathing > 2 hours intervention. The test for overall effect had a p value of 0.001, which was statistically significant (p<0.5). The overall effect is significant and delaying bathing for >2 hours after birth is beneficial in reducing the risk of hypothermia in newborns. Conclusions: There is a significant risk of hypothermia among newborns bathed < 2 hours. Delaying bathing >2 hours after birth is an effective intervention in reducing the risk of hypothermia in newborns. There was no sufficient evidence to show that there is a significant difference in the incidence of hypothermia between late (>4 hours) and early (<4 hours) of bathing. Further studies are needed to determine the effects of delayed bathing with successful breastfeeding and maternal bonding and sepsis and mortality.

Background: Hypothermia, defined as the core body temperature of the newborn <36.5ŰŤ C, is a major cause

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

SPONSORS & EXHIBITORS Major Sponsors

Abbott Laboratories (Philippines), Inc. Johnson & Johnson’s Philippines Natrapharm, Inc. Mead Johnson (Philippines), Inc. RG Meditron Medical One Merck Sharp & Dohme Philippines Biomedica United Medical Systems Nestlé Philippines, Inc. GlaxoSmithKline (Philippines), Inc.

Other Sponsors and Exhibitors Bharat Serums and Vaccines Limited Bluesky Trading Co., Inc. Prebiotech Savior Me Devices, Inc. Calmoseptine Philippines, Inc. Prevenar/Pfizer, Inc. Zenith Medical Equipment, Inc. Respicare Enterprises, Inc. Sanofi-Aventis Folares Pharmaceutical, Inc. Maystar Company Intermed Marketing Phils. Farmaciae Jimanez Largen Med, Inc. Galderma Philippines, Inc. Westmont Pharmaceuticals, Inc. Infratech Medical Devices, Inc. Boehringer Ingelheim (Philippines), Inc. Disclaimer The Philippine Society of Newborn Medicine, Inc. does not endorse the pharmacologic and non-pharmacologic products featured in the Souvenir Program and in the Commercial Exhibit Area. Delegates are advised to exercise prudence in the use and prescription of these products. Please accept out heartfelt apologies in case errors regarding names have been inadvertently committed.

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PSNbM FELLOWS AND DIPLOMATES WITH HOSPITAL AFFILIATIONS BY REGION NCR [National Capital Region] Lucia Liz D. Aliwalas Asian Hospital & Medical Center (Muntinlupa) Ospital ng Muntinlupa Medical Center Muntinlupa Parañaque Doctors Hospital Milagros B. Andres San Juan de Dios Hospital (Pasay) Maria Conchitina T. Bandong University of Santo Tomas Hospital (Manila) Victor R. Potenciano Med Ctr (Mandaluyong) MCU-FD Tanchoco Med Foundation (Caloocan) Tondo Medical Center (Manila) Ma. Imelda V. Bautista St. Luke’s Medical Center Global City (Taguig) Resti Ma. M. Bautista UP Philippine General Hospital (Manila) St. Luke’s Medical Center Global City (Taguig) Ma. Theresa G. Cacas Fe del Mundo Medical Center (QC) UERM Memorial Med Ctr (QC) Mary Antonette C. Del Valle Quirino Memorial Med Ctr (QC) Marian G. Colasito Asian Hospital & Medical Center (Muntinlupa) Las Piñas Doctors Hospital Univ of Perpetual Help Dalta Med Ctr (Las Piñas) Charito D. Corpuz Philippine Children’s Med Ctr (QC) The Medical City (Pasig) Alma M. Dela Merced Philippine Children’s Med Ctr (QC) East Avenue Med Ctr (QC) Dr Jose Fabella Memorial Hospital (Manila) Rita Josephine E. Dolendo Asian Hospital & Med Ctr (Muntinlupa) Makati Medical Center Luis Emmanuel O. Esguerra St. Luke’s Medical Center Quezon City UERM Memorial Med Ctr (QC) Cardinal Santos Medical Center (San Juan) Adela C. Gatmaitan St. Luke’s Medical Center Quezon City Makati Medical Center Janet Marriane R. Go St. Luke’s Medical Center Global City (Taguig) Christopher J. Grageda St. Luke’s Medical Center Global City (Taguig) Las Piñas Doctors’ Hospital Univ of Perpetual Help Dalta Med Ctr (Las Piñas) Parañaque Doctors Hospital Asian Hospital & Medical Center (Muntinlupa) San Juan de Dios Hospital (Pasay) Emilio A. Hernandez, Jr. University of Santo Tomas Hospital (Manila) Philippine Children’s Medical Center (QC) Veterans Memorial Medical Center (QC) Cardinal Santos Medical Center (San Juan)

Mary Anne L. Ilao Dr. Jose Fabella Memorial Hospital (Manila) Ma. Lourdes S. Imperial Dr. Jose Fabella Memorial Hospital (Manila) Quirino Memorial Medical Center (QC) Cardinal Santos Medical Center (San Juan) Our Lady of Lourdes Hospital (Mandaluyong) Mary Chiles General Hospital (Manila) Pura Flor D. Isleta Victor R. Potenciano Med Ctr (Mandaluyong) Melissa M. Juico Dr. Jose Fabella Memorial Hospital (Manila) Mary Johnston Hospital (Manila) Ospital ng Maynila Josie N. Kho University of Santo Tomas Hospital (Manila) St. Luke’s Medical Center Quezon City Chinese General Hospital & Med Ctr (Manila) Cardinal Santos Medical Center (San Juan) Aurora Gloria I. Libadia Manila Adventist Medical Center (Pasay) Susana L. Lopez The Medical City (Pasig) Jacinto Blas V. Mantaring, III UP Philippine General Hospital (Manila) Manila Doctor’s Hospital Medical Center Manila Asian Hospital & Medical Center (Muntinlupa) Ma. Lourdes C. Martinez Makati Medical Center Sheila Ann D. Masangkay De Los Santos-STI Medical Center (QC) FEU-Nicanor Reyes Memorial Foundation (QC) Philippine Children’s Medical Center (QC) Socorro DL. Mendoza Manila Doctor’s Hospital Manila Adventist Medical Center (Pasay) Marlon V. Murallon St. Luke’s Medical Center Global City (Taguig) Fatima Claire S. Navarro AFP Medical Center (QC) Dr. Jesus Delgado Memorial Hospital (QC) Philippine Children’s Medical Center (QC) Carlos T. Nuñez, Jr. Fe del Mundo Medical Center (QC) Ospital ng Maynila Carina C. Quimbo Philippine Children’s Medical Center (QC) East Avenue Medical Center (QC) Capitol Medical Center MCU-FD Tanchoco Med Foundation (Caloocan) The Medical City (Pasig) Jose B. Salazar UERM Memorial Medical Center (QC) National Children’s Hospital (QC) Philippine Heart Center (QC) Seamen’s Hospital (Manila)

Trends in Newborn Care

PSNbM FELLOWS AND DIPLOMATES WITH HOSPITAL AFFILIATIONS BY REGION Wilfredo R. Santos University of Santo Tomas Hospital (Manila) San Juan de Dios Hospital (Pasay) Ma. Asuncion A. Silvestre Manila Doctor’s Hospital UP Philippine General Hospital Dolores B. Sy University of Santo Tomas Hospital (Manila) Hospital of Infant Jesus (Manila) Ospital ng Makati Glenn A. Tolentino St. Luke’s Medical Center Global City (Taguig) Mary Christine Alice D. Tumale Dr. Jose Fabella Memorial Hospital MCU-FD Tanchoco Med Foundation (Caloocan) Dr. Jesus Delgado Memorial Hospital (QC) Commonwealth Hospital & Med Ctr (QC) Novaliches District Hospital (QC) Ma. Esterlita V. Uy UP Philippine General Hospital (Manila) Dr. Jesus Delgado Memorial Hospital (QC) St. Luke’s Medical Center Quezon City Belen Amparo E. Velasco Philippine Children’s Medical Center (QC) United Doctors Medical Center (QC) Amang Rodriguez Medical Center (Marikina) Our Lady of Lourdes Hospital (Mandaluyong) Victor Q. Zapanta Cardinal Santos Medical Center (San Juan) Makati Medical Center Parañaque Doctors Hospital

CAR [Cordillera Autonomous Region]

Clinton B. Balud St. Louis Univ-Hosp of Sacred Heart (Baguio) Notre Dame de Chartres Hospital (Baguio) Pines City Doctors’ Hospital (Baguio) Eleanor D. Cuarte St. Louis Univ-Hosp of Sacred Heart (Baguio) Notre Dame de Chartres Hospital (Baguio) Pines City Doctors’ Hospital (Baguio) Baguio General Hospital & Medical Center

REGION I [Ilocos]

Ramon M. Enriquez Nazareth Gen Hospital (Dagupan, Pangasinan) Dagupan Doctors Villaflor Memorial Hospital Daisy Evangeline C. Garcia Ilocos Training & Regional Medical Center (San Fernando, La Union) La Union Medical Diagnostic Center & Hospital (San Fernando, La Union) Lorma Hospital (San Fernando, La Union) Bethany Hospital (San Fernando, La Union) Aurea Alicia D. Matias Mariano Marcos Memorial Hosp. & Med Ctr (Batac, Ilocos Norte) Sto. Niño Hospital (Sta Maria, Ilocos Sur) Metro Vigan Coop Hospital (Vigan, Ilocos Sur)

Ma. Paz Virginia K. Otayza Mariano Marcos Memorial Hosp. & Med Ctr (Batac, Ilocos Norte) Rachelle M. Perez Luzon Medical Center (Dagupan, Pangasinan) Pangasinan Med Ctr (Dagupan) Dagupan Doctors Villaflor Memorial Hospital Virgen Milagrosa Med Ctr (San Carlos, Pangasinan) Blessed Family Doctors Gen Hospital (San Carlos, Pangasinan) Pangasinan Doctors’ Hospital (San Carlos, Pangasinan)

REGION II [Cagayan Valley]

Ma. Paz Virginia K. Otayza Cagayan Valley Med Ctr (Tuguegarao, Cagayan) St. Paul Medical Center (Tuguegarao, Cagayan) Veterans Regional Hospital (Bayombong, Nueva Viscaya)

REGION III [Central Luzon]

Ma. Theresa G. Cacas Jose B Lingad Memorial Regional Hosp (San Fernando, Pampanga) Melissa M. Juico Bulacan Medical Center (Malolos) Reinalissa E. Manaois Dr. P. J. Garcia Memorial Research Med Ctr (Cabanatuan, Nueva Ecija) Nueva Ecija Doctors Hospital (Cabanatuan) Glenn A. Tolentino Our Lady of Lourdes International Med Ctr (Olongapo City) James L Gordon Memorial Hosp (Olongapo City) Baypointe Hosp & Med Ctr (Subic Bay Freeport Zone) Isaac and Catalina Medical Center (Balanga, Bataan) Bataan Doctors’ Hosp (Balanga, Bataan) Pampanga Medical Specialist Hosp (Guagua) Central Luzon Doctors Hosp (Tarlac City) Victor Q. Zapanta Sacred Heart Medical Center (Angeles, Pampanga)

REGION IV-A [Calabarzon] Lucia Liz D. Aliwalas Sta. Rosa Hospital & Med Ctr (Sta. Rosa, Laguna) Ma. Theresa G. Cacas Univ of Perpetual Help - Dr. Jose G Tamayo Medical Center (Biñan, Laguna) Janet Marriane R. Go Biñan Doctors’ Hospital Southern Luzon Hosp & Med Ctr (Sta Rosa, Laguna) Sta. Rosa Hospital & Med Ctr (Sta. Rosa, Laguna) Calamba Medical Center Christopher J. Grageda St. Dominic Medical Center (Bacoor, Cavite) Aurora Gloria I. Libadia Our Lady of the Pillar Med Ctr (Imus, Cavite) Medical Center Imus Asiamedic Med Ctr (Dasmariñas, Cavite) Marlon V. Murallon DLSU Medical Center (Dasmariñas, Cavite) Korea-Philippines Friendship Hosp. (Trece Martires, Cavite) Fatima Claire S. Navarro Manila East Medical Center (Taytay, Rizal)

The Philippine Society of Newborn Medicine 1st International Conference and 7th Annual Meeting

February 6 - 8, 2013 • EDSA Shangri-La Hotel • Mandaluyong, Philippines.

PSNbM FELLOWS AND DIPLOMATES WITH HOSPITAL AFFILIATIONS BY REGION Wilfredo R. Santos DLSU Medical Center (Dasmariñas, Cavite) Ernesto E. Sia Evangelista Hospital (San Pedro, Laguna) Biñan Doctors Hosptial Ma. Leonora S. Villaruz Mary Mediatrix Medical Center (Lipa, Batangas) Metro Lipa Medical Center

REGION VI [Western Visayas]

Joseph Aldric S. Gaspar Ilo-Ilo Mission Hospital St. Paul’s Hospital (Ilo-Ilo) West Visayas State Univ Med Ctr (Ilo-Ilo) Western Visayas Medical Center (Ilo-Ilo) Sandra A. Montelibano Bacolod Adventist Medical Center Bacolod Our Lady of Mercy Specialty Hospital Dr. Pablo O. Torre Memorial Hospital (Bacolod) The Doctors’ Hospital (Bacolod) Patrizia M. Nafarrete Ilo-Ilo Doctor’s Hospital Demetrio T. Patrimonio, Jr. Ilo-Ilo Doctors Hospital Ilo-Ilo Mission Hospital St. Paul’s Hospital (Ilo-Ilo) Ma. Cristina VC. Woo Ilo-Ilo Doctors Hospital Ilo-Ilo Mission Hospital St. Paul’s Hospital (Ilo-Ilo) West Visayas State Univ Med Ctr (Ilo-Ilo) Western Visayas Medical Center (Ilo-Ilo)

REGION VII [Central Visayas]

Dahlia C. Go Chong Hua Hospital (Cebu City) Cebu Doctors’ University Hospital Cebu Velez General Hospital Cebu Puericulture & Maternity House Perpetual Succour Hospital (Cebu) Visayas Community Medical Center (Cebu) Sacred Heart Hospital (Cebu) Vicente Sotto Memorial Medical Center (Cebu) Nathalie Anne Silvestra R. Hernaez Cebu Doctors University hospital Cebu North General hospital South General Hospital (Cebu) Mactan Doctor’s Hospital Mutya Kismet T. Macuno Gov. Celestino Gallares Memorial Hospital (Tagbilaran, Bohol) Don Emilio del Valle Memorial Hosp (Ubay, Bohol) Ramiro Community Hosp (Tagbilaran, Bohol)

REGION IX [Zamboanga Peninsula]

Cesar Jeffrey G. Masilungan Zamboanga City Medical Center ZAEC Community Med Ctr (Zamboanga City)

Lieza G. Sahi Zamboanga Doctors Hospital Ciudad Medical Zamboanga Western Mindanao Med Ctr (Zamboanga City)

REGION X [Northern Mindanao]

Dennis James E. Absin Cagayan de Oro Polymedic Gen. Hospital Cagayan de Oro Maternity Hospital Madonna and Child Hospital (CDO) Maria Reyna Xavier University Hospital (CDO) Jocelyn D. Go Cagayan de Oro Polymedic Gen. Hospital Cagayan de Oro Medical Center Cagayan University Med. Center (CDO) Madonna and Child Hospital (CDO) Maria Reyna Xavier University Hospital (CDO) Northern Mindanao Medical Center (CDO) Flora Ruby P. Sta. Maria Mercy Community Hospital (Iligan, Lanao del Norte) Mindanao Sanitarium & Hospital (Iligan) St. Mary’s Hospital (Iligan, Lanao del Norte)

REGION XI [Davao]

Joel T. Gallardo Davao Doctors Hospital (Davao City) San Pedro Hospital (Davao City) Ricardo Limso Medical Center (Davao City) Davao Medical Center (Davao City) Monina P. Quiambao Davao Doctors Hospital (Davao City) Brokenshire Hospital (Davao City) Davao Medical School Foundation (Davao City) Jean S. Tay Davao Medical School Foundation Hospital San Pedro College Hospital (Davao City)

babababba Emeritus Fellows Ma. Rosario F. Esperanza Amelia R. Fernandez Aurora S. Genuino Pura Flor D. Isleta Gloria B. Ramirez Josefina C. Resurreccion

Honorary Fellow Enrique M. Ostrea, Jr.

Diplomates Out of the Country Jeorge S. Ducha Ma. Corazon P. Estrella Cynthia SO. Padilla

WELCOME FROM THE ORGANIZING COMMITTEE OF

THE

1ST INTERNATIONAL CONFERENCE TH AND 7 ANNUAL MEETING OF THE

PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC.

THE PHILIPPINE SOCIETY OF NEWBORN MEDICINE, INC. [PSNbM] (A Subspecialty Society of the Philippine Pediatric Society, Inc.)

Board of Trustees President: Wilfredo R. Santos, MD Vice-President: Carina C. Quimbo, MD Secretary: Josie N. Kho, MD Asst. Secretary: Maria Conchitina T. Bandong, MD Treasurer: Ma. Lourdes C. Martinez, MD Asst. Treasurer: Alma M. Dela Merced, MD Immediate Past President: Dolores B. Sy, MD Founding President: Emilio A. Hernandez Jr, MD Members: Melissa M. Juico, MD Jacinto Blas V. Mantaring III, MD Sheila Ann D. Masangkay, MD Jose B. Salazar, MD Ma. Cristina VC. Woo, MD Specialty Board Chair: Wilfredo. R. Santos, MD Members: Josie N. Kho, MD Pura Flor D. Isleta, MD Ma. Luiza DV. Manlapaz, MD Carina C. Quimbo, MD Mary Christine Alice D. Tumale, MD Belen Amparo E. Velasco, MD

4th floor, Room 5, Philippine Pediatric Society Bldg. #52 Kalayaan Ave., Brgy. Malaya, Diliman 1105 Quezon City, Philippines See us at the www.psnbm.org.ph Email address newborn_office@yahoo.com ď&#x20AC;¨+63917-5925566