THE ROYAL WOMEN S HOSPITAL PRESENTS COOL TOPICS IN NEONATOLOGY 2017 A FESTSCHRIFT TO CELEBRATE THE CAREER OF PROFESSOR LEX DOYLE PROFESSOR COLIN MORLEY PROFESSOR LEX DOYLE PROFESSOR SAROJ SAIGAL PROFESSOR CAROLINE CROWTHER ASSOCIATE PROFESSOR NOEL FRENCH THURSDAY 16 AND FRIDAY 17 NOVEMBER 2017 COPLAND THEATRE Department of Business and Economics (The Spot Building) The University of Melbourne, 198 Berkeley Street, Parkville, Victoria, Australia Louise Pallot (ex 24 weeker) REGISTRATIONS www.thewomens.org.au/wm-cooltopics2017 Sponsored by:
THE SPEAKERS DR ROSE BOLAND Rose is a postdoctoral neonatal nurse researcher and educator. Her research and clinical interests are perinatal epidemiology, neonatal transport and translating neonatal resuscitation research into practice. Rose completed her PhD at the University of Melbourne in 2014, investigating risk factors for mortality and serious morbidity in very preterm infants born in non-tertiary hospitals in Victoria, Australia. Rose is now leading a five-year postdoctoral program of research aimed at improving outcomes for these babies, supported by a Career Development Award from the Murdoch Children s Research Institute. Rose continues to work part-time at the Paediatric Infant Perinatal Emergency Retrieval (PIPER) as a statewide Neonatal Educator a position she has held since 1999. ASSOCIATE PROFESSOR JEANIE CHEONG Jeanie is a Neonatal Paediatrician with expertise in neonatal neurology, neuroimaging and long term follow up. She is based at the Royal Women s Hospital and is lead clinician in the Growth and Development clinic. She is the medical/neurological Team Leader of the Victorian Infant Brain studies group and Convenor of the Victorian Infant Collaborative Study group, both based at the Murdoch Childrens Research Institute. Jeanie has led several NHMRCfunded studies including outcomes in young adulthood of infants born extremely preterm or extremely low birthweight and long-term neurodevelopment of moderate and late preterm children. PROFESSOR CAROLINE CROWTHER Caroline is a maternal fetal medicine subspecialist and Professor of Maternal and Perinatal Health at the Liggins Institute, University of Auckland with a conjoint appointment at the University of Adelaide. Caroline aims to attain the best health and well-being possible for women and their babies through excellence and leadership in research, education and knowledge transfer. She has extensive experience in the design, conduct and analysis of randomised clinical trials and has coordinated many large, multicentre trials that focus on the evaluation of new perinatal therapies or care practices, in collaboration with researchers in key research in New Zealand, Australia and overseas. These trials are recognised internationally for their high quality and have led to translation of the research knowledge into clinical practice guidelines, improving maternal and perinatal health worldwide. Key studies have focused on therapies to improve health outcomes related to preterm birth, multiple pregnancy, hypertensive disease, birth after caesarean and gestational diabetes. Caroline leads the LiFePATH Group (Liggins Fetal, Perinatal and Maternal Translational Research for Lifelong Health) at The Liggins Institute. She is a long standing editor within Cochrane Pregnancy and Childbirth. Her research groups focus on synthesising research knowledge to identify best practice and research gaps, conducting clinical studies to improve the health of pregnant women and babies, especially related to preterm birth and gestational diabetes and rapidly translating new research into clinical practice. DR ROCCO CUZZILLA Rocco is a Neonatal Paediatrician at the Royal Women s Hospital who trained in Melbourne and Toronto. His clinical and research interests include neonatal neurology, cranial ultrasonography and neurodevelopmental follow-up. He is undertaking a PhD with the Victorian Infant Brain Studies group exploring early postnatal brain growth as a potential marker of long-term outcomes in very preterm infants. PROFESSOR PETER DAVIS Peter joined the Women s as a consultant neonatologist in 1993. He trained in Brisbane and McMaster University, Canada where he developed an interest in Clinical Epidemiology and Evidence Based Medicine. He continues to work clinically in Neonatal Intensive and Special Care Nurseries and remains involved in undergraduate and postgraduate education at the Women s. He became Professor/Director of Neonatal Medicine in 2009. Peter has a keen interest in the dissemination of highest quality medical evidence to practitioners and consumers and is the Regional Coordinator of the Neonatal Review Group of the Cochrane Collaboration. He is the author of more than twenty 2
THE SPEAKERS Cochrane Reviews and is responsible for the recruitment and support of reviewers within Australasia. Overall, his research has led to more than 300 publications. Peter s other research interests include alternative methods of respiratory support of premature babies, neonatal resuscitation and identification of important outcomes of neonatal intensive care. He has considerable experience in the design and conduct of international collaborative randomized controlled trials. His research work is supported by the National Health and Medical Research Council through a Practitioner Fellowship, a Program Grant with colleagues at Monash Medical Centre and a Centre for Research Excellence. He is a member of the International Liaison Committee on Resuscitation (ILCOR) which is responsible for formulating guidelines for neonatal resuscitation which are used worldwide. His team at the Women s comprises young nurses and doctors, many of whom undertake higher degrees through which they investigate ways to improve outcomes of preterm and very unwell newborn babies. MS TARA FITZGERALD Tara is a paediatric physiotherapist and PhD candidate. She completed a Bachelor of Physiotherapy degree with Honours at the University of Melbourne in 2010, and has worked in tertiary hospitals both in Melbourne and the United Kingdom with infants at high risk of neurodevelopmental impairment. Her research is investigating physical activity participation in preschool age children born very preterm and she is especially interested in the potential relationships between motor skill competence, physical activity and health-related physical fitness in early childhood. ASSOCIATE PROFESSOR NOEL FRENCH Noel is a graduate of Bristol University, and has practiced in neonatal and developmental paediatrics for the past 35 years. He is currently a neonatologist and developmental paediatrician in the Directorate of Neonatology at King Edward Memorial Hospital. This department is one of the largest in Australia, and admits over 500 tertiary-care neonates and 1800 secondary level neonates each year. Noel is Head of the Neonatal Follow up program in Western Australia, a position he occupies in the two tertiary neonatal units in WA, at KEMH and Princess Margaret Hospitals, as well as his role as senior paediatrician at the State Child Development Centre. He has a long standing interest in the long term developmental follow up of very preterm infants and has presented papers on neonatal outcome at many national and international meetings. In addition to early developmental outcome of infants born <26w gestation, his interests include cerebral palsy, voice disorders and school age learning outcomes in preterm infants, the long term effects of repeated antenatal corticosteroids on later growth, development and behaviour with two publications on this topic attracting 600 and 257 citations respectively. ASSOCIATE PROFESSOR SUE JACOBS Sue is a Neonatal Paediatrician and Deputy Clinical Director of Neonatal Services at the Royal Women s, Melbourne. She trained in Melbourne, Sydney and Toronto, Canada, and completed her MD in 2010 under the supervision of Professor Lex Doyle. Sue was the Assistant Director NETS 2000 2006 and is the current Chair of the Neonatal e-handbook subcommittee. She combines her significant clinical and administrative commitments with clinical research. Sue has led two international randomised trials, the Infant Cooling Evaluation (ICE) trial of therapeutic hypothermia for term infants with hypoxic-ischaemic encephalopathy and the ProPrems trial of probiotics supplementation for very preterm infants. Both interventions have now been translated into clinical practice in Australia and around the world. DR OMAR KAMLIN Omar is a neonatal clinician researcher at the Royal Women s Hospital with research interests in neonatal transition, neonatal resuscitation, neonatal ventilation and surfactant therapy. Omar is an NHMRC Early Career Fellow and is involved in the design and conduct of a number of randomised clinical trials in the delivery room and NICU focusing on optimising respiratory support of the newborn infant. 3
THE SPEAKERS STEFAN KANE Stefan Kane MBBS BA BMedSc FRANZCOG DDU is a consultant obstetrician and sonologist undertaking subspecialist training in maternal fetal medicine at the Royal Women s Hospital, Melbourne. He is also pursuing a PhD through the Department of Obstetrics and Gynaecology at the University of Melbourne, and to this end is undertaking a prospective observational study using Doppler interrogation of the maternal ophthalmic artery to assess cerebrovascular changes in pre-eclampsia. He acts as site co-ordinator for a range of multicentre trials, and is regularly involved in teaching and supervising medical students and doctors in training. In addition, Stefan contributes to the work of authorities responsible for the accreditation of prevocational medical training in Victoria and Queensland. His wife and four children recognise him most of the time. MS AMANDA KWONG Amanda is a physiotherapist and PhD student with the Victorian Infant Brain Studies (VIBeS) group. Amanda s current research project is investigating the feasibility of a smartphone application for motor screening within the 2016/2017 Victorian Infant Collaborative Study cohort. She is also involved with long term follow up assessments of infants born premature at the Royal Women s Hospital. Amanda has previously worked extensively with young infants and children with developmental delays and disabilities in community settings. DR BRETT MANLEY Brett is a consultant neonatologist at the Royal Women s Hospital and a Senior Lecturer in the Department of Obstetrics and Gynaecology at The University of Melbourne. For his PhD, Brett studied the use of nasal high-flow as post-extubation respiratory support for very preterm infants. Supported by an NHMRC Early Career Fellowship, he has gone on to lead or supervise randomised trials of nasal high-flow as early (primary) support for newborn infants in both tertiary NICUs and non-tertiary hospitals. 4 PROFESSOR COLIN MORLEY Colin was educated at the University of Cambridge and undertook his paediatric training in the UK. He was a Nuffield Research Fellow in Oxford where he developed artificial surfactant treatment for premature babies (ALEC) and organised randomised controlled trials. He was appointed a University Lecturer / Paediatrician in Cambridge in 1979. In May 1998, he was appointed Professor/ Director of Neonatal Medicine at The Royal Women s Hospital and the Royal Children s Hospital Melbourne. Among many different topics, his main research has been respiratory support and neonatal resuscitation. He has published over 300 research papers of which more than 90 are related to neonatal resuscitation. He retired from Melbourne in 2008, but still lectures, supervises research and helps with papers. DR JOY OLSEN Joy is an occupational therapist in the Intensive and Special Care nurseries at The Royal Women s Hospital and a postdoctoral researcher within the Victorian Infant Brain Studies team. Her research focuses on early neurodevelopment, intervention and follow-up for infants born preterm. MS LOUISE PALLOT Louise was born at 24 weeks and 3 days gestation at the Royal Women s Hospital on the 28th January 1991 weighing 720gm and spent a total of 89 days in NICU before discharge. Louise had many issues with asthma as a child and spent frequent nights awake on a Ventolin nebuliser. She attended St Ita s Primary School and took part in speech therapy because she had difficulties with pronouncing words, spelling and grammar. Due to a prolonged period spent on the ventilator, Louise at times has had to explain to people why her voice sounds as it does. It s been her only permanent mark of prematurity. Louise completed her high school education at Marist Sion Catholic College in Warragul and then gained a spot at RMIT University in Sale where she completed her Bachelor of Nursing. Louise then obtained a graduate year position at Warragul Hospital in 2012 and commenced working on the high dependency unit post her graduate year where she was able to complete her advanced life support. She currently works on the Surgical/Paediatric Unit where she has been given the opportunity to focus on paediatrics a field she has loved and aspired to work in.
THE SPEAKERS ASSOCIATE PROFESSOR GEHAN ROBERTS Gehan is a developmental-behavioural paediatrician and holds appointments with The Royal Children s Hospital, Centre for Community Child Health, the Murdoch Childrens Research Institute, and the University of Melbourne. Gehan completed his clinical fellowship in child development at the Boston Children s Hospital. He has a Masters in Public Health from Harvard University and a PhD in the field of child development from the University of Melbourne. Gehan coordinates the Victorian Training Program in Community Child Health, is an Associate Director (Clinical Services) at the Centre for Community Child Health, and is engaged in research, clinical supervision and teaching at both an undergraduate and post-graduate level. In 2016, Gehan was elected President of Neurodevelopmental and Behavioural Paediatric Society of Australasia, the peak body for Australasian doctors who care for children with developmental disorders. PROFESSOR SAROJ SAIGAL Saroj obtained her medical degree in India, and did her neonatal fellowships in Edinburgh, McGill and McMaster. She joined the pediatric faculty at McMaster University, Division of Neonatal-Perinatal Medicine, as a neonatologist in 1973, and was the Director of the Neonatal Follow-up Program for high-risk infants from 1973 2013. She is currently Professor Emerita at McMaster and continues to run the follow-up clinic as well as her ongoing research. Saroj is the recipient of many awards: the Canadian Pediatric Society Distinguished Neonatologist Award, 2005, the American Academy of Pediatrics Section of Perinatal Medicine Landmark Award, 2009 and the American Society for Pediatric Research Doug Richardson s Award for Research contributions in Perinatal Medicine, 2011. She has held several elected positions in the Canadian Pediatric Society and received research funding from CIHR and NIH. Saroj and her colleagues have followed one of the few population-based cohorts of extremely low birth weight infants longitudinally from infancy into the fourth decade and has published extensively on the same. She is internationally recognized for her studies that focus on the quality of life and consequences of having been born extremely prematurely. Recently, Saroj published a book for a general audience, Preemie Voices, a collection of letters that provide a description of life from the perspectives of adults who were born very prematurely (Friesen Press, November 2014). This is accompanied by a fascinating 25-minute documentary on the life of these preemies www.preemievoicesbook.com MS THERESE SCALZO (LOUISE S MUM) I m so proud of Louise from the day she was born. She was a determined tiny little soul full of spirit and fighting for life to become a determined young lady she is today. This determination to survive has given her the strength to achieve and do well. Always conquering her adversities, quite large ones at times. Her voice quite husky the one hurdle she has learnt to live with. Even from the annoying comments you ve got a cold or you ve had a hard night in older years, however still today every day her polite reply No it s just me. These hurdles haven t stopped Louise from achieving what she has today nursing career and branching into paediatrics. It has made her stronger, more determined and very passionate in all she does and for what she will be tomorrow. I am very proud to have Louise as my daughter. ASSOCIATE PROFESSOR ALICIA SPITTLE Alicia is a paediatric physiotherapist with a special interest in early detection of motor impairments and early intervention for infants at high risk of developmental impairments. She completed her PhD in 2008 tilted The effects of a randomised controlled trial of a preventative care program at home on motor outcome for preterm infants under the supervision of Professor Lex Doyle. Alicia is an NHMRC Career Development Fellow at the University of Melbourne and leads the motor team within the Victorian infant Brain Studies (VIBeS) group at Murdoch Children s Research Institute. In addition, she has a clinical appointment at the Royal Women s Hospital, Melbourne where she works in the UPStart follow-up clinic. She is an executive member of the NHMRC Centre of Research Excellence for Newborn Medicine and author of recent clinical guidelines on early, accurate detection of Cerebral Palsy in infants. 5
THURSDAY 16 NOVEMBER 2017 TIME SPEAKER TOPIC 0730 0830 REGISTRATION 0830 0835 Peter Davis & Sue Mathews WELCOME 0835 1030 PARTNERS IN CRIME 0835 0905 Colin Morley Improving Neonatal Stabilisation and Resuscitation 0905 0935 Noel French Perspectives From the Extremes 0935 1005 Caroline Crowther Prevention of Cerebral Palsy in Preterm Babies Running Round the Evidence Circles with Magnesium Sulphate 1005 1030 Discussion 1030 1100 MORNING TEA 1100 1230 THE JOY OF LEX: STUDENTS PAST AND PRESENT 1100 1130 Sue Jacobs Therapeutic Hypothermia: Past, Present and Future 1130 1140 Tara Fitzgerald 1140-1150 Rocco Cuzzilla How Level is the Playing Field? Physical Activity Participation in Preschool Age Children Born Very Preterm Breaking the Ultrasound Barrier From Brain Injury to Brain Growth to Predict Outcomes for Preterm Infants 1150 1200 Amanda Kwong Enhancing Infant Neurobehavioural Screening with Smartphone Technology 1200 1230 Rose Boland Have we Reached the Limit? Outcomes of Births at the Limits of Viability 1230 1330 LUNCH 1330 1500 LIFE BEFORE BIRTH 1330 1400 Caroline Crowther Antenatal Corticosteroid Treatment for Improving Neonatal Health The Ongoing Research Journeys 1400 1430 Stefan Kane Prediction and Prevention of Preterm Birth 1430 1500 Discussion 1500 1530 AFTERNOON TEA 1530 1700 LIFE AFTER DISCHARGE 1530 1600 Saroj Saigal In Their Own Words: Voices of Former Preemies in Their 30s 1600 1630 Therese Scalzo Tales From a Proud Mother 1630 1700 Louise Pallot My Story so Far 1700 CLOSE 6
FRIDAY 17 NOVEMBER 2017 TIME SPEAKER TOPIC 0730 0830 REGISTRATION 0830 1015 EVERY BREATH YOU TAKE 0830 0900 Peter Davis Coffee with Lex 0900 0930 Brett Manley Hot, Humid and Windy Wondering Weather to Use Nasal High-Flow? 0930 1000 Colin Morley Neonatal Respiratory Care After Half a Century, Do We Know What We re Doing? 1000 1015 Discussion 1015 1045 MORNING TEA 1045 1230 INTO THE FUTURE 1045 1115 Jeanie Cheong The Changing Face of the Crystal Ball Refining the Prognosis for Preterm Infants 1115 1145 Alicia Spittle Early Detection and Intervention for Infants with Cerebral Palsy 1145 1215 Gehan Roberts Neurodevelopmental Variation or DSM5 Disorder? A Developmental Paediatric Perspective 1215 1230 Discussion 1230 1330 LUNCH 1330 1500 LEX, DEX ETC 1330 1400 Omar Kamlin The Swinging Pendulum Time to Revisit Early Post-Natal Steroids? 1400 1430 Saroj Saigal Outcomes of Extremely Low Birth Weight Survivors in the Fourth Decade 1430 1500 Joy Olsen Early Neurodevelopmental Assessment of High-Risk Infants in the Neonatal Nursery 1500 1530 AFTERNOON TEA 1530 1700 HYPOTHETICALLY LEX 1530 1700 Colin, Caroline, Saroj and all attendees 1700 CLOSE 7
SPONSORED BY MEETING AND REGISTRATION ENQUIRIES NIKI STRATIS E cooltopics@thewomens.org.au T (03) 8345 3763