Title: Sleep and circadian science- implications for professional athlete ’ s performance and health

Biography:

Ben Potenziano is a Certified Athletic Trainer that works in Professional Baseball in the United States. He holds a Masters Degree in Education with a concentration in Exercise Science. His background also involves Strength and Conditioning at the professional baseball level. He has 21 years of baseball experiences. He has been involved with sleep and mental health which he is extremely passionate about. Ben is also involved with the Professional Baseball Athletic Trainers Society and on the board.

Title: Multidisciplinary Approach To Reveal Young Athlete Syncope

Abstract:

Dr. Brancaccio Mariarita. During her bachelor's degree in Health Biotechnology, she took part in study on the enhancement of new pulsed UV laser technologies for the development of immunosensors (March 2012) at the Physics department of the University of Naples “Federico II”, in the laboratory of prof. Carlo Altucci.

Biography:

Laboratory medicine, along with genetic investigations in sports medicine, is taking on an increasingly important role in monitoring athletes’ health conditions. Acute or intense exercise can result in metabolic imbalances, muscle injuries or reveal cardiovascular disorders. This study aimed to monitor the health status of a basketball player with an integrated approach, including biochemical and genetic investigations and advanced imaging techniques, to shed light on the causes of recurrent syncope he experienced during exercise. Biochemical analyses showed that the athlete had abnormal iron, ferritin and bilirubin levels. Coronary Computed Tomographic Angiography highlighted the presence of an intra-myocardial bridge, suggesting this may be the cause of the observed syncopes. The athlete was excluded from competitive activity. In order to understand if this cardiac malformation could be caused by an inherited genetic condition, both array-CGH and whole exome sequencing were performed. Array-CGH showed two intronic deletions involving MACROD2 and COMMD10 genes, which could be related to a congenital heart defect; whole exome sequencing highlighted the genotype compatible with Gilbert syndrome. However, no clear pathogenic mutations related to the patient’s cardiological phenotype were detected, even after applying machine learning methods. This case report highlights the importance and the need to provide exhaustive personalized diagnostic work up for the athletes in order to cover the cause of their malaise and for safeguarding their health. This multidisciplinary approach can be useful to create ad personam training and treatments, thus avoiding the appearance of diseases and injuries which, if underestimated, can become irreversible disorders and sometimes
can result in the death of the athlete.

Title: Athletes have more parallel ADHD symptoms than non-athletes?

Abstract:

Attention deficit hyperactivity disorder (ADHD) is considered a disorder. Studies have shown how environmental factors and physical activity can influence ADHD in a positive direction and prevent its negative effects. Most ADHD studies in the sport context has focused on the problems the individual has developed such as increased risk of injury, higher levels of aggression and less focus has been on how it (ADHD) can be to an advantage for the individual. Core symptoms are inattention and hyperactivity, and selective attention is considered a deficit in ADHD. The extreme form of attention or “hyper focusing” is however, not discussed in current conceptions of ADHD symptoms, but has been suggested to be added as a separate dimension of adult ADHD.

Biography:

Elizabeth Ekman, Phd, Licensed Psychotherapist and Supervisor in CBT, was born in Gothenburg Sweden. She Started out in education for Chemical Engineering. She compleyted Doctor of Psychology in Karlstads Universitet · Department of Social and Psychological Studies.

Title: Risk management in ICU

Abstract:

Error in the Intensive Care Unit (ICU) is a well-documented and frequent problem. This is understandable as one looks at the complexities of serious disease along with the number of invasive and potentially harmful procedures that are commonly used there. Until recently, allegations of medical malpractice resulting from suspected mismanagement in the ICU were unusual, but there has been a rise the last years.

It is difficult to determine whether the increase in lawsuits is due to a real increase in adverse incidents or to a shift in media perception. There is no question that the aggressive cover-up by law companies dealing in personal injury lawsuits offering to initiate claims on a contingency fee basis has become more common. The Medical Protection Society is experiencing an increasing number of claims generally, and the value of damages awarded is skyrocketing.

Biography:

Permanent Consultant Anaesthesiologist- Intensivist  Company Name:General Hospital Hippokratio of Thessaloniki Dates Employed:May 2017 – Present Employment Duration: 3.7 years Location :Thessaloniki-Greece Anaesthesiologist: 10 years Company Name:General Hospital Hippokratio of Thessaloniki Trainer - examiner in surgical nursing specialties of Northern Greece Medical doctor volunteer (pain management) Company Name Doctors of the World Greece Dates Employed Aug 2016 – Present Employment Duration 4 yrs Member of rapid response emergency team of G.H.T.Hippokratio Αs an anesthesiologist I have experience in Obstretic & Gynecological cases / Liver and Kidney Transplantations / Cases of General’s Surgeries /Vascular Surgeries / Cases of Neurosurgeries and Emergency Medical Technician Roles. In intensive care, I undertake all kinds of pathological, neurosurgical, general surgery, obstetrics-gynecological cases and the postoperative recovery of liver transplants.

Title: The Opioid-Free/Sparing Revolution

Abstract:

The maximum duration of pediatric outpatient anesthetics has been previously limited to 4 hours. Advances in anesthesia care now make pediatric ambulatory surgery of over 7 hours duration medically feasible. A retrospective analysis was conducted of 585 consecutive successful combined atresia/microtia reconstruction surgeries performed in the years 2008 to 2022 on an outpatient basis. These anesthetics, exceeding 7 hours in length, expanded the scope of ambulatory pediatric anesthetics to a duration previously deemed unwise or unsafe. Each surgical procedure was a combined cosmetic external ear reconstruction, otologic external auditory canal, and middle ear reconstruction. The general endotracheal anesthetic and surgery were followed by patient discharge to a home or hotel setting. Anesthetic challenges included: 1) appropriate preoperative evaluation and medical clearance of each patient; 2) intraoperative care designed for both safety and quick recovery; and 3) postoperative care designed for both safety and quick recovery. Ear reconstruction surgery is ideal for freestanding ambulatory centers because it involves limited surgical trauma, blood loss, perioperative fluid shifts, postoperative pain, or need for complex postoperative care. Patient disqualifiers included age under 3 years, significant cardiac or pulmonary disease, morbid obesity, sleep apnea, or the presence of dyspnea, productive cough, or fever. The anesthetic technique included sevoflurane, propofol, and fentanyl. The surgical team contributed to the anesthetic management by infiltrating surgical fields with lidocaine and bupivacaine throughout the procedure. Patients had minimal recovery room pain. Narcotics in the recovery room were rarely required. Post-anesthesia care unit stays averaged less than one hour. Only one patient required inpatient admission, due to an anaphylactic reaction to an intravenous antibiotic. This series of 7-hour-plus general endotracheal anesthetics for pediatric ambulatory surgery shows evidence that a lengthy duration of pediatric general anesthesia is both medically feasible and safe for healthy children, providing the surgical procedure causes limited surgical trauma, blood loss, perioperative fluid shifts, postoperative pain, or need for complex postoperative care.

Biography:

Richard Novak MD is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University. Dr. Novak is board-certified in anesthesiology and internal medicine, and is also the Medical Director at Waverley Surgery Center in Palo Alto, California and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California.