Layla Taryam is a graduate of UAE university medical school. She has trained in pediatrics at Koln University Hospital in Germany where she continued to specialize in neonatology. Taryam has been practicing in Al Qassimi hospital, one of the leading hospitals of the ministry of health and prevention. She specializes in the care of critically ill neonates; her interests also include the early diagnosis of congenital heart diseases in the newborns and pediatric patients. Taryam is a clinical associate professor of medicine at Sharjah University Medical School and a coordinator of the internship program in MOHAP. She is also a member of the multiple medical committees in MOHAP.

Innocent heart murmurs occur in approximately half of healthy children at some point in their childhood. Still’s murmur is the most prevalent of these innocent pediatric heart murmurs with a prevalence of approximately 40%. Auscultation remains the primary clinical tool utilized to identify Still’s murmur from the murmurs of true heart disease. However, General Physicians (GPs) are not successful in distinguishing a Still’s murmur from pathological murmurs and therefore refer a large number of children to pediatric cardiologists. Besides cost and inconvenience, these referrals are a source of extreme anxiety and stress in children and families while waiting to see a pediatric cardiologist. Our objective has been to develop a novel technology that can help a GP classify a Still’s murmur with high accuracy at the point of care and support their decisions regarding referral to a specialist. We have created a stethoscope that connects to a smartphone and developed a custom mobile application that

records heart sounds and using machine learning, analyzes them for the presence of a Still’s murmur. This solution is called StethAid. The algorithm to identify Still’s murmur has been developed and tested utilizing a pediatric heart murmur library of over 1800 patients with clinically documented diagnoses compiled at Children’s National Health System. Using StethAid, we recorded heart sounds of 312 pediatric patients at two UAE Ministry of Health and Prevention hospitals to be utilized as an independent test set. The algorithm identifies Still’s murmur with a sensitivity of 89% and specificity of 97%. The proposed

technology could potentially lower the current high rate of referrals to pediatric cardiologists associated with Still’s murmur.

Gudiya is a M.Sc. Nursing student in Pediatrics from College of Nursing AIIMS New Delhi India. She has completed her undergraduate from Banaras Hindu University, Varanasi, India.

Background & Aim: Acne is one of the common skin problems in adolescents and young adults but the impact on psychological

aspect is poorly understood, many times goes unnoticeable. The study aims to asses’ body image disturbance, self-esteem, quality of life among adolescents and young adults with acne.

Method: 250 subjects aged 13-25 years who visited dermatology OPD, AIIMS were enrolled by convenience sampling from July 2017 to December 2017. Severity of acne, body image disturbance, self-esteem and acne quality of life were assessed using Investigator’s Global Assessment (IGA) scale, Body Image Disturbance Questionnaire (BIDQ), Rosenberg self-Esteem Scale (RSES) and Total Acne Quality of Life (TAQOL), respectively through structured interview. Demographic and clinical data were obtained.

Result: 61.6% of the participants had moderate form of acne. The mean BIDQ score was 3.05 (SD=0.89). 67.60% had normal self-esteem 69.64% had mild impairment in acne quality of life. Severity of acne had significant association with sex, area of residence, age of onset of acne, cleaning behavior, body image disturbance and acne quality of life at p<0.05. Body image disturbance was related with occupation, self-esteem, acne quality of life and positive correlation (r=0.192) with number of visits to doctor (for acne) at p<0.05. Self-esteem was related with sex, area of residence and socio-economic status (p<0.05).

Quality of life had significant association with area of residence, socio-economic status, number of visits to doctor and selfesteem

(p<0.05).

Conclusion: Adolescents and young adults with acne have body image disturbance and impaired quality of life but majority

possess normal self-esteem.

Case Report: A 5 day old baby boy who was term, with uneventful delivery and healthy mom was brought to the Emergency

Department at 01:30 am with poor feeding, difficulty in breathing and fever, on examination initially pink in room air, grunting intermittently, sepsis work up done started on Cefotaxime, Gentamicin and B. Penicillin at around 02:30 am clinically deteriorated, with cap refill time >4 sec, HR 160-210, MBP<30, AF full, weak pulse, O2 Saturation 96 with bag+mask ventilation, pupils dilated and non-reactive, baby was fully resuscitated with ET+ventilation, N. Saline bolus×3, Dopamine, Noradrenaline was given, Mannitol was added and transferred to tertiary care ICU, baby was continued on ventilator and

Inotropic support despite ICU care baby's clinical condition deteriorated ventilator support was withdrawn after parental consent and pronounced RIP at 01:15 PM blood culture grew Group A Streptococcus (GAS) within 12 hours.

Conclusion: Even though GBS is more common in neonatal sepsis, GAS also need to be considered in the differentials as it can

be fatal as in our case report, research should be focused on sub typing and treatment strategies.