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A Training Course on “Children’s Endocrine and Genetic-Metabolic Diseases” Hosted by CJFH Health Alliance for Pediatric Growth Disorders
Source: Posted Date:09-21-2018

From September 15 to 16 2018, a two-day forum on “Children’s Endocrine and Genetic-Metabolic Diseases 2018” was successfully held in the lecture theatre of China-Japan Friendship Hospital(CJFH). This event, jointly organized by the CJFH Health Alliance for Pediatric Growth Disorders, the Division of Pediatric Endocrine and Genetic-Metabolic Disease of Beijing Medical Association, and the Beijing Eugenics and Nurture Association, has attracted well-known experts in pediatric endocrine and hereditary-metabolic diseases who came to deliver speeches, as well as some 100 medical practitioners from 16 districts and counties across Beijing. And live broadcast was also made available via the internet where nearly 1,000 people watched the meeting online.
Dr. Zhang Zhixin, who chaired the opening ceremony of the forum, said that with the development of pediatrics and the constant change in the spectrum of diseases, researchers have gradually focused their attention on the connection between genetic-metabolic diseases and the various specialties. In the past, many diseases were classified and diagnosed according to symptoms. But with the continuous improvement of diagnosis techniques, including the development of novel genome sequencing epigenetics, more diseases and syndromes could be recognized and diagnosed more accurately than before. After the introduction of the universal two-child policy, many elderly pregnant and lying-in women appeared which  posed a great challenge to the prevention and control of birth defects and genetic diseases. Birth defects in China currently stand at about 5%, while the figure in developed countries such as the United States is kept to 3%. Our goal in 2020 is to bring down the rate of birth defects to around 3%. Can we achieve this goal? It perhaps depends more on our pedestrians, and on their cognitive level and the improvement of diagnosis techniques. Therefore, we hope that through this forum and other platforms, we could share our knowledge with more doctors, parents and even with the society, and jointly raise awareness, so that the quality of care will improve in the city where more children with pediatric endocrine and genetic-metabolic diseases could access early treatment and accurate diagnosis.
With the theme of "children's endocrine and genetic-metabolic diseases", organizers have invited well-known experts in the country to deliver speeches and exchange views with members of the pediatric endocrine team of the hospital. The training course focused on the pediatric endocrine diseases commonly seen in clinical practices, such as short stature, precocious puberty, childhood obesity, children and adolescents’ thyroid disease, with the goal of improving the skills of maternal and child health workers in different districts of the alliance. The training courses also gave a lecture on a wide range of pediatric endocrine and genetic-metabolic diseases, which occurs suddenly but are rarely seen and difficult to be diagnosed in clinical practice, such as children’s sudden death, cardiac malformation, human epigenetics, lysosomal storage disease and etc., in order to open up the clinician's perspectives, and improve their diagnosis and treatment ability.
On the morning of September 15, Dr. Wang Kundi, Deputy Director of the Pediatrics Department at CJFH, started the programs by her speech that covered the law of growth and its influence factors. Growth and development are affected by many factors with different characteristics and regulation mechanism in different stages. Dr. Wang elaborated on how the important tool of growth monitoring, namely the growth curve diagram, was drawn and applied. She also introduced a variety of diseases on short stature commonly seen in clinical practices, such as growth hormone deficiency, congenital hypothyroidism, congenital ovarian dysplasia syndrome (Turner syndrome), and etc. Lastly, she talked about the specific diagnosis and treatment on short stature. Based on physiology, pathology and common diseases, she gave a comprehensive and detailed explanation on how growth and development was evaluated and how short stature was diagnosed and treated.
The second speech was delivered by Dr. Zhang Jing, director of the Pediatrics Department at CJFH, on cardiovascular manifestations in genetic diseases. She said that genetic diseases are closely associated with cardiovascular manifestations, including congenital heart disease, cardiomyopathy and arrhythmia. Dr. Zhang also elaborated on heart malformations and cardiomyopathy which were also found in some of the genetic disease, and introduced how to detect and diagnose cardiovascular performance manifestations in genetic disease in early stage. 
Next, Prof. Wu Xueyan of Peking Union Medical College Hospital shared his knowledge on gonadal development disorder. Professor Wu started his speech from the etiology of hypogonadism with low gonadotropin, and talked about how gonadal development disorder was precisely diagnosed and accurately treated, which could help to improve the development level for many hypogonadotropic patients, and solve their fertility problems.
Delivered by Dr. Zhang Zhixin, Director of the hospital’s International Department, the last speech on the morning of the day hightlighted the diagnosis and treatment strategy on childhood obesity. Dr. Zhang started her speech from the current situation, diagnosis, classification and etiology of childhood obesity, gave a detailed introduction on the negative effect of childhood obesity and how to prevent and treat it.
The positive academic atmosphere continued after a short lunch time when Dr. Wang Yunfeng, a senior pediatrician of CJFH, talked on the progress of diagnosis and treatment on sexual precocity. She was followed by Prof. He Xiuyu of the 307 Hospital, who introduced the clinical diagnosis method on mental retardation, and Prof. Yang Yanling of the Peking University First Hospital, who explained how to identify genetic diseases in children’s sudden death. The afternoon session concluded by Prof. Shen Ming, also a senior pediatrician of CJFH, who analyzed a case of illness on dihydropteridine reductase deficiency (DHPR) with delayed diagnosis and new gene mutation.
On the morning of September 16, the practitioners from the 16 districts and counties across Beijing returned to the training course, where Prof. Gu Xuefan of Shanghai Xinhua Hospital delivered a speech on the role of human epigenetics in clinical syndromes diagnosis. The talk was followed by Prof Cai Xiaopin of the Department of Endocrinology who introduced diagnosis and treatment methods on thyroid diseases in children and adolescents. Professor Meng Yan of the 301 Hospital explained the diagnosis and treatment progress on lysosomal storage disease. The course concluded with a lecture entitled "How to make good use of clinical data?" by Prof. Niu Wenquan of CJFH’s Institute of Clinical Medical Sciences, who shared his view on using the clinical and laboratory data to undertake scientific research programs and write great papers in high impact journals.
Filled with a warm atmosphere, the training class has received very positive responses from practitioners across the 16 districts and counties in Beijing. It is expected that this event will  strengthen the cooperation among pediatricians  in such areas as endocrinology and genetic-metabolic diseases, help more children access accurate diagnosis and treatment as early as possible, and improve the clinical skills of the practitioners who attended the program.