MEMA May 13-16, 2004 Beirut, Lebanon  
The XXXVIIIth Middle East Medical Assembly 




   Highlights and Objectives

  MEMORIAL LECTURES

    The Chafic Haddad lecture in Endocrinology
  The Naji Sahyoun lecture in Molecular Medicine
  The Diana Tamari Sabbagh lecture in Neuroscience

  DERMATOLOGY

The Dermatology program is offered in association with the Arab League of Dermatologists.

Highlights

    The Amal Kurban Lecture : Cutaneous surgical techniques
  Natural aging and photo-aging of the skin
  Cosmetic dermatologic surgery

Objectives

    Identify the importance of clinical-pathological correlation in diagnosis.
  Classify the concepts underlying cutaneous surgical techniques.
  Identify common lesions that can be treated effectively with surgery in the outpatient setting and develop confidence in managing dermosurgical cases.
  Recognize the mechanisms of natural aging and photo aging of the skin.
  Create a paradigm for the medical and surgical management of aging skin.
  Appreciate the complexity of many advanced cosmetic dermatologic surgical procedures.
  Review the current controversies in many areas of cosmetic dermatologic surgery.

  DIAGNOSTIC RADIOLOGY

The Diagnostic Radiology program is offered in association with the Lebanese Society of Radiology.

Highlights

    Multislice computerized tomography
  Imaging in lung disease
  Imaging of the airways
  Imaging of the urogenital tract and adrenals
  Contrast media and nephrotoxicity
  Ultrasound contrast
  Interventional radiology hot topics

Objectives

    Describe the role of multislice computerized tomography in abdominal imaging with emphasis on 3D studies of the vascular, intestinal and urogenital systems.
  Describe the modern diagnostic algorithms in interstitial lung disease.
  Describe the role of screening and diagnostic pathways in pulmonary nodules.
  Discuss imaging of the sinuses and bronchial tree.
  Describe aspects of imaging in renal and adrenal disease.
  Discuss contrast toxicity and methods of reducing its effect.
  Discuss the role and contribution of ultrasound contrast media.
  Discuss topical issues in interventional radiology, including protection, methods of treatment of portal hypertension, radiofrequency ablation of tumors and procedures in complex urological problems.

  INTERNAL MEDICINE
  (Cardiovascular medicine, metabolism and thrombosis)

Highlights

    Vascular injury and metabolic syndrome as unifying concepts in cardiovascular disease   Relation of the genomic program to myocardial and coronary atherosclerosis   Preventive and therapeutic management of diabetes   Atrial fibrillation   Thrombophilia   Diagnosis and management of veno-thrombotic events   New antithrombotics

Objectives

Internal Medicine Update
    Describe the clinical potential and opportunities emanating from the genomic program as they relate to myocardial and coronary athero sclerosis.
  Identify the indications and applications of implantable cardiovertor/defibrillator in patients with depressed left ventricular function; with emphasis on cost effective management of sudden death.
  Formulate the principles of preventive and therapeutic management of diabetes in light of new information regarding the pathogenesis of vascular disease in diabetics and construct trials derived guidelines.
  Recognize new paradigms and therapeutic targets in the ever escalating challenges of congestive heart failure.

Metabolic Syndrome
    Review the pathogenesis of the metabolic syndrome.
  Define the elements of the metabolic syndrome.
  Evaluate patients' risk for developing coronary heart disease and diabetes.
  List a coherent management plan for a multi-disciplinary approach to the metabolic syndrome.

Vascular Injury
    Review the role of the renin-angiotensin-aldosterone system in hypertension.   Describe an evidence-based approach to managing the acute coronary syndrome.

Thrombosis
    Review the epidemiology and economic burden of venous thrombotic events.
  Review the use and applications of anticoagulation therapy in the past, the present and the future.
  List when and what to test for thrombophilia.
  Describe the current approaches in prophylaxis and treatment of thrombotic diseases in terms of dosages and duration.

  MOLECULAR MEDICINE

The molecular medicine program is supported in part by a generous grant from the Lebanese National Council for Scientific Research.

Highlights

    Protein translocation
  Stem cell research
  Tissue differentiation
  The human proteome project

Objectives

    Describe the mechanisms of protein translocation across intracellular membranes.
  Review the latest advances in stem cell research and their potential in treating non-neoplastic human diseases.
  Explain mechanisms of tissue differentiation and the utilization of that information in understanding medical disorders.
  Describe the human proteome project and its links to human genomics.

  OBSTETRICS and GYNECOLOGY

The Obstetrics and Gynecology program is offered in association with the Lebanese Society of Obstetricians and Gynecologists.

Highlights

Perinatology and neonatology
    Management protocols for preterm labor and preterm rupture of membranes
  Thrombophilia in obstetrics
  1st trimester screening of aneuploidy: Is more better?
  New therapies: Growth hormone (GH) in small for gestational age (SGA) newborn

Gynecologic oncology
    The management of early cervical and endometrial cancer: What the general gynecologist should know
  The rising incidence of HPV in the Middle East and the emerging role of HPV vaccination

Reproductive endocrinology
    Hormonal therapy following the WHI and the Million Women Study
  Alternative menopausal therapies

Infertility and assisted reproductive technology
    The role of the GnRH antagonist
  Exploring recurrent pregnancy losses

Gynecologic animal surgery and cadaveric dissection hands-on workshops
    Advanced bowel and urological surgery for the general gynecologist with stapling on live animals
  Advanced urogynecology with cadaveric dissection of the pelvis
  Proper surgical technique to repair bowel and urological injuries with live animals and cadaveric dissection
  The use of minimally invasive technique for the repair of pelvic prolapse

Objectives

Perinatal and neonatal medicine
    List current protocols in the management of premature labor and premature rupture of the membranes
  Describe the newest Group B Streptococcal management protocols and their maternal and neonatal effects
  Review recent advances in the diagnosis and management of thrombophilia and pregnancy and fetal/neonatal outcome
  List the use of various aneuploidy screening protocols
  Review the use of newer therapies in the management of the small for gestational age, especially the use of growth hormone

Gynecologic oncology
    Describe a gynecologic oncologist approach to suspicious adnexal masses for the general gynecologist.
  Debate the best surgical approach to Stage I cervical cancer and endometrial cancers with tips for the general gynecologist.
  Debate the rising incidence of HPV and abnormal pap smears in the Middle East.
  Review the emerging role of HPV vaccination.
  Recommend the case for a shorter follow-up of patients with an uncomplicated molar pregnancy.

Reproductive endocrinology
    Discuss the future role of hormonal menopausal replacement therapy in view of the data from the WHI study and the more recent One Million Women Study.
  Select alternative regimens to standard hormonal replacement therapy, including the use of non-equine estrogens, selective estrogen receptor modulators, Tibolone, plant estrogens, bisphosphonates and others.

Infertility and assisted reproductive technologies
    Discuss the controversial issue of the use of the newer generation GnRH antagonists in assisted reproduction.
  Describe available methods to improve the success rate of various assisted reproductive technologies.
  Discuss an evidence-based approach to the management of recurrent pregnancy losses.

Gynecologic animal surgery and cadaveric dissection workshop
    Describe the use of various bowel surgery techniques performed by the general gynecologist.
  Operate various stapling devices.
  Describe how to repair simple and complicated injuries.
  Discuss the techniques of various diverting procedures.
  Recognize the anatomic relationship of various structures and their role in the formation and repair of incontinence and prolapse.
  Distinguish the anatomic differences of various prolapses (anterior, posterior and lateral defects).
  Explain the best approach to various defects using minimally invasive technology.

  PEDIATRICS

Highlights

    Neonatal and perinatal medicine
  Pathophysiology of perinatal brain damage
  Neuroprotection in the developing brain
  Neuropathies in children
  Pediatric gastroenterology
  Bone marrow transplantation

Objectives

    Evaluate recently-introduced vaccines and vaccine combinations.
  Review recent changes in the nutrition recommendations and trends in infants and children.
  Describe the new diagnostic technologies for investigating pediatric GI problems, including hepatitis C.
  Detail the use of new agents in the treatment of tuberculosis in children.
  Discuss strategies of tuberculosis eradication, including screening and the use of vaccination.
  Review controversial areas of classification and management of rheumatic disorders.
  Illustrate currently controversial fetal and neonatal therapies including antenatal steroids.
  Explain perinatal and neonatal epidemiology in the developing countries.
  Review the mechanisms of perinatal and postnatal brain injury, including fetal inflammatory response.
  Evaluate current methods and policies for prenatal diagnosis and neonatal screening.
  Detail methods for the nutritional treatment of the low-birth weight infant.
  Review methods of ventilation of the low birth weight infants.
  Detail new advances in bone marrow transplantation.
  Review classification of brain malformations.
  Discuss the pathophysiology of hypoxic brain injury.

  PLASTIC SURGERY

Highlights

    Artistic and anatomical analysis
  Facial ancillary procedures
  Vectors and varied problems
  Management and reversal of complications of surgery
  Interactive video workshop: Personal operative approaches to face lifting

Objectives

    Compare surgical approaches to facial rejuvenation.
  Recommend a classification system for patient evaluation in facial cosmetic surgery.
  Recognize the different indications of various plastic surgery techniques.
  Critique oculaplastic cosmetic surgical techniques.
  Interpret the use of variable length pre and post auricular incisions.

  PRIMARY CARE

The primary care program is offered in association with the Lebanese Order of Physicians.

Highlights

    Melanocytic nevi
  Abnormal cervico-vaginal (PAP) smear
  Headache
  Pediatric cardiology for the primary care physician
  Tuberculosis
  Workshop on basic EKG reading for the generalist

Objectives

    Describe the management of pre-malignant conditions, such as melanocytic nevi and abnormal pap smear findings.
  Recognize the magnitude of the cost of headache treatment, with emphasis on indications for imaging.
  Recognize the magnitude of the tuberculosis epidemic on the national and international levels.
  Recognize common cardiac disorders in children.