REGISTRATION FORM New Trends in Hematology, Histiocytic Disorders and Transfusion Medicine Symposium 1-2 November 2016 / 1-2 Safar 1438

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3 1 REGISTRATION FORM New Trends in Hematology, Histiocytic Disorders and Transfusion Medicine Symposium 1-2 November 2016 / 1-2 Safar 1438 Please print CLEARLY in BLOCK CAPITALS and return this form with payment. First and Middle Names: (as you wish it to be printed on the certificate) Last/Family Name: (as you wish it to be printed on the certificate). PLEASE ENSURE THIS IS THE CORRECT SPELLING OF YOUR NAME AS THERE WILL BE NO RE-PRINTING OF CERTIFICATES. ONLY ATTENDING DELEGATE MAY PICK UP CERTIFICATE. TITLE: Dr. Prof. Mr. Mrs. Miss Other: GENDER: Male Female Saudi Commission for Health Specialties (SCFHS) License No.: **Required by the SAUDI COMMISSION** Profession: Institution: Mailing Address : ADDRESS: Telephone: City/Postal Code: Mobile: EARLY REGISTRATION (By October 6, 2016) ENTIRE SYMPOSIUM 2 DAYS SR 400 Consultants SR 300 Residents / Fellows SR 200 Non-Physicians / Nurses SR 100 Students (Payment must be received by deadline date.) LATE/ON-SITE REGISTRATION (after October 6, 2016) ENTIRE SYMPOSIUM 2 DAYS SR Consultants SR 400 Residents / Fellows SR 300 Non-Physicians / Nurses SR 200 Students IMPORTANT INFORMATION: 1.Registration is not confirmed until payment is received. 2.Payment is accepted in cash or money transfer thru Al Rajhi Bank, Takhassusi st. payable to: Academic Affairs Postgraduate Funds SA or 3.Log on to and follow the steps on how to do the ONLINE payment 4. Cancellation/Refund Policy: Request for refund must be received one (1) month prior to symposium. Administrative fee of SR50 will be deducted from all refunds. Send payment and Registration Form to: Academic & Training Affairs CME Section King Faisal Specialist Hospital & Research Center MBC-36, P.O. Box 3354, Riyadh 11211, KSA Tel. No.: ext websymposia@kfshrc.edu.sa Website:

4 7:30-12:00 Registration DAY 1: Tuesday, 01 November 2016/ 01 Safar :30-8:30 Breakfast 8:00-8:10 8:10-8:20 8:20-8:30 Opening Remarks and Welcome Address Chairperson, Organizing Committee Welcome Address Deputy Executive Director, Academic & Training Affairs Welcome Address Chief Executive Officer Dr. Mahasen Al Saleh Dr. Sami Al Haider Dr. Qasim Al Qasabi 8:30 9:15 MORNING SESSION Key note: Novel Treatment Strategies in Hemophilia Dr. Alok Srivastava India SESSION I: Histiocytic Disorders Moderators: Dr. H. Al Trabolsi / Dr. B. Albeirouti 9:15-9:45 Approach to Hemaphagocytic Syndromes Dr. Gritta Janka - Germany 9:45 10:00 Familial HLH in Saudi Arabia Dr. Ali Al Ahmari KSA 10:00-10:15 Langerhans Cell Histiocytosis Dr. Mohammed Ahmed KSA 10:15-10:30 Coffee Break SESSION II-A BM Failure Syndromes SESSION II-B Thrombosis Moderators: Dr. M. Alsharani / Dr. A. Aldayel Dr. T. Al Wisadi / Dr. A. Abbas 10:30-10:50 10:50-11:10 11:10-11:30 Bone Marrow Failure and Fanconi Anemia Dr. Roula Farah Lebanon Fanconi Anemia Dr. Mouhab Ayas KSA Severe Congenital Neutropenia Dr. Yasser Wali Oman Novel Therapy for Thrombosis Dr. Leonardo Brandao USA Optimal Duration of AC Dr. Hazzaa Alzahrani KSA Anticoagulation in Children and Adolescent Dr. Leonardo Brandao USA

5 11:30-11:50 Myelodysplasia in Adults and Pediatrics Dr. Randa Al Nounou KSA 11:50 12:00 Panel Discussion The Emerging Biosimilar Agents in Hematology Dr. Abdulrazaq AlJazairi 12:00-2:00 Prayer / Lunch DAY 1: Tuesday, 01 November 2016 / 01 Safar 1438 SESSION 3 MEET THE EXPERT ORAL PRESENTATION Moderators: Dr. M. Shaheen/Dr. M Darwish Dr. S. AlJaouni/Dr. H. AlMasmali 2:00 2:15 2:15 2:30 2:30 3:00 3:00 3:15 3:15 3:30 Gene Therapy for Hemophilia Dr. Alok Srivastava India Medical Neglect by Under prescription and Underutilization of Hydroxyurea in Sickle Cell Disease Humanitarian Aid in Hemophilia Dr. Assad Haffar Canada Gala Dinner Glanzmann s Thrombasthenia in Saudi Experience Dr. Nada ElShaikh KSA Long Term Survival of Homozygous Protein C Deficiency in Saudi Arabia Dr. Fatima Batniji KSA D-Dimer in Cancer Patients with Thrombosis Dr. Maher AlJohani KSA Medical Nutrition Therapy for Pediatric Hematology Ms. Hanan AlMutairi KSA Pre-Operative Coagulation Dr. Azzaa Alzahrani KSA Circumcision in Patients with Bleeding Disorders Dr. Mahasen Saleh KSA

6 7:30 8:30 Breakfast 7:30 12:00 Registration DAY 2: Wednesday, 02 November 2016 / 02 Safar :30 9:30 Key Note Lecture: Stigma of Hemoglobinopathies and Other Genetic Disorders Moderators: 9:10 9:30 9:30 9:50 SESSION 4: Red Cell Disorders Management of Difficult Cases of AIIHA New Trends in Treatment of Iron Overload Dr. M. Zolaly / Dr. A. Yamani Dr. Abdulkareem Almonem KSA 9:50 10:10 Thalassemia Intermedia Dr. Abdullah AlJefri KSA 10:10 10:15 Panel Discussion 10:15 10:30 Coffee Break SESSION 5 Moderators: 10:30-10:50 10:50-11:10 11:10-11:30 11:30 11:50 SESSION A Transfusion Dr. A. Alsuliman Dr. G. Damanhouri Patient Related Management Dr. Salwa Hindawi KSA Update Role of Plasma Exchange in TTP Dr. Hind Al Humaidan KSA Transfusion Challenges in SCD Transfusion in Pre-Anesthesia Dr. Omar Radwan KSA 11:50 12:00 Panel Discussion Dr. L. Bashawri Dr. A. Al Omari SESSION B Hemostasis Glanzmann Thrombocytopenia Dr. Steven Austin Australia Rare Bleeding Disorders Dr. Roula Farah Lebanon Rare Bleeding Disorders in Saudi Arabia Dr. Rubina Jamil Malik UK Von Will Brand Disease Dr. Ahmed Tarawah KSA 12:00 2:00 Prayer / Lunch

7 DAY 2: Wednesday, 02 November 2016 / 02 Safar 1438 SESSION 6 MEET THE EXPERT ORAL PRESENTATION Moderators: Dr. F. AlEnezi/Dr. R. Sabbah Dr. F. AlMohareb/Dr. M. AlHarbi 2:00-2:15 2:15-2:30 2:30 3:00 How I Treat HLH? Dr. Gritta Janka Germany World Federation of Hemophilia (WFH) Role in Bleeding Disorders Dr. Assad Haffar Canada Molecular Diagnosis in Glanzmann Disease Dr. Osamah Khojah KSA Identification of Unique Molecular Signatures for Bone Marrow Failure Syndromes Dr. Ayodele Alaiya KSA Antifungal Treatment of Bone Marrow Failure Dr. Ibrahim Bin Hussain KSA 3:00 3:15 3:15 3:30 Challenges and Scenario in Thrombosis Panel Discussion Dr. L. Brandao, Dr. M. Saleh Dr. T. Owaidah, Dr. H. AlZahrani Assess Mother Knowledge Regarding their Children with Sickle Cell Anemia Dr. Naif F. Al Mutairi KSA Congenital Afibrogenemia Dr. Abdullah Talal Almetri KSA