醫碩二翁德拉出國研習心得分享

研習時間:1020605~1020611
研習地點: Singapore 新加坡
研習名稱: APASL Liver Week
研習類型:國際會議(發表論文)




My experience in participating in International Conference
From 7th to 10th of June I had a chance to participate in an International Conference which took place at the International Convention and Exhibition centre, Suntec city, Singapore. It was Asian Pacific Association for the Study of the Liver (APASL)’s conference with the subject “Transforming Science to Clinical Practice”. There were hundreds of participants from all over the world to share with each other their knowledge, experience and new findings, and to learn more about liver diseases such as chronic hepatitis B and C and their common complications like hepatic cirrhosis and hepatocellular carcinomas.
On the day 7th of June I had successfully presented two posters  titled “Hepatitis C virus infection further decreases serum cholesterol level and platelet count in patients with chronic hepatitis B” and “Chronic hepatitis B is associated with lower serum uric acid levels: A community-based study”.
During the conference days I have attended numerous lectures and presentations of outstanding medical doctors from different countries. In general, the presentations were about the advanced chronic liver diseases, their classification, pathogenesis, prognostics and new pathways in diagnostics and treatment. One of the most interesting presentations was the presentation of Dr. Wong F. from Toronto, Canada titled “New concepts in classification of clinical cirrhosis”. The key points of his lecture were that the classification of cirrhosis is evolving as the understanding of the pathophysiology of cirrhosis is improving and better diagnostic and treatment options are becoming available. The staging of cirrhosis as compensated and decompensated is becoming too simple. Moreover, the Child-Pugh classification does not really separate out the various grades of severely ill cirrhotic patients. For this reason the MELD score is getting over the Child-Pugh classification, especially for the allocation of donor organs. Ultimately, the author mentioned that the availability of new tools such as HVPG (hepatic venous pressure gradient) and liver stiffness measurements will improve prognosis prediction.
Another lecture which called my attention was by Dr. Wanless I.R. from Halifax, Toronto titled “New concepts in pathogenesis and regression of cirrhosis”. The important part of the lecture was that cirrhosis could regress on cessation of chronic hepatitis due to the processes such as decrease in-out-imbalance, regeneration and fibrosis resorption. However, it regresses but does not reverse into normal.
I’ve gained an enormous experience participating in this conference. Have acquired new understandings and widen my knowledge. Have communicated with the colleagues from all over the world and shared our experiences.
Besides the tight conference schedule, I could enjoy Singapore. It is very clean, tidy and busy place. The weather was very similar to Kaohsiung’s weather. I have visited the Merlion Park, the famous sightseeing spot with the Merlion statue which is the symbol of Singapore and the well-known tourist icon. Had an opportunity to view the laser show at Marina Bay Sands hotel.

In overall, I have enjoyed my trip to Singapore, since I have successfully presented two posters of mine, have learned a lot from the lectures and made a small sightseeing tour through Singapore. So I would like to express my sincere gratitude to KMU for making this trip possible.  

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