Friends of Schneider Children’s Cycle Challenge to benefit the children of Schneider Children’s September 2008 Continuing to Pedal for Children September 14-16, 2009 Pages 4-5 Transplants … And How! First in Israel: Multiple Organ Transplant Pages 8-9 Research with a View to the Future Page 12-15 Friends Activities Abroad UK, Australia, Italy and more Prof. Zvi Laron 2009 Israel Prize Laureate for Medical Research Magazine of the Association of Friends of Schneider Children’s (Reg. 580168987) Volume 3, August 2009 1 Opening Lines Looking Forward Everything for our Children This year, Schneider Children’s Medical Center of Israel marks its 18th year of practice and research. Since its inception, Schneider Children’s has spearheaded pediatric care in the country based upon medical and nursing excellence, comprehensive clinical and service-oriented approaches, development of new fields according to international standards, advanced medical technologies and basic and clinical research that is applied to ongoing treatment. At the same time, Schneider Children’s serves as a popular clinical training facility for the next generation of pediatric professionals and represents an authoritative professional resource for sub-specialization. Over the past year, and despite difficult global financial constraints, Friends of Schneider Children's widened the circle of donors and friends both in Israel and abroad. Among our important achievements was the establishment of "UK Friends of Schneider Children's Hospital" as a registered charity in the United Kingdom. Apart from our normal fundraising activities, we introduced new avenues for sponsorship, such as the Cycle Challenge, and a Happening in the Park for children with Williams Syndrome. The Hospital Administration, together with staff members, is currently preparing a Strategic Master Plan for the coming decade. The process examines future directions in child and adolescent care, emerging technologies, changing demography, and the hospital-community connection. These directions will be translated into a work plan for adoption in the coming years. In order to maintain our leadership and excellence in pediatric care after 18 years of operation, we must move forward with the introduction of the latest medical technologies, acquisition of new and advanced equipment, development and upgrade of existing infrastructures for departments, clinics and units, and an additional new building. These advances are absolutely vital for the improvement of patient care for both children and their families, and the enhancement of medical services. Fundraising efforts are aimed towards these objectives. On behalf of the hospital management team, I would like to express our deepest gratitude to all those who assist us in our efforts to mobilize the resources towards these important goals. Prof. Joseph Press, MD Director, Schneider Children’s Medical Center I wish to express my sincere appreciation to the Members of the Executive Committee, and to Ziva Caspi and Efrat Ozeri, for their tireless efforts which contributed so much to the success of our endeavors. Cycling for Schneider’s Children On the eve of Rosh Hashana, September 2008, Friends of Schneider Children's organized the first Cycle Challenge in order to raise both awareness and funds, and to provide staff with an opportunity to participate at a different level. Amazingly, the initiative came from an ardent admirer of Israel in Liverpool, Edward Denmark, and the Israeli Embassy in London. The three-day cycling event began in the Upper Galilee, passed through the Judean Hills and ended at Schneider Children's. Participants included a cyclist from England, a liver recipient from Switzerland and fifteen doctors and nurses from Schneider Children's. Some doctors' children also joined in on the third day. The closing ceremony took place in the presence of the British Ambassador to Israel, H.E. Tom Phillips, and Prof. Joseph Press. Two representatives from Claire House Hospice in Liverpool, joint beneficiary along with Schneider Children's of the event proceeds, also took part. We wish to convey our warm appreciation to all our sponsors, in particular BMI. On the wheels of success of the first Cycle Challenge, the second cycle ride will take place between September 14-16, 2009. We appeal to friends, businesses and cycling enthusiasts to participate in the event, mobilize sponsorships, and in this way help support the hospital and in turn, sick children. Happening for Children with Williams Syndrome A musical happening for children with Williams Syndrome was held in the Friends Park in Raanana at the initiative of the Behavioral Genetics Clinic at Schneider Children's headed by Prof. Doron Gothelf, and Beit Issie Shapiro. Children with Williams Syndrome have extraordinary music talents, and the happening gave them an opportunity to meet one another, improve their social skills through an enjoyable musical experience, and improve their self-image. The performance of percussionist Chen Zimbalista, communal dancing of the children and a circle of drummers contributed towards a wonderful afternoon for children and parents alike. “Williams Children” drumming at the Happening, Ra’anana Park Friends | Volume 3, August 2009 Friends of Schneider Children‘s (RO 580168987) 14 Kaplan St., P.O.B 559, Petach Tikva, Israel, 49202 Tel: 972-3-9253481 / 9221748; Fax: 972-3-9210784 Mobile: 972-50-7953638 Editor -in-Chief: Ziva Caspi Editorial Board: Cynthia Barmor, Riva Shacked, Ronit Singer Graphics and Production: Orit Mesika 2 Dr. Aviva Ron Chairperson, Executive Committee Friends of Schneider Children’s Medical Center in Israel President: Israel Makov Members of the Executive Committee: Dr. Aviva Ron (Chair) Danny Branitzky • Israel Ben-Yehuda • Frank Giron Rony Grynholc • Ronen Tov • Yoav Levy • Michal Modai Dalit Mechtinger • Tami Mildworth • Sarah Meltzer Zvi Maliniak • Nili Kariv • Ruby Shamir Interview with the President of Friends Connecting with a Source of Excellence Israel Makov, current Chairman of the Board of Directors of “Given Imaging”, Chairman of Netafim and former Director General of Teva Pharmaceuticals, was elected President in January 2008 at the Annual General Meeting of the organization of Friends of Schneider Children’s. In an interview with Mr. Makov for the 2009 magazine, he outlined his philosophy as President of Friends. When Dr. Aviva Ron approached you to join the organization, your response was positive. Why? Schneider Children’s Medical Center is a center of excellence in the field of pediatrics. Joining an organization that supports the important work of the hospital, assists in its development and helps to promote it as a center of excellence, is what led me to respond positively to their request. I found that I could lend added value to its achievements. The Chair of the Executive Committee, its members and activists have conducted daily operations for years. I cannot compete with this, but that added value that I am speaking about, and where I hope to contribute, is in the realm of strategic planning, decision-making, seeking optimal pathways, opening doors, and maximizing my network of contacts to benefit the hospital. I deeply admire Schneider Children’s, its continued medical accomplishments, its dedicated staff and its devotion to pediatric care. You have visited the hospital several times and met members of management, heads of departments and families. Was there a meeting that was particularly moving? During one of my visits in the Cardiac Intensive Care Unit, while listening to Dr. Ovdi Dagan about the functioning of his unit, a beautiful girl, aged 10, approached me, extended her hand and told me that she wants to thank me. In the same breath, she asked me if I know how to ski. I said yes concerning skiing, but waited to hear what she had thanked me for and why. The girl, Yael Aloni, wished to thank me because Friends of Schneider Children’s had enabled her to participate in a trip - due to leave a few days later - to the international ski camp for organ recipients in Anzėre, Switzerland. A contribution sent to Friends each year supports the participation of children with organ transplants in this camp for one week. Yael told me that she had undergone a heart transplant at Schneider Children’s when she was 8 years old and that now she was able to travel to the camp and learn to ski. Israel Makov and Dr. Tommy Schonfeld, Can there be anything more Director of the Pediatric Intensive Care Unit moving than such a lovely child with a new heart being able to have fun just like any other healthy child? This edition of the Friends magazine highlights the subject of organ transplants in children. Schneider Children’s is a national referral center for pediatric organ transplantation. This is a prime example of the excellence with which I wish to connect. What, in your view, is the role of Friends of Schneider Children’s? I believe that Friends of Schneider Children’s must assist the hospital in maintaining its status as a national center of excellence and the pioneer in pediatric care. I will do my utmost to contribute towards this objective. I think that we need to coordinate our efforts. By that I mean that our activities must connect with children themselves, with Israel Makov and heart recipient, Yael Aloni their world inside the hospital and with their activities. An excellent example is the exhibition of jewelry that took place under the auspices of Friends last year. I really liked the way students of jewelry design worked together with hospitalized children over a period of almost a year, and incorporated their ideas to produce unique pieces of gold- and silver-plated jewelry. This was an original and creative idea to connect with the world of the child. The exhibition and sale of the jewelry was an outstanding and important project for Friends. I was very impressed to see how a child’s drawing transformed into something very unique in the skilled hands of designers. How do you foresee progress and expansion of the organization’s activities? I place great importance on publicity and exposure about achievements of this nature. The right kind of exposure can make the difference. We should not be modest! We must publicize the organization's activities much more, particularly when they concern the treatment, recovery and protection of children’s health. We need to think of more ways to involve and attract new friends and supporters to our cause. People connect with success. I will be honored to become more involved in the future and to contribute as much as possible to every event organized by Friends on behalf of the hospital. I would like to take this opportunity to express my appreciation to the Management of Schneider Children’s for their superb accomplishments, to Dr. Aviva Ron for her leadership of the Executive Committee and her devotion and dedication to the goals of the organization, as well as to all our volunteers for their efforts on behalf of the hospital for the past 18 years. 3 Transplants...and How! Transplants in Children at Schneider Children’s – FACT! The vast majority of organ transplants in children in Israel are performed at Schneider Children’s Medical Center. Schneider Children’s is one of the few children’s hospitals in the world with the capacity to carry out simultaneous, multiple organ transplantations in children. The donation of organs on the one hand, and the professional skill of the team of transplant surgeons, anesthesiologists, intensivists, follow-up care specialists, nurses and paramedical staff on the other, give a new chance of life to infants and children needing transplant surgery. The Transplantation Service comprises a multidisciplinary team of specialists who have undergone advanced training abroad and have gained experience in this unique arena. Notification of the arrival of suitable organs for transplantation alerts medical teams and the surgical suite to move into action and prepare for a marathon of surgeries. Organ transplantation in children enjoys wide coverage in the media. Schneider Children’s believes that it has a vital role to play not only in performing transplantations but also in raising public awareness about the importance of organ donation in Israel. Over two hundred kidney transplants and tens of liver and heart transplants have been conducted already at the medical center. Schneider Children’s provides long-term follow-up care to organ recipients, as well as to those who underwent organ transplantation at other centers in the world. Just a Few of the Many Transplant Sagas 31 children underwent organ transplantation during the past year and gained new lives. Among those was the first multi-organ transplant in Israel (see next page) In 2006, a unique liver transplant was performed in an infant who suffered from a rare liver disease and was born with transposed internal organs. This was the first time that surgeons at Schneider Children’s conducted a transplant in a child with this condition, which required doctors to prepare for the operation in advance through consultations, simulations and preplanning of instrumentation needs, placements and procedural process. The rare operation was documented on film and broadcast on Israel TV’s Health Channel several weeks later. In 2008, one of a set of twins who were born in the 27 th week of pregnancy weighing only 1kg (2.2lbs), suffered from a congenital liver disease, and needed a new liver to survive. The baby underwent the transplant at the age of 6 months, and is the youngest liver recipient in the country. [ In 2007, a 5-year-old girl was transferred to the hospital in critical condition. She urgently needed a liver transplant. Her uncle, a popular soccer player, was found compatible and agreed without hesitation to donate a liver lobe. Although he lost the opportunity to sign up as a player for the Hapoel Ashkelon National League team, he saved his little niece’s life. [ The smallest liver recipient in the country [ In 2008, a rare transplant of both liver and pancreas was performed in a 12-year-old girl who had cystic fibrosis (CF), a multi-system disease manifesting itself in chronic lung disease, pancreatic dysfunction and as a result, insulin-dependent diabetes. After her liver deteriorated to the point of failure and exacerbated by unstable diabetes, the child had to undergo the complex transplant to save her life. This was the first transplant in Israel of both liver and pancreas in a child with CF. There are only 7 other known cases recorded in the world. The smallest heart recipient in the country In 2008, a new heart was transplanted into a 13-month-old infant, who suffered from cardiomyopathy (a potentially fatal disease of the heart muscle) and urgently needed a transplant to save her life. She is the youngest heart recipient in the country. 4 A rare liver and pancreas transplant in a 12-year-old girl Transplants...and How! First in Israel: Multi-Organ Transplant in a 16-Year-Old Girl The operation included the colon, small intestine, liver, stomach and pancreas The first National Unit for Colon Transplantation in children is currently being established at Schneider Children’s, and is aimed to provide a comprehensive response to children who have already had colon transplants and for those still waiting in line. The Unit will provide medical follow-up by gastroenterologists and nursing specialists as well as preparation for intensive care and specialized nutritional counseling. For the first time in Israel, a multi-organ transplant was performed at Schneider Children’s. The 16-year-old recipient underwent complex surgery for a new colon, small intestine, liver, stomach and pancreas. The transplant required special preparation by the medical teams, which included pediatric transplant surgeons, anesthesiologists, gastroenterologists, intensivists, nurses and dieticians. Colon transplantation is very rare and complicated, and demands specific skills and huge resources that only a few centers in the world can mobilize. 60% of all colon transplantations worldwide are conducted in children. Liraz-Nitzan Lechem, who had most of her colon removed as a small child, was altogether dependent on intravenous feeding, or TPN (Total Parenteral Nutrition). As a result of years of TPN, she suffered from recurrent infections, blood clots and clogging of the main arteries in her body leading to liver damage. As her health continued to deteriorate, her only hope for survival became a multi-organ transplant. Within a day, and mirroring a military operation, the transplant team led by a specialist from the United States - prepared for the complex operation. Liraz-Nitzan Lechem is discharged from hospital Until now, Israeli children who needed a colon transplant had to travel abroad to medical centers in the United States for the surgery, and return to Israel for follow-up care. In this case, advance preparation was done by the team in order to coordinate the process, conduct the complex procedure, and perform post-operative critical care. LiranNitzan was discharged several weeks later. ...and After the Transplant... Hosted in Pekiin When Liz Schick, who organizes the ski camp for organ recipients in Switzerland, visited Israel to participate in the cycle challenge for the hospital, she and 10 other organ recipients and their families were hosted by the family of heart recipient, Samah Gadban, in their home in Pekiin. Hospitality included a traditional Druze lunch, folk dancing and an interesting presentation about Druze traditions. This was a wonderful experience for both the children and the guests from abroad. Ski in Switzerland For the past four years, a group of Israeli children with organ transplants have enjoyed a week in a ski camp in Anzére, Switzerland, which hosts young organ recipients from all over the world. This tradition has been made possible through the continued generosity of an anonymous donor to Friends of Schneider Children’s. The group of 6 children was accompanied by family members and the Transplant Coordinator of the hospital and nurse, Rachel Bergerin. As they do every year, the children returned home elated by the wonderful experience and proved once again that “there is life after a transplant”. Not only that, but life filled with activity and fun. 5 The Gift of Life First in the World: 4-Month-Old Undergoes Defibrillator Implant A rare operation to implant a defibrillator (an internal resuscitation device) in a 4-month-old infant weighing 4kg (8.8lbs) was conducted successfully at Schneider Children’s. The infant suffered from severe cardiac arrhythmia resulting from cardiomyopathy (a disease of the heart muscle), and was in danger of losing her life. There are only a few recorded cases in the world of defibrillator implants in infants and children weighing less than 20kgs (44lbs), but none of a baby weighing so little. The decision to proceed with the implant despite the infant’s age and weight was made by Dr. Einat Birk, Head of the Pediatric Cardiology Institute and Dr. Rami Fogelman, Head of the Electrophysiology Unit. The procedure posed certain technical challenges since the defibrillator is designed for adults. The producers, Medtronic, had to readjust and reprogram the device to suit the infant’s age and size. The two-hour operation was conducted by Dr. Gabi Amir and Dr. George Frenkel, senior cardiac surgeons at Schneider Children’s, who placed the defibrillator along the infant’s abdominal wall. Two electrodes were inserted inside the heart lining and a third conduction coil next to the perimeter of the chest cavity. This is contrary to the accepted procedure in adults where all three electrodes are placed inside the heart lining. X-ray showing the defibrillator in place The defibrillator will track the electrical activity in the child’s heart and respond automatically to any life-threatening interference, and where necessary, send an electric shock to her heart to normalize the heart beat. Reduced Radiation Imaging Children are especially prone to the cumulative effects of x-rays and other ionizing radiation technologies; Schneider Children’s recently introduced the newest digital device that reduces up to 90% of the radiation absorbed by the body during screening. Some x-ray imaging exposes the child to a high amount of radiation that can harm human tissue and cause minute changes to the DNA, raising the risk of late cancers. Recently, Schneider Children’s introduced the use of new digital imaging equipment, which can reduce the radiation dosage absorbed by the child’s body. The new system is called Double Density CR technology that doubles the sensitivity detection of x-ray radiation and reduces exposures to 25% or less. A processor scans the x-ray image through special laser illumination, which finally appears as a computerized digital picture that can be viewed and stored electronically. At the same time, Schneider Children’s introduced a new diagnostic imager where the examination area is ‘illuminated’ during real-time fluoroscopy (screening) through very short pulses of x-ray radiation, as opposed to continuous radiation with the existing fluoroscopy machine in use. In this way, radiation to the child is reduced by up to 90% during screening. “The new detectors, the sophisticated scanner and the digital x-ray processing contribute to a reduction of radiation by tens of percent,” said Prof. Gadi Horev, Director of the Institute of Pediatric Imaging at Schneider Children’s. “This is of critical importance particularly in the case of premature infants who need to have x-rays almost daily. There is also the danger that children will absorb greater amounts of radiation as their sensitivity is ten times higher than adults.” 6 Schneider Children’s made the complete changeover to digital technology more than 10 years ago. The new equipment is in keeping with the directive issued at the beginning of this year by Israel’s Ministry of Health, which stipulated that exposure to x-ray radiation must be reduced as far as possible through digital recording media, shorter exposure times, meticulous use of protective devices, and new machinery that emits less radiation. The Gift of Life HHT Treatment Center Experts Save the Sight of Two Children A unique center for the treatment of HHT (Hereditary Hemorrhagic Telanglectasia), or Osler-Weber-Rendu (OWR) named for three doctors who described HHT, opened at Schneider Children’s in September 2008 as part of the Pulmonology Institute headed by Prof. Hannah Blau. The Unit is the first of its kind in Israel and serves as a national referral center. It is one of only 29 centers in the world. Pediatric ophthalmologists at Schneider Children’s managed to save the eyesight of two children who were in danger of losing their sight following the use of night contact lenses. The children, aged 9 and 10, arrived within days of one another at the hospital’s Emergency Room suffering from acute bacterial infection which had penetrated the inner eye. The children were hospitalized and treated by Dr. Moshe Snir, Director of the Pediatric Ophthalmology Unit at Schneider Children’s, and Dr. Ronit Freeling, senior ophthalmologist. Intravenous antibiotics and antibiotic eyedrops were administered until they recovered. Both children were discharged a few days later. HHT is a genetic disorder where distended blood vessels connected to the arteries and veins of the various organs in the body lead to recurrent hemorrhaging and nosebleeds (usually familial), and can cause a stroke, bleeding in the lungs and respiratory failure in children and adults. The majority of sufferers do not know that they have the disease and suspicion is usually aroused when bleeding is excessive. It is important to note that most cases of nosebleeds are not connected to HHT. Dr. Moshe Snir For Peace of Mind The disease, which can be a “ticking time bomb”, is prevalent in about 0.02% of the population. HHT is not always diagnosed because of lack of knowledge about the anomaly and because symptoms can appear in different areas and organs in the body. Psychologists from Schneider Children’s Go South Due to the security situation prevailing for years in southern Israel, psychologists from the Anxiety Clinic, headed by Danny Lotan, extended their activities to villages and towns in the Negev, and specifically in Sderot. Through use of a targeted technique and biofeedback methodology to reduce fear and trauma, psychologists provided individual therapy to children and their families in three kindergartens in the town, and at the psychology center and the Regional Council of Sdot Negev. The team conducted interventions in shelters where necessary, in order to treat affected children in real-time. One of the objectives in establishing an HHT treatment center at Schneider Children’s is to raise awareness with the aim of preventing severe complications that can result from the disease. The center was established with the assistance of Dr. Robert White of Yale University, a renowned specialist in the treatment of HHT, who seeks to establish other specialized centers for treatment of the disease around the world. The meetings helped children cope with their feelings and understand their physical reactions such as trembling, stomach aches, headaches and problematic sleep patterns. Children were taught ways to defend themselves against stress and fear. The clinical activities of the psychology team in Sderot were made possible through funds raised by Friends of Schneider Children’s and the organization of friends of the Department of Psychological Medicine abroad. International Outreach Oncology as Far as Uruguay A delegation of doctors and nurses from Schneider Children’s participated in the second joint South American-Israel Conference in Pediatric HematologyOncology in Montevideo, Uruguay. The second joint South American-Israel Conference in Pediatric Oncology took place last August in Montevideo. The Israeli delegation, led by Dr. Isaac Yaniv, Director of the Hemato-Oncology Department, included another six doctors and nurses from the department. During the three days of the conference, the Israeli delegation made presentations in Pediatric Oncology based on their experience in Israel and suggested various ideas to improve the infrastructure and care of children with cancer. The conference, which took place at the initiative of the Bnai Brith organization and the Israeli Foreign Ministry, received broad exposure in the local media and concluded with a festive dinner in honor of the Israeli delegation at the home of the Israeli Ambassador in Uruguay. Once again, the name of the Hemato-Oncology Department at Schneider Children’s precedes it. L-R: Dr. Luis Castillo and Dr. Isaac Yaniv 7 Research with a View to the Future Prof. Zvi Laron – 2009 Israel Prize Laureate for Medical Research Prof. Zvi Laron, founder of the Institute of Endocrinology and Diabetes at Schneider Children’s, was awarded the 2009 Israel Prize for Medical Research. Prof. Laron was recognized for his groundbreaking studies on growth hormone activity, which influenced the treatment of children of short stature. His findings were and are considered medical milestones to this day. Prof. Laron was the first person to develop a multidisciplinary model for the treatment of childhood diabetes, and established and developed the largest center in the country at Schneider Children’s for the treatment of childhood diabetes. In his basic research concerning growth hormone activity, Prof. Laron identified molecular defects of the pituitary growth hormone receptor in a certain population of children of short stature which he later described in 1966. It is known today as the “Laron Syndrome”. Prof. Laron headed the Institute for Endocrinology and Diabetes at Schneider Children’s until his retirement in 1992. With the opening of the medical school at Tel Aviv University, Prof. Laron was first appointed associate professor and then full professor, and participated in formulating the course in Pediatrics, where he still teaches. Since 1992, Prof. Laron has served in a volunteer capacity as the Director of the Endocrinology and Diabetes Research Unit at Schneider Children’s. Prof. Laron’s work has won him international renown as well as many awards, among them honorary doctorates from three universities in the world. He is also a member of the Scientific Academy in Germany. At a special ceremony arranged by the hospital’s management in his honor, Prof. Moshe Phillip, current Director of the Institute of Endocrinology and Diabetes at Schneider Children’s, paid tribute to the enormous contribution made by Prof. Laron to the field of pediatric endocrinology, and the huge acclaim he is accorded by medical and academic institutions in the world. L-R: Prof. Zvi Laron and Prof. Joseph Press A Gift for the Present with a View to the Future Schneider Children’s, as a leading pediatric institution, aspires to new breakthroughs in the treatment of children with complex diseases through expansive research studies. The Research Unit in the hospital, headed by Prof. Shai Ashkenazi, supports every stage of research – from proper planning and implementation according to the highest standards, to data analysis with advanced statistical tools, and finally, collation of findings. The Unit has supported many studies, some of which have resulted in new therapies for children. The activities of the Unit, which provides a research framework for residents and young investigators in the hospital, is supported by funds raised by Friends of Schneider Children’s from several donors including the Bachrach Foundation in Australia, and Alan Fenton of Switzerland who donated previously towards the construction of the Felsenstein Medical Research Center adjacent to Schneider Children’s. 8 Prof. Joseph Press, Director of Schneider Children’s, said that “Schneider Children’s is enormously proud that Prof. Laron has been awarded the Israel Prize for Medical Research in recognition of his great achievements. Prof. Laron is the second laureate from Schneider Children’s. Four years ago, the late Prof. Rina Zaizov, founder of pediatric hematologyoncology in Israel, was awarded the Israel Prize, and there can be no greater source of pride for the hospital.” Yisher Koach Prof. Laron! The Institute of Endocrinology and Diabetes joins the Prestigious Artificial Pancreas International Project The Institute of Endocrinology and Diabetes recently joined the prestigious artificial pancreas international project following receipt of a oneyear grant of over $3 million from the international Juvenile Diabetes Research Foundation. The initiative resulted from the collaboration between the Sansum Diabetes Research Institute headed by Dr. Lois Jovanovič, from Santa Barbara in California, and the Diabetes Technology Center (DTC) within the Institute of Endocrinology and Diabetes headed by Prof. Moshe Phillip. Prof. Moshe Phillip The Institute is the only center in Israel that has been included in this distinguished project. The DTC is staffed by a team of doctors, nurses, engineers and a research coordinator. Their objective is to “close the loop” between the sensor used in glucose testing and the insulin pump, so that precise amounts of insulin will be delivered in real-time as needed without any action by the patient, in effect creating an “artificial pancreas”. The aim is to free diabetics from glucose testing and multiple injections, thus significantly improving their quality of life. Research with a View to the Future The Sanctity of Life – Second Grant from the Racheli Foundation Two years ago, the Bezalel Family from Petach Tikvah established an endowment fund for pediatric cancer research through Friends of Schneider Children’s in memory of their daughter Racheli. The 2008 annual grant was awarded to Dr. Shifra Ash, for her research on immunology treatment through activating the immune system in Neuroblastoma tumors. L-R: Members of the Bezalel Family, Prof. Joseph Press, Dr. Shifra Ash, Judge (ret.) Yitzhak and Rina Braz and Dr. Isaac Yaniv Biennial Research Day In 1999, Schneider Children’s launched the first Biennial Research Conference. Colloquially known as “Research Day”, the conferences are aimed at underscoring Schneider Children’s mission to spearhead clinical pediatric practice in Israel as well as pediatric research and education. A research grant sponsored by Friends of Schneider Children’s was awarded on Research Day to Dr. Meital Keidar-Ronet for her research on the Relationship of Endothelial Factors to Aterosklerotic Disease in Children with Kidney Transplants. Schneider Children’s fifth Biennial Research Day was dedicated to the memory of Yehuda Matoth ז"ל, one of the pioneers of pediatric medicine in Israel and founder of the Children’s Department at Beilinson Hospital, forerunner of Schneider Children’s. The central theme of Research Day was the encouragement of research among young investigators. Presentations included advanced and varied research methods that have been adopted by the hospital such as progressive molecular technologies in genetic testing, neurophysiological methods in the study of hearing impairments and multidisciplinary approaches in bereavement research. Research Day was organized by the Research Committee headed by Prof. Doron Gothelf, Director of Outpatient Clinics in the Department of Psychological Medicine. L-R: Dr. Aviva Ron, Prof. Joseph Press, Dr. Meital Keidar-Ronet, Prof. Doron Gothelf First Research Grant from the Major Udi Winter Endowment Fund A Research Endowment Fund in memory of Major Udi Winter, who was killed in the Peace for Galilee War, was established through Friends of Schneider Children’s. Frieda and the late Efraim Winter are treasured volunteers of the hospital for many years. Efraim passed away a year ago following a difficult illness, but Frieda continues their tradition of volunteer activity with great passion. The first grant from the Major Udi Winter Endowment Fund was awarded on Schneider Children’s Research Day to Dr. Yael Gozlan concerning her research on the Genetic Mutational Influence on the Development of Diabetes Type MODY. The ceremony was attended by Frieda Winter and family members. L-R: Dr. Yael Gozlan, Dr. Aviva Ron, Dani Winter and Prof. Joseph Press 9 Construction and Development Revamped Oncology Department The Oncology Department and the Bone Marrow Transplantation Unit (BMTU) returned to their permanent location on the 7th floor of Schneider Children’s in February 2009 following a lengthy overhaul. Reconstruction included extensive infrastructure work in order to improve patient safety and upgrade state-of-the-art conditions for children with cancer. Five new isolation rooms were built in the BMTU together with showers and washrooms, where advanced air flow filter systems were installed to protect immunosuppressed children from infection. The Department comprises 22 beds. All patient rooms were renovated; two were transformed into isolation rooms. New systems for electrical supply and air-conditioning were installed throughout the Department and a new pharmaceutical room built that will serve both Oncology and BMT patients. The room applies the most advanced ergonomic responses for nurses preparing medications. Reconstruction and the acquisition of new equipment were made possible by Clalit Health Services and designated contributions by friends of the hospital. The project also gained the support of the Israel Company in cooperation with the Variety Club, whose donation to Friends of Schneider Children’s was directed towards renovation and equipping the Activity & Education Room in the Department. The first child enters the new Oncology Department The new bone marrow laboratory will provide services to Schneider Children’s and the adjacent adult Davidoff Center. The laboratory was outfitted with the latest instrumentation and technologies available today. Second Cardiac Catheterization Lab A second catheterization laboratory has been opened in the Pediatric Cardiology Institute headed by Dr. Einat Birk. The lab has been outfitted from A to Z with the most advanced equipment for the performance of cardiac catheterizations and angiographies in children, and will jointly serve cardiology and invasive radiology needs. Both cardiac catheterization labs constitute an entity capable of treating the most complex conditions. The new equipment not only utilizes less radiation, but also produces quality 3-D images of the vascular system thus according more precise treatment. The opening of a second cath lab will also reduce waiting time for cardiac catheterizations and electrophysiological procedures. Construction and equipping of the new laboratory was funded mainly by a large bequest from the United States. Relocated Day Care Hospitalization The Day Care Hospitalization Unit, headed by Dr. Avraham Zeharia, moved this summer to its new location. The Unit offers day care to children with complex conditions and chronic diseases, infants with eating and developmental disorders (Failure To Thrive or FTT), adolescents with eating disorders, and more. The new location includes a spacious treatment room, a fully equipped activity and relaxation room for adolescents, and a “picnic room” for children with FTT . Construction was supported by the hospital’s development fund and contributions from the United States, including a gift from the Crown Family Foundation to Friends of Schneider Children’s. The Crown Foundation has been a steadfast and generous supporter of the hospital since its inception. 10 Music in our Hearts Maestro Muti Maestro Riccardo Muti was surprised by children from Schneider Children’s at a concert of the Israel Philharmonic Orchestra The Italian conductor, Riccardo Muti, who conducted a special concert that took place as part of a series of performances by the Israel Philharmonic Orchestra in honor of Israel’s 60th Anniversary, and violinist Vadim Repin contributed their honoraria from the concert to benefit children of Schneider Children’s. This was the second time that Maestro Muti has contributed his honorarium from the Israel Philharmonic to benefit sick children. The Maestro was surprised when patients of Schneider Children’s – liver recipients, Rola Abbas from Julis and Shai Barkana from Pardes Hanna - came onstage and presented a certificate and bouquet of flowers to the Maestro. In a conversation with the children, Maestro Muti was amazed to hear that Rola has been studying the piano for the past 7 years and encouraged her to continue to keep up with her lessons. Maestro Muti with Rola Abbas and Shai Barkana From Austria with Love The “Spirit of Europe” Chamber Orchestra from Austria returned to play once again for the children of Schneider Children’s and this time to mark the 60th Anniversary of the State of Israel Under the patronage of the Austrian Ambassador to Israel, H.E. Michael Rendi, a Gala Concert featuring the “Spirit of Europe” Chamber Orchestra from Austria, under the baton of Ronen Nissan, took place in Herzliya to benefit Schneider Children’s Day Care Rehabilitation Unit. This was the second performance of the orchestra in Israel on behalf of the medical center, this time in celebration of Israel's 60th Anniversary. The special concert was the initiative of Mr. Arad Benko, Director of the Austrian Cultural Forum at the Austrian Embassy in Israel, Mr. Yehuda Kassif, former CEO of the Diamond and Gem Exchange, and Friends of Schneider Children’s. Distinguished guests included Amb. Rendi, Herzliya Mayor Yael German, and Prof. Joseph Press, Director of Schneider Children’s. The “Spirit of Europe” Chamber Orchestra was founded in 2004 to mark the expanded European Union. The orchestra’s specialty is its inquisitive and open spirit in the belief that the integration of different cultures contributes towards the enrichment of citizens everywhere. The Day Care Rehabilitation Unit at Schneider Children’s treats children and adolescents who need broad multidisciplinary rehabilitation following injuries from road accidents, severe illness or complex surgery and have lost their ability to function. Children undergo rehabilitation for a pre-determined period at the medical center, without the need for full hospitalization. This unique framework inside the hospital is possible due to the immediate accessibility and professional support of all outpatient clinics and consultants so that youngsters can undergo rehabilitation while staying at home. 11 Friends Across the Oceans The United Kingdom Raises the Banner London Races Ahead The road to establishing UK Friends of the hospital started in London three years ago, when Howard Sherbourne ran in the London Marathon and raised money from sponsorships for Schneider Children’s. In November 2007, also at the initiative of Howard, Friends of Schneider Children’s in Israel participated in the Fair organized by the Jewish Federation in London to mark the 60th Anniversary of the State of Israel. As a result of encounters and conversations between representatives of Friends and visitors to the event, new contacts were made with a number of people including the four grandparents of a child undergoing treatment in the Oncology Department at Schneider Children’s (see accompanying story). Today, UK Friends of Schneider Children’s Hospital is a registered charity and all members and activists are volunteers. Since its founding, UK Friends has organized five meetings and fundraising events with substantial income raised for designated objectives, such as the acquisition of a spectrophotometer for the Oncology laboratory, three PCAM devices for the treatment of pain, and infusion pumps, among others. Dr. Isaac Yaniv, Director of the Hemato-Oncology Department, members of UK Friends of Schneider in London, and Ziva Caspi, Coordinator of Friends of Schneider Children’s, at the Ner Israel Community Hall in Hendon Young UK Friends Gabi Tenenblat, who attended the inaugural UK Friends of Schneider evening, was so motivated by the event that she wanted to start a Young UK Friends committee. This came to fruition on July 16, 2009 when Gabi and some of her friends held their first social event at a local wine bar called The Garden Bar in West Hampstead, London. Young UK Friends of Schneider Children’s Hospital was born. Over 100 young professionals aged 20 to 30 had a fun social evening and also learned about the hospital’s activities. A total of £700 was raised from generous donations including a raffle for a meal for two at a high-end restaurant. The evening was a great success despite inclement weather in true London style. Gabi and her friends intend to host more events in the future to raise money “for a welldeserved cause”. As we go to press: Gabi will be running in the upcoming Adidas Women's 5K run in Hyde Park, on behalf of UK Friends of Schneider Children’s Hospital. 12 Friends Across the Oceans UK Friends of Schneider Children’s Hospital In July 2006, we received the devastating news that our one-year-old grandson Ze’evi who lived in Israel, had been diagnosed with cancer. From this point on, our son and daughter’s lives were turned upside down as they made their often daily visit to Schneider Children’s Hospital for Ze’evi’s treatment. We made numerous trips to Israel to visit out grandson during those tumultuous 20 months and spent many days with him at Schneider Children’s during his treatment. We therefore wanted to show our appreciation for the hospital and hence the UK Friends of Schneider Children’s Hospital was born. The committee was formed in early 2008 when we and other like-minded and passionate supporters of the hospital came together to decide how we could raise money for this worthy cause. We set about applying for and received charitable status a year later in February 2009. We held our first function in November 2008 when over 200 people attended an art presentation and supper evening. Dr. Isaac Yaniv, Director of Oncology at Schneider Children’s, was our guest of honour. We showed a DVD about the hospital and after an entertaining and informative evening, successfully raised over £6,000. Our next fundraising event in May 2009 was a “Just Desserts Evening”. Our guest was Shmuel Ben Tovim from the Israeli Embassy, and the evening raised over £3,500. In June 2009, over 200 people attended a very successful supper quiz raising both awareness about Schneider Children’s and over £4,000. In addition to these events, a number of people have chosen to support Schneider Children’s in lieu of gifts for celebrations; for example, donations to honour a golden wedding anniversary, a 60th birthday, a 90th birthday and a ruby wedding anniversary. From these fundraising initiatives, we have managed to raise enough money to buy a spectrophotometer costing $22,000 (over £13,000), which will help in identifying and diagnosing blood disorders. Additionally, we have raised awareness of Schneider Children’s within the UK and have started setting up a database of email addresses of interested supporters. Our future plans include contacting Jewish Day Schools in order that they may consider choosing Schneider Children’s as their charity for the year and direct their fundraising initiatives towards helping this worthy cause. We are also planning another fundraising event during Channukah. We are pleased that a young UK Friends of Schneider has been formed under our auspices, and that they had their first event in July at a wine bar. We are always very happy to welcome new volunteers to join us in our efforts. If you are interested in participating on our lively and passionate committee, or if you just wish to add your details to our database in order to find out about our upcoming events, please contact: • Cynthia Roberts [email protected] • Zena Berhman [email protected] 13 Friends Across the Oceans Steadfast Support from Australian Friends Melbourne – Persistence and Perseverance Message from Annie Silver Dear Friends, I wish to express my warmest appreciation to all our wonderful supporters and new friends, who shared their happy events with us and made generous contributions throughout the year. In so doing, you have shown compassion and caring for sick children being treated at Schneider Children’s Medical Center of Israel. Australian Friends is unique among local charities as it sends 100% of all donations directly to Israel. We hope to broaden our scope of activities in the coming year and raise even more funds to fulfill the promise of a better future to sick children in Israel. With sincere gratitude, Annie Silver [email protected] For the past 8 years, a small but determined group of friends has been operating in Melbourne headed by Annie Silver, who avidly raises funds on behalf of Schneider Children’s. Step by step, Annie has drawn friends to the hospital through her tireless activities including a breakfast at her home in honor of Prof. Hannah Blau, Director of the Pulmonology Institute at Schneider Children’s; distribution of promotional material; and presentations in schools. Annie has succeeded in mobilizing tens of thousands of dollars every year towards designated projects. Perhaps her efforts can best be illustrated by the contribution of Sascha Lissek, who donated her Batmitzvah gifts to purchase medical equipment in the Pediatric Intensive Care Unit at Schneider Children’s. Sascha, a pupil at the Bialik College in Melbourne, followed the example of other students in the school and adults in the Jewish community, who contributed monetary gifts received at milestone family events. Annie also contacted several foundations such as the Bachrach Foundation, which makes annual contributions to a variety of needs: social services, children at risk, and the research unit; the Pe’ula Organization, which made a donation to the Anxiety Clinic activity in Sderot; and the B’nai B’rith Lodge & Chapter Aviv which supported the acquisition of an ophthalmoscope. A generous donation to benefit the Rehabilitation Unit was made by Mike Raiman from the estate of his late uncle, Leon Waldman, as a fitting tribute to his enduring love of children and commitment to Israel. Schools Program: Children Helping Children Sascha Lissek and her mother, Danielle, alongside an infusion pump donated by Sascha Kudos to all the school children at Moriah College in Sydney and Bialik College in Melbourne for their marvelous and enduring friendship! Our particular gratitude and admiration is extended to all Bnei Mitzvah who selflessly asked friends and family to donate to Schneider Children’s in lieu of gifts. Abraham and Peg Cykiert Abraham and Peg Cykiert, devoted donors from Melbourne, passed away this year. Abraham generously sponsored the acquisition of equipment in the Pulmonology Institute at Schneider Children’s, in memory of his family who perished in the Holocaust. Their love for Schneider’s children and their deep regard for the medical achievements of the hospital were further expressed by a handsome bequest they left to the hospital. Abraham Cykiert, a Holocaust survivor, wrote and lectured at great length about the Holocaust. Among his writings, he penned a moving account about the Jews in the Lodz Ghetto. He passed the pages into the loyal hands of Dr. Aviva Ron, with the request that the story be printed and published. Proceeds from the sale of the book will benefit the children of Schneider Children’s. 14 Abraham Cykiert at the dedication ceremony of the Lung Laboratory Friends Across the Oceans Mexico On the occasion of her Batmitzvah, Dafna Buchwald donated a portion of her gifts towards the purchase of an LCD TV for the Oncology Department. The Buchwald Family visits Schneider Children's The Nurses Station in the Cardiac Intensive Care Unit (CICU) was sponsored through the generous contribution of Tessy and Abraham Attias of Monterey in Mexico in honor of the 18th birthday of their daughter Stefani, as an expression of their high ideals about giving to others. L-R: Dr. Ovdi Dagan, Head of the CICU Unit, Miri Keller, former Head Nurse in the Unit, Stefani, Abraham and Tessy Attias, Prof. Joseph Press Additional indispensable pieces of equipment were purchased through the other generous contributions from Mexico: two infusion pumps for the Oncology Department were donated by the Shemaria family, and instrumentation for the Cardiac Electrophysiology Unit was funded by members of the Wengrowsky Family. Belgium Italy Yehuda Dichter from Belgium established a Fellowship Fund for Pediatric Hematology in memory of his wife, Sophie Bronstein-Dichter. This is the third consecutive year that Torino Friends of Schneider Children’s, headed by Nora and Aron Bengio, organized a Purim party where the aim was to have fun but above all, to contribute to the children of Schneider Children’s. Dr. Aviva Ron, Chair of the Executive Committee, took part in the celebration. Purim masks, made by hospitalized children, were distributed to all the guests. L-R: Prof. Joseph Press, Fanny (granddaughter) and Yehuda Dichter, and Prof. Hannah Tamary, Director of the Hematology Unit Torino Friends celebrate Purim Personalized Certificates Just as Annie Silver has done so successfully in Australia, other countries are following suit by issuing personalized certificates in recognition of all contributions. The certificates not only win us new friends through the acknowledgement of the donor’s generosity, they also serve as meaningful and unique greeting cards. That the ultimate benefactors are sick children in Israel, makes personalized certificates a special gift. 15 Pedalling for Children When the idea for the first Cycle Challenge was “thrown” into the air in the summer of 2008, the organizers had no idea that this event would become a tradition of Schneider Children’s that would repeat itself every year. A small group of cyclists, among whom were pediatricians, surgeons, anesthesiologists, members of Management, two past employees of the hospital and children of doctors, joined together for the cycling experience which left them with a taste for more. Dani Bazner, Director of the Tzimuk Company, promised that the first Cycle Challenge would become the forerunner of the next, and the one after that. “Just you wait and see”, he said. And he was right! Not only is the second cycle planned but our cyclists, including Liz Schick from Switzerland, will be participating again. The second Cycle Challenge will take place between September 14-16, 2009. As always, the objective of the Cycle Challenge is to serve as a fundraising vehicle for the children of Schneider Children’s. 16
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