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    16th Baltic Course in Clinical Nutrition / Program

    Nutrition Care for All Ages (August 18–19, 2025)

    August 18.–19, 2025
    16th BALTIC CLINICAL NUTRITION COURSE/ 1st JOINT COURSE WITH PICUs Targeted Optimal Nutrition Care for All Ages 18.-19. August 2025 LaSPA Laulasmaa
    Registration open: Available for 75 participants; Free registration: 5 participants from each Baltic country (EST, LAT, LIT) – applications/registration due by 30.06 via web page. If no free applicants from country, places are not redistributed. For free participant selection (if more than 5 applicants per country) a 1-10 score is awarded by Org committee and society representatives based on following criteria: input/action for the development of CN on local/country level, young practitioner/scientists (under 35), no prior supported participation + places will be equally distributed for all fields and ranks of medicine based on the no of applicants incl support team members: doctors, residents, young practitioners, nurses, etc. Selection of free participants and confirmation to applicants will be sent by organizing Committee by 01.07. Local Organizing Committee: Beata Hanesoo, Birgit Kiilaspää, Angelika Lall, Karmen Koppel, Liise Verpson, Hanna-Liis Lepp
    FACULTY:
    Michael Hiesmayr, Prof MD PhD, head of NC in Vienna Medical University, Nutrition Day Study, AUS Simon Lal, Prof. MD PhD, Head of Salford Trust CIF Unit, Gastroenterologist, Salford TRUST, UK
    Nada Rotovnik-Kozjek, Prof, MD, Head of NC and CIF Centre Slovenian Cancer Institute, SLO
    Oivi Uibo, Ass. Prof, MD PhD, Tartu University Clinic, Tartu, EST
    Alastair Forbes, Prof. MD PhD, Head of Clinical Nutrition Masters Programm, Visiting Professor at University of Tartu, EST
    Joel Starkopf, Prof, MD PhD, Tartu University Clinic, Tartu, EST
    Johanna Hade, MD- Head of Pediatric ICU, Anesthesiologist and Intensive Care Specialist, Tallinn Childrens Clinic, EST
    Aleksandra Šilova, MD- General and Pediatric Surgeon, Tallinn Childrens Hospital, EST
    Andrius Klimašauskas, Prof, MD, PhD,Vilnius University Hospital Santaros Clinic, LISPEN president, LIT Hanna-Liis Lepp, MD, Head of Clinical Nutrition Unit, North Estonia Medical Centre; ESTSPEN president, EST
    ROUNTABLES & MODERATORS:
    Pia Nikander, MSc, Clinical Dietician, Helsinki University Central Hospital; FIN
    Kirstine Farrer, Consultant Dietitian-IF Centre, Salford TRUST, UK
    Justė Parnarauskienė, Dietologist, Vilnius, Santarios hospital, LIT
    Vera Grineva, Chief Dietitian, LASPEN president, LAT
    Galina Kappo, Bs, Nutrition Nurse, Clinical Nutrition Specialist, North Estonia Medical Centre, EST
    Birgit Kiilaspää, Bs- Head Nurse in the Department of Anaesthesiology and Intensive Care, Tallinn Children’s Hospital, EST
    Laura Orav, MSc, Clinical Pharmacist, North Estonia Medical Centre and Tallinn Children’s Hospital, EST Kairi Marlen Antoniak, PharmD, Clinical Pharmacist, Tartu University Hospital and East Tallinn Central Hospital, EST
    Grete Kurik, Bs, Clinical Nutrition Scientist, EST
    Kadri Bobrovksi, Bs, Clinical Nutrition Specialist, EST
    Beata Hanesoo, Ms, Clinical Nutrition Specialist, EST
       
    Early arrival of participants/speakers recommended to enjoy the beautiful Baltic region – we recommend extending your stay at the Baltic Sea for a satellite weekend
    Day 1: Monday 18 August 2025
    09.00-10.00 (60min)Arrival of participants/speakers/ registration & coffee
    10.00-10.20 (20min)WelcomeDr Hanna-Liis Lepp, EST Ms Vera Grineva, LAT Prof Andrius Klimašauskas , LIT Dr Johanna Hade, NICU, ESTTo introduction and welcome the participants from Baltic Societies (a5min) and organizing committees
    10.20-10.50 (30min)It All Starts Where It EndsProf Michael Hiesmayr [confirmed]To know how to set and measure targets (long- and short-term effectiveness outcomes) in nutrition care interventions (n acute and chronic patients, young and old).
    Targets in Theory – Optimal Balance for All Ages
    Session I:  Optimal Targets for Optimal Functions Moderators: TBA
    10.50-11.10 (20min)Out In the Water – How Much Fluid and Electrolytes For A Paediatric Patient?Dr Johanna Hade [confirmed]To know how the needs of fluids and electrolytes To know the methods for assessment of optimum fluid balance while treating paediatric patients To understand the  
    11.10-11.30 (20min)Avoiding Droughts and Floods in Adult CareProf Joel StarkopfTo know the recommendations for fluid and electrolytes provision in treating adult patients in different clinical situations  To know the methods to assess and measure fluid balance To know the methods for balanced replacement of fluids and electrolytes
    11.30-11.50 (20min)Optimal Feeding for Brain Takes Guts – Energy and Protein for AdultsProf Nada Rotovnik-Kozjek [confirmed]To know the needs for energy and protein for different adult patient groups To know the methods for assessment of under/over provision of energy and protein in adult patients
    11.50-12.10 (20min)Taking it Personally- Goals and Practice of Energy and Protein Provision in PaediatricsTBATo know the needs for energy and protein for different paediatric patient groups To know the methods for assessment of under/over provision of energy and protein in children
    12.10-12.30 (20min)Q&A for panelistsJohanna, Joel, Nada 
    12.30-13.00 (10+10+10min)MICRONUTRIENTS: TO MEASURE OR NOT TO MEASURE?Prof Alastair Forbes Prof Simon LalPro and Con Debate on Assessment and Measuring of Micronutrients
    13.00-14.00 (60min)Lunch
    LLL + PARALLEL WORKSHOPS I-II: Targets in Practice – Measuring Real Targeted Outcomes: Body Composition, Fluid Status, Electrolyte and MN Balance Moderators: TBA
    14.00-15.15 (75min)WS GROUP I – Nutritional Assessment and Techniques   ASSESSMENT OF NUTRITIONAL STATUS and MAKING NUTRITION CARE PLANMs Kairi Marlen Antoniak or Laura Orav and Ms Pia Nikander or Ms Kerstine Ferrer [confirmed]To know the methods for clinical assessment of malnutrition To learn how to make a personalized nutrition care plan To understand the theoretical calculations in practice of energy, protein and fluid balance assessment To know how to interpret different lab results in practice To understand the role of a dietitian and clinical pharmacist in the nutrition care team
    14.00-15.15 (75min)  WS GROUP II – BODY COMPOSITION in THEORY AND PRACTICEProf Nada Rotovnik Kozjek [confirmed] & Dr Goran Kozjek ?  To know the methods for measuring body composition in practice To understand the theory and practice of fluid balance measurement and assessment with BIVA To understand the use of US in measuring muscle mass To know how to interpret different results in practice
    15.15-15.45 EXCHANGE OF LOCATION/ Espresso Macciato
    15.45-17.00 (75min)WS GROUP IMs Kairi Marlen Antoniak or Ms Laura Orav & Ms Pia Nikander or Ms Kerstin Ferrer [confirmed] To know the methods for personalized nutrition care plan To understand the practice of fluid balance assessment To understand the role of a dietitian and clinical pharmacist in the team To know how to interpret different lab results in practice
    15.45-17.00 (75min)WS GROUP IIMs Grete Kurik & Prof Alastair ForbesTo know the methods for measuring body composition in practice To understand the theory and practice of fluid balance measurement and assessment with BIVA To understand the use of US in measuring muscle mass To know how to interpret different results in practice
    Session II:   Possibilities for Achieving Optimal Targets Patient perspective + practical case discussion with Panelists Moderator: Hanna-Liis Lepp
    17.00-17.30 (30min)It All Ends Where It Started + DISCUSSION with panelists on BODY COMPOSITION Assessment and Targets in Different populations in Different StatesTo discuss and understand the perspectives of different specialists and patient on the discussed cases
    17.30-18.00 (30min)Q&A and Ending of Day 1  
    19.00 Reception and Concert  
       
    Day 2: Tuesday 19 August 2025
    Achieving Nutrition Care in Practice
    08.00-09.00 (60min)Morning swim, yoga, strolling and stretching
    09.00-09.15 (15min)Brief Recap from Yesterday and Intro to Day 2Dr Hanna-Liis Lepp [confirmed]Introduction to LLL
    III-IV Parallel Sessions: Achieving Targets in Practice: NUTRITION CARE IN PERIOPERATIVE PERIOD in Big Hall/ NEO-INTENSIVE CARE Session in Small Hall (in Estonian) Moderator: TBA Session III
    08.45-09.15 (30min)LLL-perioperative care module 17.1 Metabolic responses to Surgical StressProf Michael Hiesmayr 
    09.15-09.45 (30min)LLL-perioperative care module 17.2 Managing Surgical Stress: Principles of Enhanced Recovery and Effect on Outcomes Dr Aleksandra Šilova 
    09.45-10.15 (30min)LLL-perioperative care module 17.3 Making the Gut workProf Alastair Forbes 
    10.15-10.45 (30min)LLL-perioperative care module 17.4 Nutritional Therapy in the Perioperative PeriodProf Andrius Klimašauskas 
    10.45-11.15 (30min)Coffee break
    11.15-11.45 (30min)Case DiscussionDr Aleksandra Šilova 
    11.45-12.15 (30min)Test and closingMs Kadri Bobrovski or Hanna-Liis Lepp 
    12.15-13.15(60min)LUNCH
    WS III ja IV:Parallel WS EN and PN in Practice
    13.15-14.30 (75 min)WS II Achieving Nutrition Safely Case Discussions: Personalized Selection of Enteral Nutrition Routes & Feeds to Patients. Avoiding & Treating ComplicationsDr Aleksandra Šilova and Ms Juste ParnarauskieneTo be aware of the enteral routes (NG; NJ, PEG; PEG-J, jejunostomy, fistuloclyses), how to achieve them and avoid complications To know how to diagnose and manage technical complications of EN To know when and how is feeding patients enterally safe in complicated guts. To know how to choose the right feed and food, regime and duration
    13.15-14.30 (75min) WS III Achieving Nutrition Safely: Selection of Parenteral Nutrition Routes and SOLUTIONS Avoiding & Treating Complications Ms Birgit Kiilaspää & Prof Nada Rotovnik KozjekTo know parenteral nutrition routes and catheter complications (thrombosis, misplacement, phlebitis) To know how PN is prepared and connected To be aware of how to assess and manage the technical complications of CN To know when and how to feeding patients parenterally To learn how to select ready made solutions
    14.30-15.00 (30min)EXCHANGE OF LOCATION, Coffee  
    15.00-16.15 (75min)WS IIIMs Galina Kappo & Prof Simon Lal 
    15.00-16.15 (75min)WS IIDr Laura Merras Salmio and Ms Vera Grineva 
    Session V:Where We Are and Where We Want to Be – Sharing our BEST Practice in Final Session Moderators: TBA
    16.15-16.45 (30min)           TBA
    16.45.17.15 (30min)Ending of Course, feedback, certificationKarmen Koppel, Hanna-Liis Lepp 
    19:00TOUR and Concert to A.P House museumTo BRONCA quests only(in the honour of the Maestro Arvo Pärt 90)

    Contact

    If you have any questions about the registration or event logistics, please contact:

    Event Secretariat:
    Reelika Allemann
    📞 +372 631 0121
    📧 reelika.allemann@go.ee