1 st ANNOUNCEMENT
IDI accredited
12
in conjunction with
4
th
International Nutrition Symposium
Evidence Based to Patient Centric Therapy
29-30 July 2017 | REDTOP Hotel, Jakarta
JOIN FREE PAPER & POSTER PRESENTATION AWARD
Abstract submission deadline: 16 June 2017
w w w. n u t r i i n d o n e s i a . o r g
Contributing Organizations:
Organized by:
INDONESIAN
NUTRITION
+
ASSOCIATION
+
PROGRAM
INVITED SPEAKERS
PRE-SYMPOSIUM WORKSHOPS
27 July 2017
SYMPOSIUM, 29-30 July 2017
Indonesian Speakers
Ÿ MAIN TOPICS OF THE PROGRAM
Adhrie Sugiarto
Ari Fachrial Syam
Delmi Sulastri
Dian Novita Chandra
Diana Sunardi
Dita Aditianingsih
Endang Sunaryo
Hartono
-
• Critical Care Nutrition
- Metabolic Changes in Critically Illness
- Hemodynamic & Electrolyte Changes in
Critically Illness
- Adults Critical Care Nutrition
- Pediatric Critical Care Nutrition
- Critical Care Nutrition Guidelines
•Basic Parenteral Nutrition Workshop
- Introduction
- Fluid and Hemodynamic Physiology
- Parenteral Nutrition Formulae
- Catheter Access
- Parenteral Nutrition Administration
28 July 2017
• Basic Enteral Nutrition
- Introduction
- Physiology of Gastro-intestinal System
- Enteral Nutrition Selection & Administration
- Tube Feeding Selection & Management
- Enteral Nutrition Monitoring & Evaluation
•Communication in Patient Consultation
- How to Improve your Communication Skill
with Patients
- Interactive discussion and Attractive Practice
Iqbal Mustafa and Xavier Leverve Memorial Lecture
Nutrition and Cancer
Nutrition and Metabolic Disease
Child & Maternal Nutrition
Micronutrient Deficiency in ICU Patient
Glycemic Index and Pre-diabetic: State of the Art
Update on Nutrition and Cardiovascular Risk
Parental Bounding and Family Happiness
Sarcopenia in Critically ill patient
Osteoarthritis Nutrition Prevention and Treatment
Human Intestinal Ischemia Reperfusion
Newest Diagnostic Criteria for Malnutrition
Dietary Habit and Neurological Features
Cardio Metabolic Risk in Adolescent
Healthy Breakfast for Healthy Adult
Sport Nutrition, vo2 Max and Wellness
Ÿ SPECIAL GROUP DISCUSSION
- Perioperative Nutrition
- Nutritional Research & Methodology Ideas &
Linking
Irsan Hasan
Luciana Sutanto
Niken Puruhita
Rudyanto Sedono
Saptawati Bardosono
Stella E. Bela
Toar Lalisang
International Speakers
Ernest Benjamin (USA)
Elizabeth Babu (USA)
Hamid Jan (Malaysia)
Imelda Agdeppa Angeles (Philippines)
Joseph Varon (USA)
Khrisnan Siram (USA)
Marek Nalos (Australia)
Ravinder Reddy (India)
Reza Norouzy (Iran)
Santiago Herrero (Spain)
Ÿ FREE PAPER & POSTER PRESENTATION
ORGANIZING COMMITTEE:
Advisor:
Ernest Benjamin (USA)
I Ketut Salam
Saptawati Bardosono
Joseph Varon (USA)
Chair:
Luciana Sutanto
Secretary:
Stella E. Bela
Scientific:
Dian Novita
Hartono
Hamid Jan (Malaysia)
Imelda Agdeppa (Philippines)
Niken Puruhita
Rudyanto Sedono
Samuel Oetoro
Toar Lalisang
Treasurer:
Mia Puspita Ratih
Publication and Documentation:
Diana Sunardi
FREE PAPER PRESENTATION AWARD
The committee invites participant to present their work at the symposium for Free Paper & Poster Presentation Award. Please submit your abstract
before 16 June 2017 to [email protected]. Please read the abstract submission guidelines before submitting the abstract.
Please do register your participation on the symposium before submitting your abstract.
ABSTRACT GUIDELINES
• Please indicate preferences of your abstract: Free Paper OR Poster Presentation
• Abstract must be submitted and presented in English.
• Abstract must contain original material neither publish nor presented elsewhere prior 16 June 2017.
• Abstract must not be more 250 words, single-spaces and in upper and lowercase letters.
• Please structure your abstract using the following heading: Objectives, Methods, Results, Conclusion.
• Table, graphics, and charts, are permitted in abstract.
REGISTRATION FORM
Please return this form to:
Fax: (+62-21) 570 5798 or Email: [email protected] or Online registration at www.nutriindonesia.org
PARTICIPANT (Please Complete all fields using BLOCK LETTERS)
Dr.
Prof.
Full Name
Mr.
Ms.
Other:
:
Student
Nurse
Company/Institution
:
Address
:
City
:
Phone Number
:
general practioner
specialization:
Postal Code
:
Fax Number
:
(country code / city code / number)
(country code / city code / number)
Mobile Phone :
:
Email
Country:
(country code / city code / number)
REGISTRATION FEE
Symposium (29-30 July 2017)
ORGANIZATION
MEMBER
NON-MEMBER
Pre-Symposium Workshop (27 July 2017)
Early Bird (before 10 May 2017)
Rp 875.000
Rp 900.000
Normal - On Site
Rp 990.000
Rp 1.100.000
Critical Care Nutrition
Basic Parenteral Nutrition Workshop
(11 May - 30 July 2017)
Student
Rp 850.000
Rp 1.500.000
Rp 1.500.000
Pre-Symposium Workshops (28 July 2017)
Basic Enteral Nutrition Workshop
Communication in Patient Consultation
Group Registration
For 10 (ten) persons of group registration will get 1 (one) additional free registration.
ENTITLEMENT OF SYMPOSIUM REGISTRATION FEE
Symposium kits and certificate, entrance to all scientific program and
exhibition, opening ceremony, luncheon and morning and afternoon
refreshment during the symposium
Join Special Group Discussion limited for 20 pax / group on 30 July 2017
1. Nutritional Research and Methodology Ideas and Linking
Yes
No
2. Perioperative Nutrition
Yes
No
METHODS OF PAYMENT
Cash (payment can be settled at the secretariat prior to the event’s date
or on site)
Rp 1.500.000
Rp 1.500.000
• Workshop participants are only allowed to attend the workshop they
registered for, otherwise another workshop registration fee will be applied
• Workshop will be presented in Indonesian and no interpreter service will be
provided for overseas participant
ACCOMMODATION
Secretariat has secured accommodation for participants.
Please call us to get special rate.
Credit Card
Visa
Card number
MasterCard
:
Security number :
Transfer (for our references and administrative purpose, please copy us
the bank transfer transaction)
Total Amount
Symposium Secretariat must received in FULL AMOUNT (any handling
fee for remittance will be borne by the participants)
Account Name
: PT Pactoconvex Niagatama
Bank Name
: BANK CIMB Niaga, Cab. Kuningan Lippo Life
Bank Address
: Plaza Centris Lt.1, Jl. HR Rasuna Said kav B5,
Jakarta Selatan
Account No. (IDR) : 1730100783009
Card holder name :
Address
Expiry date :
(month/year)
:
:
Please copy us your credit card (both side) to avoid any difficulties
I hereby authorized the 12th Symposium of Nutri Indonesia Secretariat to debit the above
mentioned credit account with the total value of the items booked by me on this form .
I have read and agreed to the disclaimer of liabilty and agree to abide by decision of
Symposium Secretariat or person entrusted by the Committee, with respect to operation of
Symposium
Card holder Signature :
Date :
Note :
1. This registration will be accepted only upon received of payment
2. There will be a 50% charge for written cancellation received before and on 15 May 2016, with no
refund after this date.
3. All refund will be processed after the symposium.
SECRETARIAT
Indonesian Nutrition Association
c/o Pacto Convex Ltd.
Grand Sahid Jaya Hotel, 2nd Floor Arcade S2
Jl. Jend. Sudirman No. 86, Jakarta 10220 - Indonesia
Phone: (62-21) 570 5800 Ext. 504/508; 573 5538 (Direct)
Fax: (62-21) 570 5798 | Mobile: 0812 1318 5724 / 0856 924 00099
E-mail : [email protected]
Contact Person : Ms. Mutia Wulandari / Ms. Niken Anjani