Biography:

Julie Bittar is affiliated from Indiana University School of Medicine, USA

Abstract:

A 72-year-old female presented to dermatology clinic with 2-month history of progressive rash on her scalp, lips, oral mucosa, trunk, and extremities. One day prior, she had a feeding tube removed that was in place for 3 months for dysphagia. She reported severe weight loss from poor eating, but was otherwise asymptomatic. She had no recent medication changes.

On exam, her scalp, arms, chest, back, legs, feet and periorificial area had large ill-defined and well demarcated red, scaly thin plaques. She also had erosions on vaginal lips, and erythema in the perianal area and oral mucosa. Erythematous macules with peripheral scale were noted on the feet. Laboratory evaluation showed zinc-deficiency with a serum zinc level of 551 mcg/L (Reference Range 700-1200 mcg/L), while ferritin, 25-OH-vitamin D, and Vitamin B12 were within normal limits.

A diagnosis of acquired Acrodermatitis Enteropathica (AE) was made and treatment was initiated with zinc gluconate. Zinc levels returned to normal limits and skin lesions promptly resolved.

Conclusions:

We present an unusual case of acquired Acrodermatitis Enteropathica in an elderly female on tube feeds. This highlights the importance of adding zinc to tube feed solutions to prevent the development of this condition.

 

Clinical Significance:

 

Elderly women are particularly at risk for zinc deficiency, and accordingly, for AE. AE is a disorder of zinc metabolism, resulting from either impaired absorption or deficient intake, and manifests as erythematous, desquamative dermatitis, cheilitis and diarrhea.  Zinc deficiency and patients on long-term enteral nutrition have been linked, indicating the need to supplement zinc or add it to tube feeding solutions. Dysphagia is a significant problem in elderly women, with one study showing that 72% of elderly women with no history of dysphagia failed a screening swallow study.¹ This case highlights the need to pay close attention to zinc intake in elderly women and the effect of aging on womens’ health.

Biography:

Faran Khan has completed his Bs in Human Nutrition and Dietetics at age of 23 years from UVAS and M.Phil. studies from University of Veterinary and Animal Sciences. His expertise in “Clinical Nutrition”. He has built his experience in the field of nutrition and dietetics. His interest in reducing the rate of mortality and morbidity in malnourished children. During his education he focus on different community work voluntary. He worked in Sir Ganga Ram Hospital, Lahore as clinical nutritionist.

Abstract:

Statement: Diabetes mellitus needs special implementation and maintenance of dietary habits, lifestyle practices, and food concepts for its management. Diabetes mellitus affects approximately 422 million people around the globe. Diabetes prevalence has been rising more rapidly in middle and low-income countries. It is estimated that 1.5 million deaths were directly caused by diabetes and 2.2 million deaths caused by high blood glucose This study was designed to assessed the relationship of food concepts, lifestyle practices and dietary patterns among adults with diabetes mellitus.

Methodology and Theoretical Orientation: The people with diabetes mellitus were selected from the OPD’s (Outpatient department) and diabetic wards from different private and government hospitals of Lahore. The questionnaire was developed to assess lifestyle applies, eating patterns and food perceptions among adults with diabetes. The questionnaire contains mixed questions both open and closed ended.

Findings: Study showed that 55.8% adults have family history of diabetes mellitus. Approximately 41.8% people were physically inactive and have a sedentary lifestyle. And 47.8% people were not dining out at all. Participants having no or less education have more uncontrolled HbA1C as compared to educated participants. 6% uneducated participants and 1.8% educated participants had uncontrolled HbA1C level.

Conclusion and Significance: The food concepts of diabetic patients vary from each other people have less knowledge regarding food concepts. There is lack of physical activity among individuals and Consumption of major meals was adequate. Uneducated people were having uncontrolled HbA1c level as compared to educated participants.

Biography:

Junelle M. Supelana is a graduating student taking up BS Nutrition and Dietetics in the Royal Pontifical University of Santo Tomas. She is a consistent member of her organization, Philippine Association of Nutrition-Omega Chapter. She is actively involved in presenting various case studies with nutrition care plan for patients with different diseases such as diabetes, cancer, tuberculosis, etc.; feasibility study, conducting a nutrition symposium and implementing  intervention/programs in certain community. Recently, she was assigned to be president of the 23 affiliates from different universities as part of community nutrition practicum organized by the Nutrition Foundation of the Philippines

Abstract:

Maternal nutrition and practice play significant roles in improving health outcomes for both mother and child. Globally and in the Philippines, men greatly influence household decision including antenatal care, nutrition and workload during pregnancy, and health care for children. The study aimed to determine the association of husband’s nutrition knowledge and emotional and financial support to the maternal nutritional status and health-seeking behavior. A correlational research utilizing the enumerative sampling technique was conducted. A total of 160 respondents or 80 married couples participated from selected municipalities in the Philippines. Questionnaires and forms were used to assess the husband’s nutrition knowledge and financial and emotional support as well as the nutritional status and health-seeking behavior of the maternal woman. Linear and ordinal regression analysis were used to determine the significant association between variables. Results showed that husband’s nutrition knowledge (p= < 0.001) financial (p= 0.082) and emotional support (p= 0.060) have significant association to maternal nutritional status and health-seeking behavior. Further, husband’s nutrition knowledge significantly affects protein intake (p = 0.055). Findings of the study revealed that husband's nutrition knowledge, financial and emotional support may have an impact on maternal nutritional status and health-seeking behavior. This suggests that involving fathers in maternal and child health program in the Philippines may influence maternal practices and increase awareness about their importance in achieving optimal nutrition particularly for the first 1000 days.

Biography:

Femi H Elly is graduated from Faculty of Animal Husbandry of Sam Ratulangi University, Manado, (Degree Ir). She got her Masters in Agricultural Economics Studies Program, Faculty of Post Graduate UGM, Yogyakarta (MP Degree). She got her Graduated Doctorate in Agricultural Economics Study Program, Graduate School, IPB Bogor (Doctorate Degree). She is a Professor since December 2014 with the expertise of Agricultural Economics. Currently, she is working as a Lecturer at the Faculty of Animal Husbandry of Sam Ratulangi University of Manado.

Abstract:

Food consumption from animals tends to increase due to the improving economic condition of people from a region. In addition, increased public awareness of nutrition can lead to increased consumption of food including animal food from livestock. The problem is that coastal communities are low-income people, resulting in a tendency to consume low livestock products. This research has been conducted with the aim to know the amount of income and consumption of livestock products (meat and egg) in South Bolaang Mongondow Regency. The research method used is survey method. Subdistricts and villages as samples have been determined by purposive sampling that is the subdistricts and villages located in the coastal area of ​​South Bolaang Mongondow Regency. Respondents as many as 100 people were determined by simple random sampling. The results showed that the average of household income obtained was Rp 3022300 per month per household. The number of households consuming beef is as much as 100 percent, meat from local chicken 96 percent, goats 43 percent, chicken 6 percent, pig 4 percent and chicken eggs 90 percent. The average consumption of livestock products per year per household  is 217.60 eggs, beef 1.15 kg, 1.34 kg chicken meat, 1.11 kg goat meat, 1.83 kg chicken meat and 2.50 kg pork. Based on the result of the research, it can be concluded that the income received by the household is considered small because only Rp 100,743.33 per day, the consumption of livestock product is still below the standard, for meat only about 1.37 kg / capita / tahun. Suggestions, it is necessary government intervention to improve livestock business as a source of income for coastal communities.