30th Nov 2013

‘’CHRONIC KIDNEY DISEASE AND BONE MINERAL DISORDER, MALNUTRITION AND ROLE OF NUTRITION IN CKD – BMD”

Presenters: Dr. Salman Imtiaz (Consultant Nephrologist)   & Fayza Khan (Consultant Dietitian)

Dr. Salman Imtiaz explained the physiology of disease along with a case study. He mentioned that CKD related complications can be minimized through regular monitoring and following standardized protocols. Dietary Management of CKD: BMD was covered by Fayza Khan .She highlighted the importance and efficacy of early nutrition intervention and counseling to improve quality of life of patients and to combat malnutrition in this high risk group.

CNE coordinator, Maryam Arif moderated the session. Vote of Thanks was given by chair of the session Dr. Nilofer F Safdar.  More than 75 participants attended the session.  Concluding remarks were given by the lady behind PNDS Dr. Salma H Badruddin (Founder, Life President) PNDS.

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 25th Jan 2014

‘’NUTRITIONAL MANAGEMENT OF CRITICALLY ILL PATIENTS”

Presenters: Saima Rasheed (Consultant Dietitian, NMC) & Rabia Anwer (Consultant Dietitian, PNS Shifa)

CNE Committee Chair Maryam Arif welcomed the participants by asking about their New Year resolutions. Before the CNE, 5th Registration Exam Certificate Distribution Ceremony was held. Samina Adam (Registration Committee Chair) and Fayza Khan (President) distributed the certificates to successful candidates of 5th registration exam who are now certified as PNDS Registered Dietitian/ Nutritionist (RD/N).

Topic of the CNE was “Nutritional Management of Critically Ill patients” which was covered by Consultant Dietitian Saima Rasheed who shared very valuable knowledge to the participants. She concluded her session by saying that delays in providing nutrition support in critically ill patients can lead to severe complications. Patients should be fed because starvation or underfeeding in ICU patients is associated with increased morbidity and mortality. Presentation was followed by 3 topic related Case Studies which were discussed by Rabia Anwer (Consultant Dietitian, PNS Shifa).

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 26th April 2014

‘’NUTRITION MANAGEMENT IN AUTOIMMUNE DISORDERS” &

“NUTRITIONAL MANAGEMENT IN CELIAC DISEASE”

Presenters: Moti Khan (Senior Clinical Dietitian) & Munazza Ahmed (BS Food and Nutrition)

Senior Clinical Dietitian Moti Khan from AKUH presented her talk on Rheumatoid Arthritis and Pemphigus Vulgaris. On concluding remarks she said an auto immune disease can be fatal and if left untreated can lead to multi organ dysfunctions and further to risk of malnutrition, wasting and decreased life expectancy. In both conditions of pemphigus vulgaris and Rheumatoid arthritis, the role of nutritional intervention is the key to cope up with the after effects of the medications prescribed. The pathology of these two conditions are often complicated yet difficult to identify the reason exactly but early nutritional intervention is the key to prevent further disease progression. Further research required to identify nutritional related risk factors and outcomes.

Then, Munazza Ahmed presented her talk on Celiac Disease. She mentioned that a strict gluten-free diet can be challenging, especially at the beginning. High cost, lack of availability of gluten-free products, limitations in eating out and worries about cross contamination can all be overwhelming. Despite these challenges, keeping a positive and a realistic attitude goes a long way in maintaining a gluten-free life style, and having a healthy, happy life. Ex- CNE coordinator, Saima Rasheed moderated the session. Vote of Thanks was given by Ex-President Dr. Nilofer F Safdar.

 

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 6th September 2014

“NUTRITIONAL MANAGEMENT OF DIARRHEAL DISEASES”

Speakers:  Dr. Sina Aziz, (PHD) Professor Pediatrics, Sabeen Siddiqui, Senior Clinical Dietitian

Around 85 participants attended the session. CNE Committee Chair Maaryam Arif moderated the session.

Dr. Sina Aziz, Prof Pediatrics at Abbassi Shaheed Hospital (KMDC) covered the topic “Diarrheal Diseases in Children”. Her talk was focused on etiology and various types of diarrheal diseases in children.

Sabeen Siddiqui, Senior Clinical Dietitian at SIUT spoke about “Nutritional management of Diarrheal diseases in Adults”. She discussed two relevant case studies and shared her practical experience how those cases were managed.

Both speakers highlighted the importance of early intervention and dietary management in the treatment of diarrhea (Acute and Chronic).Token of thanks was given by Fayza Khan, President PNDS.

 

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29th November,2014

“Food Security and Current Situation in Pakistan”

Speaker: Sumaira Naseem, MSc Nutrition, MPH (Australia)

Sumaira Naseem did MSc in Human Nutrition from Peshawar and has recently done Masters in Public Health from Australia. She spoke about the concept of food security all over the world with a focus on current situation in Pakistan that how food security affects the vulnerable groups of our population specially women & children who are affected by malnutrition at a vast scale. She also highlighted the role of  Nutrition and Dietetic Professionals in strategic planning on individual and community levels .She suggested how partnerships with food industries, educational institutes, media, special interest groups, advocacy campaigns, use of social media, group education sessions, community base  nutrition counseling can help in improving current food security situation in Pakistan.

Around 65 participants attended the session. Session was moderated by Maaryam Arif. Token of thanks was given by Rabia Anwer, General Secretary PNDS.

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27th December 2014

“DIETARY SALT INTAKE: MORBIDITY AND MORTALITY”

Speaker: Romaina Iqbal, MSc, MPH, PhD (McGill University) Associate Prof. CHS,AKUH

Dr. Romaina Iqbal, Associate Professor, Department of Community Health sciences and Medicine at the Aga Khan University shared findings of her group’s work on Sodium and Potassium intake and its association with hypertension and cardiovascular disease (CVD) related mortality findings of PURE study. The two papers that she shared have been recently published in NEJM 2014. Her group’s work suggests that high sodium intake (>6gms excretion per day) should be reduced to moderate levels (3-6 grams excretion per day) but there is no need for further reduction in Na intake for lowering BP and cardiovascular disease and mortality. High potassium intake is associated with lower risk of CVD. Adopting a healthy dietary pattern, rich in foods containing potassium (fruit and vegetables) with moderate sodium intake is beneficial.

Around 35 participants attended the session. Session was moderated by Maaryam Arif.Token of thanks was given by Saima Rasheed, Vice President PNDS.

 

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7th February 2015

“EXERCISE 101: AN INTERACTIVE SESSION”

Speaker: Samina Adam Umer MSc (Nutrition)

Certified from ACE-American Council on Exercise & IFPA – (International Fitness Professionals Association)

Samina Adam Umer conducted the session along with her team members Saira Zahid, Sabrina Karim, Sabeen Zubair, Sabeen Jokhio and Tanzeela Alaman who demonstrated exercises to the participants. Speaker explained basic fundamentals of exercise science and the role of exercise in improving overall health. She said that physical inactivity has been identified as the fourth leading risk factor for global mortality. Levels of physical inactivity are rising with major implications for the general health of people and for the prevalence of Non communicable diseases. Physical inactivity is estimated as being the principal cause of breast and colon cancer, diabetes and ischemic heart disease. And thus participation in regular physical activity reduces the risk of all such diseases. Additionally, physical activity is a key determinant of energy expenditure, and thus is fundamental to energy balance and weight control.

Around 75 participants attended the session. Session was moderated by Maaryam Arif.Token of thanks was given by Dr. Nilofer F Safdar, Ex-President PNDS.

 

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25th April 2015

“COMPLEMENTARY FEEDING”  

Speaker: Nusrat Akber, Consultant Nutritionist

CNE on Complementary Feeding was conducted by Nusrat Akber, Consultant Nutritionist at The Indus Hospital Karachi. Around 60 participants attended the session. Speaker discussed about the complementary feeding, current practices and recent recommendations related to it. She also discussed the role and interventions to combat key micronutrients deficiencies and AAP recommendations related to allergic foods. She emphasized that dietitians and nutritionist should first practically try homemade complementary foods, germinated and fermented foods before addressing in nutrition counseling, furthermore use of commercial infant foods should be discouraged.

Token of thanks was given by Maaryam Arif, Joint Secretary and CNE Chair, PNDS.

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31st October, 2015

“INFANT AND YOUNG CHILDREN FEEDING PRACTICES IN PAKISTAN”

Speaker: Sumaira Nasim Siddiqui MSc (Nutrition), MPH (Australia)Visiting Lecturer, School of Public Health, DUHS           

PNDS conducted its First CNE of new term 2015-2017 on 31st of October 2015 at The Kidney Centre PGTI which was attended by around 85 participants.

Speaker highlighted on her talk that South Asia carries the highest burden of childhood under-nutrition in the world with close to 50% of the world’s undernourished children living in this region.  A combination of complex biological, behavioral and social factors underpins the high burden of under-nutrition in this region. With particular focus on Pakistan, children have the highest rates of under-nutrition, with a national prevalence of stunting of 43.7 per cent. In 2011, Sindh province had an even more critical rate of stunting (49.8 per cent), while the prevalence of underweight was 40.5 per cent, and wasting prevalence was 17.5 per cent.

IYCF practices are deep rooted in culture and correcting unhealthy practices needs commitment by government organizations, health professionals, community leaders as well as family members. For instance giving Ghutti to new born as first feed is still a common practice which replaces colostrum to a great extent. Similarly, discarding colostrum considered appropriate and encouraged by elder members of the family. Furthermore, lack of supporting environment to promote and encourage breast feeding is discussed Working women of Pakistan were identified as one of the vulnerable group. In a government sector, the employee is eligible for only 45 days of maternity leave after birth. This policy discourages women to continue exclusive breast feeding for six months. Also at workplace, lack of day care center with trained staff was identified. The role Baby Friendly Hospital Initiative to promote, support and encourage Breast feeding was discussed.

Siddiqui recommended that development of awareness among general public as well as training of health professionals at all levels is needed. As breast feeding is recommended in Islam, it was recommended to include religious leaders of community while planning health promotion programs. Cooking shows identified as cost effective medium to develop awareness regarding complementary food preparation. Similarly provision of dare care at workplace can increase chance of exclusive breast feeding. However, this needs efforts including improvement in maternal education, training of health professionals and community health workers.

Token of thanks was given by Maaryam Arif, Joint Secretary and CNE Chair, PNDS.

 

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2nd January, 2016

“SIGNIFICANCE OF NUTRITION: POST SURGERY AND WOUNDS”

Speaker: Sidra Raza, Clinical Dietitian, AKUH

Second CNE of term 2015-17 was held on 2nd January 2016. Session was attended by 65 members. Sidra Raza young  Dietitian from Agha Khan University Hospital was a speaker.

She highlighted on her talk that in the current era of health care delivery, nutritional support is considered to play an important part in the management of post-surgery outcomes and wound healing. Malnutrition is common in the hospital setting. It is estimated that it affects one third of hospitalized population upon admission and when left untreated can further deteriorate, directly compromising expected recovery with the possibility of increased complications. Data is convincing that one third of the patients who are not malnourished upon admission, may become victims of malnutrition during hospitalization. Studies have shown that poor nutritional status predicts adverse outcomes following hospital discharge. Patients undernourished on hospital admission were more likely to experience dependence in activities of daily living, require nursing home care, delayed wound healing, more post-surgical complications and die within one year of hospital discharge. For the undernourished adult with inadequate intakes of both protein and energy, the stress of illness or injury allows PEM to develop & skin breakdown.

Therefore addressing malnutrition in surgical patients is important and has the potential to improve quality of care, rapid wound healing, reducing negative nitrogen balance hence preventing catabolism and improve clinical outcomes resulting in reduced length of hospital stay.

At the end of the session Samina Adam Umer awarded the certificates to the RDNs.Token of thanks was given by Maaryam Arif, Joint Secretary and CNE Committee Chair, PNDS.

 

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5 t h    M a r c h, 2016

“FOOD SAFETY MANAGEMENT”

Speakers: Dr. S M Naushad Zafar & Mudassir Nazir (SGS)

Speakers explained the audience about whole process of adulteration and how food adulteration can be detected and prevented. Also notify that in Pakistan Food Safety concerns are of great importance and much awareness is still required. Regulatory bodies need to put strict actions against those who produce adulterated and unhygienic food products into the consumer market.

It was an interactive session attended by 62 members. Questions were asked from the participants and duly answered. Token of thanks was given by Fayza Khan, Current President PNDS.

 

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30th April, 2016

“PARENTERAL NUTRITION”

 Speaker: Kehkashan Zehra,Senior Clinical Dietitian,SIUT

Kehkashan Zehra from Sindh Institute of Urology and Transplantation (SIUT) was the speaker. Before the main presentation RDN Committee members: Samina Adam Umer and Nida Javaid gave an overview of “PNDS Registration Exam”.

This whole CNE session was recorded and short clips of both presentations will be available on PNDS web shortly and it was attended by around 95 members. It was an interactive session. Questions were asked from the participants and duly answered.

Token of thanks was given by Maaryam Arif, Joint Secretary and CNE Committee Chair, PNDS.

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29th October, 2016

“CURRENT AND FUTURE NUTRITION SENSITIVE AND SPECIFIC INTERVENTIONS IN SINDH PROVINCE”

Speaker: Dr. Zeeshan Noor Sheikh (MPH, MBBS)

Dr. Zeeshan Noor Shaikh has diverse experience in teaching and practice of public health shared Nutrition Situation Analysis of Pakistan particularly in Sindh which showed increasing rate of chronic malnutrition in less than 5 years of children. He also shared National Nutrition Survey of 2011 according to which major Micronutrients are significantly deficient in our children and women. He said it is imperative that we effectively implement all the ongoing interventions to correct the nutritional problems and sustain optimum nutrition for women and children in Sindh.

It was an interactive session which was attended by 85 participants. Questions answers were discussed. Token of thanks was given by Fayza Khan, Current President PNDS.

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11th February, 2017

“IODINE DEFICIENCY DISORDERS AND UNIVERSAL SALT IODIZATION”

 Speaker: Dr. Fatima Saad, Provincial Program Manager, Micronutrient Initiative

Dr. Fatima Saad discussed Iodine, it deficiency disorders and interventions to control IDD. She further elaborates that Universal Salt Iodization is currently recommended strategy which processed with simple technology and do not change color & taste. Salt is universally and regularly consumed cheap, easily available & easy to administer method of fortification. She also performed Semi Quantitative Iodine Test with RTK by putting drop of RTK on salt provided to her.88 participants attended this CNE Session. Token of thanks was given by Maaryam Arif, Joint Secretary and CNE Coordinator, PNDS.

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