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ASSESSMENT OF ADEQUACY OF PROTEIN INTAKE IN ENTERAL FEEDING PATIENTS WITH NEUROLOGICAL PROBLEMS Su May Aung; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Introduction: Enteral tube feeding can provide sole source of nutrients in patients who cannot eat orally. In order to get adequate nutrients, it is essential to choose enteral feeding formula correctly and provide sufficiently. Aims: Therefore this study was carried out to determine the adequacy of protein intake with blenderized tube feeding diet in comparison to traditional tube feeding diet by studying nitrogen balance. Methods: This study was conducted on 25 participants with neurogenic dysphagia who had been admitted to Kwe Ka Baw Hospital at Yangon. The participants were divided into three groups: the first group who received 1800 ml/d of traditional tube feeding diet (Group T, n = 10), the second group was supplied with 1500 ml/d of blenderized tube feeding diet (Group B1, n = 9) and the third group was supplied with 2000 ml/d of blenderized diet (Group B2, n = 6). The nitrogen balance study was done on day 4, day 5 and day 6 of enteral feeding. Results: The mean nitrogen balance of Group T was profoundly negative (-7.3 g/d) and of Group B1 was still negative (-2.6 g/d). The nitrogen balance of Group B2 improved to positive balance (0.6 g/d). In conclusion, the protein intake was inadequate with traditional tube feeding diet and 1500 ml/d of blenderized tube feeding diet. The protein intake was adequate with 2000 ml/d of blenderized tube feeding diet. Conclusion: Based on the result of this study, the blenderized tube feeding diet with 2000 ml/d intake should be recommend to use for enteral feeding patients with underlying neurological problems. 
DEVELOPMENT OF MYANMAR CARBOHYDRATE COUNTING BOOKLET Win Thida Htwe; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Diabetes mellitus is one of the major challenging problems in Myanmar. Even with its high occurrence, the prevalence of good glycemic control was relatively low. According to Myanmar food culture, most of the foods that Myanmar people daily consumed are carbohydrate-based. Therefore, a nutrition education tool that can raise the awareness of amount of carbohydrate in foods and provide scientific but comprehensible dietary information about carbohydrate counting is necessary in all arenas to combat diabetes: prevention, promotion and management. Aim: The aim of this study was to develop Myanmar carbohydrate counting booklet. Method: The first phase developed the booklet and then the acceptance of the booklet was assessed in the second phase by an experimental study. Results: In the first phase, the booklet named “Basic Carb Counting for People Living with DM” was developed. It was 14.5 × 20.5 × 1 cm in size and of 103 pages. It contained illustrated facts and information about diabetes, about basic carb counting and carb choices of different food items along with respective food photographs. In the second phase, 36 people with diabetes participated in the study with the mean age of 48.4 ± 10.7 years, 47.2% of male and 52.8% of female. The results showed that the knowledge score of diabetes, carbohydrate and total scores increased significantly (p <0.05) between pre-test score and post-test score. The participants’ satisfaction level with the newly developed booklet was somewhere between “very satisfied” to “extremely satisfied” giving the mean and median responses of between 5 and 6 on a 6-point Likert scale. Conclusion: The developed carbohydrate counting booklet was accepted by people with diabetes in Myanmar and the contents in the booklet were understandable to witness the improvement in the knowledge of the disease and basic carbohydrate counting concept as well.