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To,
The Director ,Research, Training and Monitoring Cell,College of Physician and Surgeons, Pakistan.7th Central Street Phase II, DHA,
Karachi-75500.
Kindly find enclosed here within the research protocol title: COMPARISON OF WEIGHT GAIN IN SEVERE PRIMARY MALNOURISHED CHILDERN TAKING F-75/F-100 FORMULA DIET
VERSUS SUJI.
Prepared by: Dr. Shazia Mandokhail
As a pre-requisite for FCPS-II in (subject) of: Paediatricsis submitted on:
RTMC allotted Registration No: PED-2010-001-1907
Enrolment Number is: F-08-8480
Trainee’s Signature:
Name of the Supervisor: Prof. Dr. Abdul BariQualification: MBBS, MCPS, FCPSDesignation: Professor
Name of the Training Institute: Bolan Medical Complex Hospital Quetta
Department: Paediatric Medicine
Signature of Supervisor Official Stamp: ______________________
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SYNOPSIS
COMPARISON OF WEIGHT GAIN IN SEVERE PRIMARY
MALNOURISHED CHILDERN TAKING F-75 F-100 FORMULA
DIET VERSUS SUJI.
BY:
Dr. Shazia Mandokhail
SUPERVISOR:Prof. Dr. Abdul Bari
DEPARTMENT OF PAEDIATRICUnit-1, Bolan Medical Complex Hospital, Quetta.
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TO WHOM IT MAY CONCERN
It is to certify that enclosed synopsis with title “COMPARISON OFWEIGHT GAIN IN SEVERE PRIMARY MALNOURISHED CHILDERN TAKING F-75
F-100 FORMULA DIET VERSUS SUJI.” is only being selected by my trainee Dr.
Shazia Mandokhail, having Reg #: PED-2010-001-1907 and resident for FCPS
Part-II trainee in Bolan Medical Complex Hospital, Quetta. I hereby certify that
her topic is not being duplicated or under work of any other trainee.
Date: Signature of Supervisor
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COMPARISON OF WEIGHT GAINS IN SEVERE PRIMARY
MALNOURISHED CHILDERN TAKING F-75/ F-100 FORMULA DIET
VERSUS SUJI.
INTRODUCTION
Child malnutrition is a major public health and development concern in most of the poor
communities leading to high morbidity and mortality (1). In preschool children it is a significant
problem and has been identified by the World Health Organization (WHO) as the most lethal
form of malnutrition, indirectly or directly causes an annual death of at least 5 million children
worldwide(2). The incidence of child undernutrition is high around the world, particularly
alarming in the developing countries(3-5). In Pakistan more than 38% of the children are under
weight and stunted(6).
Infants and young children are the most vulnerable as they require extra nutrition for growth and
development, have comparatively limited energy reserves and depend on others. Undernutrition
can have drastic and wide-ranging consequences for the child's development and survival in the
short and long term(7).In South East Asia children, the prevalence of adequate intakes of
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micronutrients ranged from a mean of 0 for calcium to 95% for vitamin B-6 and was
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The increase in body weight in Severe acute Malnourished Children on RUTF (local cereal based
food) is comparable to that on F-75 and F-100 Formula diet
OPERATIONAL DEFINITION:
Severe Acute Malnutrition: Severe acute malnutrition (SAM) arises as a consequence of a
sudden period of food shortage and is associated with loss of a person's body fat and wasting of
their skeletal muscle clinically defined by weight for height
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maintained. All the patient information will be kept highly confidential. All Patients will be
weighted daily. The residual diet would also be measured. The disappearance of edema will be
required day wise.
STATISTICAL ANALYSIS:
All the collected data from the Performa will be entered into SPSS 2. Mean + SD will be
expressed for continuous variable like age, degree of weight gain. Paired two-tailed Student's t -
test will be used to compare categorical variables like elimination of edema, loss of irritability,
improvement in appetite etc. A p value of < 0.05 will be considered to be statistically significant.
Data will be presented in frequency tables, bar graphs and pie charts. Any confounding variable
will be controlled by strictly implementing sample selection criteria.
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REFERENCES:
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