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DESIGN AND IMPLEMENTATION OF E-DIETETICS SYSTEM FOR INFANTS



ABSTRACT
 The abstract of the project is now the e-Dietetics system for infant’s nutrition online help desk information system has eased the general public most especially in the health sector, where users wish to get information concerning a health for their infants can easily access the platform and get the necessary information needed. These incidents vary significantly in type and urgency and require the attention of a dieticians (hereafter referred to as ‘users’) within one or more Public Sector entities. The e- dietician system has a form where users can input their children and gender and submit in other to get her children daily nutrient requirement. Using the e-dietician must not necessary be a dietician but can also be user who need a specific dietary guide for their infants. In other to achieve the best out of this work, Html, PHP, SQL was used for the design of the web-based program.


CHAPTER ONE
1.0.                                              INTRODUCTION
1.1.    BACKGROUND OF STUDY
Good nutrition is necessary for growth and physical and mental health (National Health and Medical Research Council, 2000).
Proteins, fats, and carbohydrates are required for normal metabolic functioning and for recovery from illness and injury. Vitamins and micronutrients have specific functions, and a deficiency can result in a clinical disorder. Poor nutrition can increase the risk of a number of diseases, including cardiovascular disease, diabetes, some cancers, obesity, gall bladder disease, iron-deficiency  anaemia, dental caries, and renal disease. The dietary risk factors for cardiovascular disease, for example, include saturated fat from  meat and processed foods, lack of fresh fruit and vegetables,  high salt intake, excess energy intake, and alcohol consumption.
It is difficult to determine, however, the precise extent to which  diet contributes to disease, because disease is also caused and influenced by behavioural, biological, genetic, and environmental  factors (Australian Institute of Health and Welfare, 2006).
Good nutrition is essential for the growth and development that occurs during an infant’s first year of life. When developing infants are fed the appropriate types and amounts of foods, their health is promoted. Positive and supportive feeding attitudes and techniques demonstrated by the caregiver help infants develop healthy attitudes toward foods, themselves, and others.
Throughout the first year, many physiological changes occur that allow infants to consume foods of varying composition and texture. As an infant’s mouth, tongue, and digestive tract mature, the infant shifts from being able to only suckle, swallow, and take in liquid foods, such as breast milk or infant formula, to being able to chew and receive a wide variety of complementary foods. ves. As infants mature, their food and feeding patterns must continually change.
For proper growth and development, an infant must obtain an adequate amount of essential nutrients by consuming appropriate quantities and types of foods. During infancy, a period of rapid growth, nutrient requirements per pound of body weight are proportionally higher than at any other time in the life cycle. Although there are many nutrients known to be needed by humans, requirements have been estimated for only a limited number of these.
During the first year, babies’ mouths develop from being able only to suck and swallow to being able to chew. Their digestive tracts mature from being able to take in only liquids, such as breast milk or formula, to being able to receive a wide variety of foods.  And at the same time, they progress from needing to be fed toward feeding themselves. As babies continually mature, their food and feeding patterns must continue to change. This guide will help you appropriately feed the babies in your care as they change and develop.  It answers some of the common questions on infant development, nutrition for babies, feeding practices, food preparation, safe food handling, and choking prevention.  The parents will also give you important information to help you in feeding their babies. You should communicate frequently with them so that you can coordinate what the babies are being fed at home with what you feed them while in your care. In this way you can assure the best care for the babies. 
Children up to the age of 0-5 years are undergoing a period of rapid growth in the muscles, body tissues and the development of the brain. Their food and nutritional needs differ markedly from those of babies, older children and adults and as well as growth and development are affected by increasing activity levels and a relatively small stomach capacity
This means that a large range of vital nutrients have to be included within the smaller volumes of food they consume. An appropriate diet and approach to food issues are important factors in preventing many health and development problems in young children and in their future including obesity faltering growth and stunting, iron deficiency specific nutrient deficiencies, dental caries and developmental delay It is vital to help parents and carers make the most of this important opportunity to influence their child's future health and potential.
The growth patterns of preterm, very low birth weight infants are known to be considerably different from those of higher birth weight term infants.

1.2.         STATEMENT OF PROBLEM
Malnutrition in all its forms is closely linked, either directly or indirectly, to major causes of death and disability worldwide. This situation applies to per natal and infectious diseases as well as chronic ones.
Globally, in 2011 about 101 million children under 5 years of age were underweight and 165 million stunted. At the same time, about 43 million children under 5 were overweight or obese. (National Nutrition Project. Washington DC, World Bank, 2007)
About 90% of stunted children live in only 36 countries, and children under 2 years of age are most affected by under nutrition (Karim R et al.2003)
Nearly 20 million children under 5 suffer from severe acute malnutrition, a life-threatening condition requiring urgent treatment.
New parents are subjected to all kinds of contradictory advice about infant nutrition. But with a few simple guidelines – and some advice from Precision Nutrition parents – you can be sure that you are getting your infant off to the healthiest start.
In life, as in other things, where you start can determine where you finish. Infancy the first year of life is a prime time for growth and changes throughout the body. What we eat as infants strongly affects our long-term body weight, health, metabolic programming, immune system, and overall aging.
A baby’s developmental readiness determines which foods should be fed, what texture the foods should be, and which feeding styles to use.  All babies develop at their own rate. Although age and size often correspond with developmental readiness, these should not be used as sole considerations for deciding what and how to feed babies.  It is important to be aware of babies rapidly developing mouth patterns and hand and body control so that you know the appropriate food and texture to serve them and the appropriate feeding style to use at each stage of their development,
 As babies mature, they are able to begin learning to eat infant cereals and strained solid foods from a spoon.  Eventually they are able to feed themselves small pieces of food by hand and later by spoon.  The rate at which each baby progresses to each new food texture and feeding style is determined by the baby’s own skills and attitudes. Some babies are cautious, others venturesome.  Babies always do better if they are supported in progressing at their own rate. 
Feeding a baby or child with Down syndrome can present a number of problems1. Eating is one of the most complex things that we do. While we assume that everyone is born knowing what to do – it is actually a culmination of many developmental stages, experiences and sensory skills.  For children with Down syndrome successful eating happens but with a few bumps on the way. Children with Down syndrome develop eating skills at their own pace like other children. Many children have difficulty co-ordinating tongue and mouth movements and some choke and gag frequently. If a child is having problems with feeding referral to a speech therapist for a feeding assessment is essential (Guthrie Medlan, 2002).
Establishing a regular meal pattern made up of 3 small balanced and varied meals including 2-3 nutritious snacks is recommended as the optimum way of ensuring a young child is able to meet their nutritional requirements. Foods offered should be nutrient dense, meet (but not exceed) energy requirements and be varied and appealing. This can be a challenge for parents and carers, particularly during the toddler years when young children are developing and learning to express their independence. Parents and carers should be encouraged and supported to establish a regular eating pattern providing and eating a variety of foods from the 5 food groups so that young children become familiar with learning to making healthy food choices from an early age. Children learn by watching the behaviour of those around them so parents, carers and others are important role models. Healthy family food for everyone will help young children develop good eating habits for the future. Lawson, M.S. Thomas, M. Hardiman, A. (1998)
1.3 OBJECTIVES OF THE STUDY
 The main purpose of this study is to eliminate errors involved in dietetic guider and counselling of mothers and child dietetic data/information. This is actualized by designing computerized based analysis system for dietetic which is user friendly and interactive. By the time this platform is designed and implemented, the difficulties encountered with manual method of sourcing  information from unskilled and traditional midwifes nutritionist and dietician base on dietetic and nutritional fact of infants’ children will be eliminated. 
The aims and objectives of this project is also listed below:
To provide an electronic platform for parents to know their infants daily nutrients requirement.
 To enable people understand the essential value of using e-dietetics to get vital information..
 To make parents to have easy access to e-dietetic  in their homes, work place and their leisure places anytime, anywhere, without going through the stress of travelling to visit a dietician/ nutritionist
To easy the work associated with manual method of analyzing dietetics data/information.
 To eliminate the error involved with the manual method analyzing result in the nutritional facts of infant’s children.
 To save the time wasted when method analyzing infants dietetics information. 


1.4    SIGNIFICANCE OF STUDY
With the growth in information technology, the study offers numerous values to the health sectors basically on Paediatric dieticians.  Huge of files kept in the offices will no longer be there again because information will be stored on the computer with the help of the database program and also it reduces time wastage and appointments between the parents, guarders of the children and also unforeseen circumstances that may occur, 
1.5 SCOPE OF THE  STUDY
This project work is narrowed to computerized based spec analysis system for infant’s dietetics system for 0-5 years. It also deals with the development of database program to help in the storage of infant’s nutrient requirement Information.
1.6   LIMITATION OF THE STUDY
 Owing to the scope of this project work as stated above, this project work is limited to computerized based spec analysis system for e-dietetic for infants’ nutrition.
 It is important to mention here the following factors limiting to this research work, which are:
   Time
Low internet access
 Financial constrain
Power failure  
Where major constraint occurs in the course of fact finding. It is also wise to mention here that some information we need to work with were not collected because of these reasons.
1.7. DEFINATION OF TERM
Dietician;- A dietician is an expert in dietetics; that is, human nutrition and the regulation of diet. A dietician alters their patient's nutrition based upon their medical condition and individual needs. Dieticians are regulated healthcare professionals licensed to assess, diagnose, and treat nutritional problems.( Lee, Jason (2013)Most dietician work in the treatment and prevention of disease (administering medical nutrition therapy, as part of medical teams), often in hospitals, health-maintenance organizations, private practices, or other health-care facilities. In addition, a large number of registered dietarians work in community and public-health settings, and/or in academia and research. A growing number of dieticians work in the food industry, journalism, sports nutrition, corporate wellness programs, and other non-traditional dietetics settings.
Nutrition;- Nutrition is the science that interprets the interaction of nutrients and other substances in food in relation to maintenance, growth, reproduction, health and disease of an organism. It includes food intake, absorption, assimilation, biosynthesis, catabolism and excretion
Diet;- diet is the sum of food consumed by a person or other organism. The word diet often implies the use of specific intake of nutrition for health or weight-management reasons (with the two often being related). Although humans are omnivores, each culture and each person holds some food preferences or some food taboos. This may be due to personal tastes or ethical reasons. Individual dietary choices may be more or less healthy.
Automation: The replacement of human workers by technology. A system in which a workplace or process has been converted to one that replaced or ministries human labour with electronic or mechanical equipment.
Computer: An electronic machine capable of accepting data in the form of input processes it under a set of complete condition, stores information or request for references and generated result in the form of output.  
Dietetics: The branch of knowledge concerned with the diet and its effects on health, especially with the practical application of a scientific understanding of nutrition.
Infant: An infant  is the more formal or specialised synonym for "baby", the very young offspring of a human. The term may also be used to refer to juveniles of other organisms.
newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, newborn or neonate refers to an infant in the first 28 days after birth;  the term applies to prematurefull term, and postmature infants; before birth, the term "fetus" is used. The term "infant" is typically applied to young children between one month and one year of age; however, definitions may vary and may include children up to two years of age. When a human child learns to walk, the term "toddler" may be used instead.


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