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The Gut

®

BIOGRAPHICAL NOTES ON PRESENTERS including COURSE OUTLINE

Rachel Arthur, BHSc, BNat(Hons), is a respected and widely published naturopath specialising in nutrition. Over the last five years she has written extensively on nutrition in well-known texts and journals. She also continues to teach nutrition and clinical studies at Southern Cross University, where she currently holds a position as a research assistant in one of Australias largest natural medicine research centres and is about to embark upon her PhD candidature. Her extensive clinical experience, familiarity with the scientific literature and enthusiasm for education make her seminars and workshops empowering experiences for attendees and frequently attract excellent feedback. Topic: Detoxification ­ the role of the liver and GIT Description: This presentation begins with a review of the three phases of detoxification with particular emphasis on the distinctive roles of the liver and gastrointestinal tract. Individual variability in xenobiotic metabolism and detoxification is well established and relates to genetics, age, hormones, exposures (including diet) and nutriture. Illustrations of cause and consequence of these differences will be presented as well as a discussion of the issues pertaining to the accurate assessment of an individuals ,,detoxification capacity.

Prof Ian Brighthope, MB BS, Dip Ag Sci, FACNEM, FASEM, MAIAST, graduated in Agricultural Science in 1965 and Medicine at Monash University in 1974. He then travelled widely throughout Europe and North America searching for solutions to the problems created by the significant gaps he recognised in the normal medical training of doctors. His interest in the implications of human nutrition in health and disease commenced in his undergraduate training as a doctor and has continued to develop throughout his career. He is past President and a Founding Director of the Australasian College of Nutritional & Environmental Medicine (ACNEM) (1979-2007). Member of the International Advisory Board of the Journal of Complementary Therapies in Medicine and the International Advisory Board of the Journal of Nutritional and Environmental Medicine (UK). Author of five books and many scientific articles and reviews, he pioneered the first post-graduate medical course in nutrition in Australia. He lectures to healthcare professionals internationally and in Australia, and consults for the manufacturing industry in nutrition and micronutrient supplementation and supervises and consults for various health resorts and specialist clinics, preventive medicine programs and sporting concerns. Topic: The Role of Gut in Health Description:

Henry Butt, MSc, PhD, is a senior scientist and Research Director of Bio Screen, now based at Melbourne University. Dr. Butt has extensive experience in faecal microbiology. He is largely responsible for the development of the testing procedures for the analysis of the profile of bowel bacteria. Dr. Butts interest in how Intestinal Dysbiosis (overgrowth of some bacteria usually found in the gut) may cause leaky gut and lead to nutrient malabsorption and cellular malnutrition. Dr. Butt has published several scientific papers and presented his findings, nationally and internationally. He has presented his work on TV programs such as "60 Minutes" "Quantum" and the ABC Science Show.

© 2010 ACNEM

The Gut

®

Topic: Microbial Metabolites and Chronic Diseases Description: Faecal micro-organisms have shown to produce many important metabolites for host metabolism and the maintenance of vital gastrointestinal functions. Changes in the microbial flora in the gastrointestinal tract may interfere nutrient absorption, change host metabolism and homeostasis, resulting maldigestion and malabsorption. Persistent changes in the intestinal microbial flora of patients with chronic diseases (eg. Chronic fatigue syndrome, autism) have been identified and reported. A management protocol for these conditions is suggested.

Kim Menzies, is an Accredited Practising Dietitian and works at Shepherd Works, a dietetic practice, specialising in gastrointestinal dietetics. Kim is involved in individual consultations and group talks for clients with coeliac disease, low FODMAP and fructose malabsorption, IBS and IBD. Prior to graduating with a Masters of Nutrition and Dietetics, Kim was a secondary school Home Economics teacher which has provided her with immense food knowledge for client education and recipe development for the low FODMAP diet or gluten free diet. She also has a Master of Health Science (Human Nutrition). Topic: FODMAPS - A dietary approach in the treatment of IBS Description: Irritable Bowel Syndrome is the most common GI disorder. Dietary triggers contribute to the production of bloating, wind, abdominal pain, diarrhoea and/or constipation but a low FODMAP diet has been scientifically found to be an effective treatment. FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols) are poorly absorbed short chain carbohydrates. Limiting these poorly absorbed molecules from a persons dietary intake can reduce the luminal fermentation and osmotic load which decreases symptom production. Examples of FODMAPs include excess fructose, lactose, fructans, galactans and polyols and these are found in a variety of differing food groups.

Joanna Harnett, holds both a Masters and Bachelor degree in Health Science majoring in complementary medicine. Joanna has 19 years clinical experience with 16 of those years practicing in a holistic medical practice consulting as a Naturopathic and Nutritional Medicine Practitioner. Joanna is a PhD candidate at Southern Cross University. Her research is exploring the role intestinal microbiota play in the aetiology and ongoing health issues of people with Coeliac disease. This research has developed out of her Masters research project titled "Altered commensally microbiota found in coeliac patients". Her research work has resulted in a strong clinical interest in the role of gastrointestinal health in a range of chronic illnesses. Topic: Parasites Description: Description: Parasitology is yet another field of microbiology to be greatly improved with molecular technologies. Parasite infections are a major cause of non-viral diarrhoea even in developed countries. Classically, parasites have been identified by microscopy and enzyme immunoassays. In recent studies, molecular techniques have proven to be more sensitive and specific than classic laboratory methods. Because many parasites such as giardia cysts are shed sporadically and the number may vary from day to day, laboratories have adopted multiple stool collections to help increase identification rates for all parasite examinations. And, even with the advent of antigen detection systems, there has long been uncertainty in diagnosis when no ova or parasites are found. Due to nearly 100% sensitivity and specificity of DNA analysis combined with the need for very low amounts of genomic DNA (as low as 2.5 cells per gram), the previously long specimen collection

© 2010 ACNEM

The Gut

®

process, laborious and technically challenging microscopy, and resulting delays in reporting have been alleviated. With PCR technology, only one faecal sample is all that is needed for high sensitivity and specificity in parasitology examinations. A single specimen can also be examined for predominant bacteria, opportunistic bacteria, pathogenic bacteria, yeasts/fungi, secretory IgA and numerous gastrointestinal function markers thus providing an extensive overview of gastrointestinal function and the broader clinical significance of any parasites detected. The aim of this lecture is to cover the most up to date and clinically relevant issues surrounding the complex area of parasites in gastrointestinal health. Topics covered include; the common clinical presentations of parasite infection, issues associated with methods of identification of positive parisitology, the implications of several commonly identified organisms, and the dietary, botanical and pharmaceutical management of gastrointestinal parasitic infections.

Dr Jean A. Monro, MB BS, MRCS, LRCP, FAAEM, DIBEM, MACOEM, Medical Director, Breakspear Hospital, England, has a background in hospital general medicine and worked at the National Hospital for Nervous Diseases, Queen Square, London, researching migraine and multiple sclerosis. She entered full time practice in Environmental Medicine in 1982 and in 1988 established the Breakspear Hospital for Allergy and Environmental Medicine. Dr Monro has also been a Consultant at Fachkrankenhaus Nordfriesland, Germany since 1991. She has many publications to her name and regularly speaks at conferences worldwide. Her primary areas of interest are nutritional medicine and immunology, metabolic function and environmental medicine. Topic: Fructose Metabolism ­ A Toxic Challenge / The Neural Pathways for Allergies Description:

Danielle de Natris, BScND, AACNEM, MATMS, has been a practicing Naturopath and Nutritionist since 1999. She has been involved in natural health and nutrition since 1985, and has steadily built her knowledge over the years. Currently, Danielle is completing her Masters of Human Nutrition at Deakin University. In 2006 and 2007 Danielle was in England, where she lectured and wrote nutrition courses for the largest Nutrition College in the UK. Apart from running a practice on the beautiful Mornington Peninsula in Victoria, Danielle lectures nutrition and food energetic in Melbourne. In her free time Danielle is a volunteer in the State Emergency Service, and is currently working on a paper that reviews performance stress and nutrition in CFA volunteers. Various areas in nutrition are of special interest to Danielle: Effect of environmental stressors on health, food science and technology, mental health in rural low socio-economic groups, and cancer support through nutrition. Topic: Leaky gut: Nutritional solutions to treatment and prevention Description: The role of digestion in intestinal hyper-permeability is a key factor in the development of leaky gut syndrome. Maldigestion and fermentation create toxins which in turn interfere with our gut health. Permeability of the gut wall can cause a large number of complaints, often so generalized it takes a well-trained practitioner to spot the underlying cause. Problems such as eczema, arthritic pains, allergies, fatigue, low immunity, and mood fluctuations can all be interconnected via gut integrity or lack thereof. Take a nutritional walk with Danielle, and discover practical solutions to this syndrome that, if left untreated, will become both cause and effect in many patients. Symptoms of leaky gut are briefly reviewed, as are factors that impair digestion. Evidence-based information on nutritional deficiencies that can result from leaky gut, as well as how these deficiencies perpetuate this

© 2010 ACNEM

The Gut

®

condition will also be discussed. Nutrients of importance for repair of the gut wall, as well as foods that heals will be explained in a clear and practical manner. References will be available with the material.

Dr James Read, MBBS, Dip RANZCOG, FRACGP, is a rural GP specialising in Nutritional Medicine. He has worked as a qualified GP anaesthetist for 6 years and was the Director of Anaesthesia of Murwillumbah Hospital in 2007-2008. After 6 years as a visiting medical officer at Murwillumbah Hospital primarily working in anaesthesia and emergency medicine he has embarked on full time nutritional medicine practice. Dr Reads interest in Nutritional Medicine developed during 6 years of practice in the Northern Territory in aboriginal health and as a flying doctor. He has trained with many prominent nutritional practitioners and organisations including Prof. Mell Sydney-Smith, Dr Igor Tabrizian, Henry Osiecki, ACNEM. He has trained with the Pfeiffer Treatment Centre in biochemical management of mental health/behavioural disorders and Autism and with Ian Gawler OAM to facilitate Cancer support Groups. Dr Read is now the full nutritional medicine practitioner/bariatric physician at the Australian Institute of Weight Control Gold Coast where he also provides nutritional input for patients referred for other conditions. Topic: Pre and Probiotics Description: Probiotics and Prebiotics will review the role of probiotics and prebiotics in both treating and preventing disease. The role of altered gut bacteria/ dysbiosis in disease will be reviewed. A detailed exploration of the interaction between intestinal microbial flora and the intestinal mucosa as an immune modulating organ is explored. An understanding of the probiotic gut immune connection will facilitate the diverse and far reaching effects of probiotics in health promotion.

Dr Henry Sztulman, MBBS, graduated from Monash in 1972. After about six years of conventional medical practice he left the process and went to live in an Ashram for eleven years, where he learned to apply yogic techniques to dealing with all manner of illness of body, emotions, mind and spirit. Following this Dr Sztulman returned to general practice and began training in nutritional and environmental medicine, mainly with ACNEM and ACHM (Australian College of Holistic Medicine). As his knowledge and understanding evolved, the importance of gut health became paramount in his approach to health problems, no matter what the original presentation. Dr Sztulmans general practice is now fully focused on comprehensive and detailed assessment of metabolic, nutritional, hormonal and allergic disorders with a strong accent on healing the digestion as the basis of improved health. Topic: Case History Presentation Description: Dr Sztulman will present on a child with Crohns Disease and use it as an example of how to investigate a patient with chronic illness, and how to interpret and understand common pathology tests from a nutritional point of view.

Prof Melvyn A Sydney-Smith, KGSJ. MBBS. PhD. MHMS(prov). Grad Dip Clin Nutrit. Mast Pract NLP. Grad Dip Gestalt Ther. Grad Cert Hypnosis. FACNEM, Adjunct Professor (Nutrition Medicine), School of Health Sciences, RMIT University. Adjunct Associate Professor, Southern Cross University, Lismore, Adjunct Associate Professor, School of Health, UNE, graduated in 1970 from the University of Western Australia and, following his residency, practised in Papua New Guinea, becoming

© 2010 ACNEM

The Gut

®

the Acting Specialist in O&G at the Morobe District Base Hospital. On return to Australia, Mel commenced general practice, whilst embarking on a graduate training program that included acupuncture, gestalt therapy, clinical nutrition, NLP and hypnosis. He completed his masters degree in Human Movement Studies, followed by a PhD in 1992. In 1980, Mel and his partner established the Holistic Medical Centre in Brisbane, to provide an integrated medical service within a holistic medical paradigm. He continues in private practice at home in Doolandella, remaining committed to patient-centred assessment and holistic health care. His practice focuses on comprehensive medical nutritional assessment and the clinical application of contemporary research on diet and nutrient therapy, as an essential element of integrated patient management. Dr Sydney-Smith has been extensively involved for thirty years in both undergraduate and postgraduate medical nutrition education in Australia, China and Asia. He was a Visiting Professor at the Open International University for Complementary Medicine, and in 1992 was inducted into the Knights of Malta (Asia) for his contribution to graduate medical education in China and Asia. He was a founding director of the Australian College of Holistic Medicine, writing and presenting many RACGP accredited graduate workshops in Nutrition Medicine, in addition to the Graduate Diploma in Nutrition Medicine program, which is incorporated into the Master of Nutrition Medicine program at RMIT University. Topic: Small Intestinal Bowel Overgrowth Description:

© 2010 ACNEM

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