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https://www.readbyqxmd.com/read/28429911/inequality-in-malnutrition-by-maternal-education-levels-in-early-childhood-the-prospective-cohort-of-thai-children-pctc
#1
Seo Ah Hong, Pattanee Winichagoon, Aroonsri Mongkolchati
BACKGROUND AND OBJECTIVES: As tackling socioeconomic inequality in child malnutrition still remains one of the greatest challenges in developing countries, we examined maternal educational differences in malnutrition and the magnitude of its inequality among 4,198 children from the Prospective Cohort study of Thai Children (PCTC). METHODS AND STUDY DESIGN: Prevalence of stunting, underweight, and wasting from birth to 24 months was calculated using the new WHO growth chart...
May 2017: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28424765/community-health-volunteers-in-primary-healthcare-in-rural-uganda-factors-influencing-performance
#2
Yusufu Kuule, Andrew Eric Dobson, Desalegn Woldeyohannes, Maria Zolfo, Robinah Najjemba, Birungi Mutahunga R Edwin, Nahabwe Haven, Kristien Verdonck, Philip Owiti, Ewan Wilkinson
INTRODUCTION: Community health volunteers (CHVs) play an integral role in primary healthcare. Several countries rely on CHV programs as a major element in improving access to care and attaining universal health coverage. However, their performance has been heterogeneous and at times context-specific, and influenced by multiple factors. We describe the socio-demographic and workplace characteristics affecting CHVs' performance in a public health program in rural western Uganda. METHODS: This was a cross-sectional study based on routine program data of CHVs serving the catchment of Bwindi Community Hospital, Kanungu District, South Western Uganda, in 2014 and 2015...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28424189/diagnostic-criteria-for-severe-acute-malnutrition-among-infants-aged-under-6-mo
#3
Martha Mwangome, Moses Ngari, Greg Fegan, Neema Mturi, Mohammed Shebe, Evasius Bauni, James A Berkley
Background: There is an increasing recognition of malnutrition among infants under 6 mo of age (U6M). Current diagnosis criteria use weight-for-length z scores (WLZs), but the 2006 WHO standards exclude infants shorter than 45 cm. In older children, midupper arm circumference (MUAC) predicts mortality better than does WLZ. Outcomes may also be influenced by exposure to HIV and size or gestational age at birth. Diagnostic thresholds for WLZ, MUAC, and other indexes have not been fully evaluated against mortality risk among U6M infants...
April 19, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28422083/nasopharyngeal-carriage-and-antimicrobial-susceptibility-patterns-of-streptococcus-pneumoniae-among-children-under-five-in-southwest-ethiopia
#4
Tiglu Gebre, Mulualem Tadesse, Dossegnaw Aragaw, Dagne Feye, Habtamu Bedimo Beyene, Dinberu Seyoum, Mekidim Mekonnen
Nasopharyngeal carriage of Streptococcus pneumoniae is found to play an important role in the development and transmission of pneumococcal diseases. In this study, we assessed the nasopharyngeal carriage, antimicrobial susceptibility patterns and associated risk factors of S. pneumoniae among children under five. A total of 361 children under five attending the outpatient department of Shanan Gibe Hospital in Jimma, Southwest Ethiopia were enrolled from June to September 2014. Nasopharyngeal specimens were collected using sterile plastic applicator rayon tipped swab and inoculated on tryptone soy agar supplemented with 5% sheep blood and 5 µg/mL gentamycin...
April 19, 2017: Children
https://www.readbyqxmd.com/read/28421143/the-dual-burden-of-malnutrition-and-associated-dietary-and-lifestyle-habits-among-lebanese-school-age-children-living-in-orphanages-in-north-lebanon
#5
Germine El-Kassas, Fouad Ziade
Childhood is a crucial period affecting physical and intellectual development. Although children living in orphanages are among the most vulnerable groups at risk of malnutrition, there is scarcity of data concerning their nutritional status in Lebanon. To investigate these data, a cross-sectional survey was conducted including a sample of 153 institutionalized children aged 5-14 years from all orphanages in Tripoli. Nutritional status was assessed using anthropometric, clinical, and dietary tools. Interpretation of anthropometric data showed that 13...
2017: Journal of Nutrition and Metabolism
https://www.readbyqxmd.com/read/28417875/influence-of-malnutrition-upon-all-cause-mortality-among-children-in-swaziland
#6
Paula Acevedo, María Teresa García Esteban, Noemí Lopez-Ejeda, Amador Gómez, María Dolores Marrodán
OBJECTIVE: To analyze the effect of the type of malnutrition, sex, age and the presence of edema upon all-cause mortality in children under 5 years of age. MATERIAL AND METHODS: A cross-sectional study was conducted during 2010 and 2011 in Swaziland. Sex, age, weight and height were taken to classify nutritional status according to the 2006 WHO growth standards: stunting (low height for age), wasting (low weight for height or low body mass index for age) and underweight (low weight for age)...
April 2017: Endocrinol Diabetes Nutr
https://www.readbyqxmd.com/read/28408936/household-food-insecurity-and-its-association-with-nutritional-status-of-children-6-59-months-of-age-in-east-badawacho-district-south-ethiopia
#7
Bealu Betebo, Tekle Ejajo, Fissahaye Alemseged, Desalegn Massa
Background. Ethiopia has one of the highest child malnutrition rates in the world. Food insecurity is one of the determinant factors of malnutrition in developing countries; however its role remains unclear. Objective. To assess household food insecurity and its association with the nutritional status of children 6-59 months of age in East Badawacho District, South Ethiopia. Methods. A community based cross-sectional study was conducted from February 20 to 30, 2014 on a sample of 508 mother/child pairs of 6-59-month-old children...
2017: Journal of Environmental and Public Health
https://www.readbyqxmd.com/read/28407156/enhancing-care-models-to-capture-psychological-trauma
#8
Mary Suzanne Balch, Jo Loomis
Toxic levels of stress in childhood are an ongoing threat to public health. Traumatized children have special needs for health care to address their developmental, mental health, and medical problems, and mitigate risk for long-term health problems. Developmental trauma leads to increased use of medical, social, correctional, and mental health services. Longitudinal and retrospective studies link childhood trauma and adversity to academic difficulties, poor health, and low economic productivity in adulthood...
April 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28404577/outpatient-treatment-of-severe-acute-malnutrition-response-to-treatment-with-a-reduced-schedule-of-therapeutic-food-distribution
#9
Sheila Isanaka, Stephen R Kodish, Fatou Berthé, Ian Alley, Fabienne Nackers, Kerstin E Hanson, Rebecca F Grais
Background: Community-based management of severe acute malnutrition (SAM) has been shown to be safe and cost-effective, but program coverage remains low. Treatment models that maintain high levels of clinical effectiveness but allow for increased coverage are still needed. A reduced schedule of follow-up, in which children receive clinical follow-up and therapeutic foods on a monthly rather than weekly basis, may be one alternative.Objective: We aimed to describe the safety and feasibility of a monthly distribution of ready-to-use therapeutic food (RUTF) in the treatment of uncomplicated SAM, in terms of clinical response to treatment and household RUTF use...
April 12, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28398257/the-life-course-implications-of-ready-to-use-therapeutic-food-for-children-in-low-income-countries
#10
Alessandra N Bazzano, Kaitlin S Potts, Lydia A Bazzano, John B Mason
The development of ready-to-use therapeutic food (RUTF) for the treatment of uncomplicated cases of severe acute malnutrition in young children from 6 months to 5 years old has greatly improved survival through the ability to treat large numbers of malnourished children in the community setting rather than at health facilities during emergencies. This success has led to a surge in demand for RUTF in low income countries that are frequently food insecure due to environmental factors such as cyclical drought...
April 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28396264/causal-pathways-from-enteropathogens-to-environmental-enteropathy-findings-from-the-mal-ed-birth-cohort-study
#11
Margaret N Kosek
BACKGROUND: Environmental enteropathy (EE), the adverse impact of frequent and numerous enteric infections on the gut resulting in a state of persistent immune activation and altered permeability, has been proposed as a key determinant of growth failure in children in low- and middle-income populations. A theory-driven systems model to critically evaluate pathways through which enteropathogens, gut permeability, and intestinal and systemic inflammation affect child growth was conducted within the framework of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) birth cohort study that included children from eight countries...
March 8, 2017: EBioMedicine
https://www.readbyqxmd.com/read/28393504/-growth-in-children-with-choledochal-cyst
#12
A Sánchez Galán, A Vilanova Sánchez, L Martínez Martínez, M Dore Reyes, M Romo Muñoz, V Núñez Cerezo, F Hernández Oliveros, M López Santamaría
AIM: In patients with a choledochal cyst, the malformation and subsequent biliodigestive reconstruction lead to a non-physiological state in the digestive tract and biliary excretion that could affect the child's growth. The effect of this malformation and its surgical treatment are reviewed here in a large patient cohort. MATERIAL AND METHODS: Retrospective review of patients undergoing surgery for choledochal cyst in the last 20 years. Nutrition and liver function parameters, weight and height data were collected from medical records...
July 10, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28390593/ear-nose-and-thorat-disorders-in-pediatric-patients-at-a-rural-hospital-in-senegal
#13
REVIEW
Hady Tall, Fatoumata Yarie Bah, Timi Nasser, Aly Sambou, Bay Karim Diallo
INTRODUCTION: The main health problems encountered in pediatric population in Senegal are low birth weigth malnutrition and infection. However, there is a lack of data on pediatric ENT diseases from west african population. This is no published data on any research work on pattern ENT pediatric done in Senegal. This study aimed at determining the pattern of common pediatric ENT diseases. PATIENTS AND METHODS: This was a retrospective descriptive study involving review of medical record of patients aged 0-16 years who presented ENT diseases from April 2011 to May 2013 (2 years)...
May 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28389119/nutritional-status-among-adolescent-girls-in-children-s-homes-anthropometry-and-dietary-patterns
#14
Tone Berg, Christine Magala-Nyago, Per Ole Iversen
BACKGROUND & AIMS: Malnutrition is widespread among disadvantaged people in low-income countries like Uganda. Children and adolescents living in children's homes are considered an especially vulnerable group, and malnutrition among girls is of particular concern since it has intergenerational consequences. Virtually no information exists about the nutritional status of adolescent girls living in children's homes in Uganda. We therefore conducted a cross-sectional study to assess the nutritional status by evaluating anthropometric indicators, body composition and dietary patterns...
March 25, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/28388381/protein-requirements-of-the-critically-ill-pediatric-patient
#15
Jorge A Coss-Bu, Jill Hamilton-Reeves, Jayshil J Patel, Claudia R Morris, Ryan T Hurt
This article includes a review of protein needs in children during health and illness, as well as a detailed discussion of protein metabolism, including nitrogen balance during critical illness, and assessment and prescription/delivery of protein to critically ill children. The determination of protein requirements in children has been difficult and challenging. The protein needs in healthy children should be based on the amount needed to ensure adequate growth during infancy and childhood. Compared with adults, children require a continuous supply of nutrients to maintain growth...
April 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/28381477/association-between-enteropathogens-and-malnutrition-in-children-aged-6-23-mo-in-bangladesh-a-case-control-study
#16
James A Platts-Mills, Mami Taniuchi, Md Jashim Uddin, Shihab Uddin Sobuz, Mustafa Mahfuz, Sm Abdul Gaffar, Dinesh Mondal, Md Iqbal Hossain, M Munirul Islam, Am Shamsir Ahmed, William A Petri, Rashidul Haque, Eric R Houpt, Tahmeed Ahmed
Background: Early exposure to enteropathogens has been associated with malnutrition in children in low-resource settings. However, the contribution of individual enteropathogens remains poorly defined. Molecular diagnostics offer an increase in sensitivity for detecting enteropathogens but have not been comprehensively applied to studies of malnutrition.Objective: We sought to identify enteropathogens associated with malnutrition in Bangladesh.Design: Malnourished children [weight-for-age z score (WAZ) <-2] aged 6-23 mo in Dhaka, Bangladesh, and identified by active community surveillance were enrolled as cases, and normal-weight children (WAZ >-1) of the same age and from the same community were enrolled as controls...
April 5, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28381429/long-term-effects-of-severe-acute-malnutrition-on-lung-function-in-malawian-children-a-cohort-study
#17
Natasha Lelijveld, Marko Kerac, Andrew Seal, Emmanuel Chimwezi, Jonathan C Wells, Robert S Heyderman, Moffat J Nyirenda, Janet Stocks, Jane Kirkby
Early nutritional insults may increase risk of adult lung disease. We aimed to quantify the impact of severe acute malnutrition (SAM) on spirometric outcomes 7 years post-treatment and explore predictors of impaired lung function.Spirometry and pulse oximetry were assessed in 237 Malawian children (median age: 9.3 years) who had been treated for SAM and compared with sibling and age/sex-matched community controls. Spirometry results were expressed as z-scores based on Global Lung Function Initiative reference data for the African-American population...
April 2017: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/28380279/causes-and-consequences-of-the-leishmania-infantum-burden-in-patients-with-kala-azar-ndash-a-study-of-625-patients
#18
Danielle A Zacarias, Nuno Rolão, Flaviane A de Pinho, Ingridi Sene, Jailthon C Silva, Teresinha C Pereira, Dorcas L Costa, Carlos H N Costa
BACKGROUND: An infected host's Leishmania infantum load in blood is considered to be an estimate of his or her total parasite burden. Therefore, the measurement of blood parasite burden is important in the identification of factors involved in parasite control. METHODS: Quantitative polymerase chain reaction was performed on blood samples from 625 patients with kala-azar consecutively admitted to a reference hospital in Teresina, Brazil. Primers were used to amplify a segment of kDNA using the TaqMan system...
April 5, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28378463/quality-of-care-for-treatment-of-uncomplicated-severe-acute-malnutrition-delivered-by-community-health-workers-in-a-rural-area-of-mali
#19
Jose Luis Alvarez Morán, Franck G B Alé, Eleanor Rogers, Saul Guerrero
An alternative Community-based Management of Acute Malnutrition model with community health workers (CHWs) delivering treatment for uncomplicated severe acute malnutrition (SAM) was piloted in Mali. The capacity of the CHWs to evaluate, classify, and treat cases of uncomplicated SAM, to provide nutritional counselling to caretakers of children receiving treatment for SAM, malaria, pneumonia or diarrhoea and to correctly refer cases of complicated SAM, was assessed. This was done using direct observation by trained enumerators of the management of SAM cases using checklists, re-diagnosing the cases admitted for treatment and reviewing admissions cards and registers...
April 5, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28374648/a-randomized-controlled-trial-of-two-ready-to-use-supplementary-foods-demonstrates-benefit-of-the-higher-dairy-supplement-for-reduced-wasting-in-mothers-and-differential-impact-in-infants-and-children-associated-with-maternal-supplement-response
#20
Nina Schlossman, Carrie Brown, Payal Batra, Augusto Braima de Sa, Ionela Balan, Adrian Balan, Madeleine G Gamache, Lauren Wood, William Pruzensky, Edward Saltzman, Susan B Roberts, Carlito Balé
BACKGROUND: There is no consensus over best approaches to reliably prevent malnutrition in rural communities in low-income countries. OBJECTIVE: We compared the effectiveness of 2 lipid-based ready-to-use supplementary foods (RUSFs) differing in dairy protein content to improve the nutritional status of mothers and at-risk infants and young children in rural Guinea-Bissau. METHODS: A 3-month cluster-randomized controlled pilot trial of 2 RUSFs was conducted with 692 mothers and 580 mildly or moderately malnourished infants (6-23 months) and children (24-59 months) from 13 villages...
January 1, 2017: Food and Nutrition Bulletin
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