scholarly journals Sex differences in prevalence of anaemia and iron deficiency in infancy in a large multi-country trial in South-East Asia

2007 ◽  
Vol 98 (5) ◽  
pp. 1070-1076 ◽  
Author(s):  
Frank T. Wieringa ◽  
Jacques Berger ◽  
Marjoleine A. Dijkhuizen ◽  
Adi Hidayat ◽  
Nguyen X. Ninh ◽  
...  

To evaluate effects of Fe supplementation and sex on the prevalence of anaemia and Fe status in infants in South-East Asia, biochemical data from four parallel, randomized, double-blind trials with Fe and/or Zn supplementation in infants (n 2452) in Indonesia, Thailand and Vietnam was pooled. At recruitment (5 months of age), Hb concentrations were slightly but significantly lower in boy infants compared with girl infants (108·7 g/l v. 111.4 g/l, P = 0·04). At 11 months of age, boy infants not receiving Fe had significantly lower Hb (106·2 g/l v. 111.0 g/l, P < 0·001) and lower serum ferritin concentrations (14·3 μg/l v. 21.1 g/l, P < 0·001) than girl infants not receiving Fe. Consequently, boy infants had a relative risk of 1·6 (95 % CI 1·3, 2·1) to be anaemic, and of 3·3 (95 % CI 2·1, 5·0) for having Fe deficiency anaemia compared with girl infants. Fe supplementation significantly increased Hb concentrations in both boys and girls. There was no sex difference in Fe status in infants receiving Fe for 6 months. This study shows that the markedly higher risk for anaemia and Fe deficiency indicates higher Fe requirements in boy than in girl infants. In South-East Asia, standard infant feeding practices do not provide sufficient Fe to meet requirements of infants, especially boys. Current daily recommended intake for Fe in infancy is the same for boy and girl infants however. Our findings suggest that in especially the second half of infancy, Fe requirements for boy infants are approximately 0·9 mg/d higher than for girl infants.

2011 ◽  
Vol 105 (11) ◽  
pp. 1652-1659 ◽  
Author(s):  
Ruth Blanco-Rojo ◽  
Ana M. Pérez-Granados ◽  
Laura Toxqui ◽  
Carmen González-Vizcayno ◽  
Marco A. Delgado ◽  
...  

Fe-deficiency anaemia is a worldwide health problem. We studied the influence of consuming an Fe-fortified fruit juice on Fe status in menstruating women. A randomised, double-blind, placebo-controlled study of 16 weeks of duration was performed. Subjects were randomised into two groups: the P group (n58) or the F group (n64), and consumed, as a supplement to their usual diet, 500 ml/d of a placebo fruit juice or an Fe-fortified fruit juice, respectively. The Fe-fortified fruit juice, containing microencapsulated iron pyrophosphate, provided 18 mg Fe/d (100 % of the RDA). At baseline and monthly, dietary intake, body weight and Fe parameters were determined: total erythrocytes, haematocrit, mean corpuscular volume (MCV), red blood cell distribution width (RDW), Hb, serum Fe, serum ferritin, serum transferrin, transferrin saturation, soluble transferrin receptor (sTfR) and zinc protoporphyrin (ZnPP). The fruit juice consumption involved increased intake of carbohydrates and vitamin C, and increased BMI within normal limits. Ferritin was higher in the F group after week 4 (P < 0·05) and became 80 % higher than in the P group after week 16 (P < 0·001), and transferrin decreased in the F group compared with the P group after week 4 (P < 0·001). RDW was higher at weeks 4 and 8 in the F group compared with the P group (P < 0·05). Transferrin saturation increased after week 8, and haematocrit, MCV and Hb increased after week 12, in the F group compared with the P group. Serum Fe did not change. sTfR and ZnPP decreased in the F group at week 16 (P < 0·05). Iron pyrophosphate-fortified fruit juice improves Fe status and may be used to prevent Fe-deficiency anaemia.


2018 ◽  
Vol 3 (3) ◽  

To determine the immunization status of pediatric patients under age of 5 years visiting pediatric department of tertiary care hospitals in South East Asia. The aim of this study was to appreciate the awareness and implementation of vaccination in pediatric patients who came into pediatric outpatient Department with presenting complain other than routine vaccination. we can also know the count of patients who do not complete their vaccination after birth. we can differentiate between vaccinated and unvaccinated patients and incidence of severe disease in both groups. Immunization is a protective process which makes a person resistant to the harmful diseases prevailing in the community, typically by vaccine administration either orally or intravenously. It is proven for controlling and eliminating many threatening diseases from the community. WHO report that licensed vaccines are available for the prevention of many infectious diseases. After the implementation of effective immunization the rate of many infectious diseases have declined in many countries of the world. South-East Asia is far behind in the immunization coverage. An estimated total coverage is 56%-88% for a fully immunized child, which is variable between countries. Also the coverage is highest for BCG and lowest for Polio.


2014 ◽  
Vol 41 (2) ◽  
pp. 230-239 ◽  
Author(s):  
Charles E. Jarvis ◽  
Joanne H. Cooper

It had long been believed that none of the bird, egg or nest specimens that had been in the collection of Sir Hans Sloane at his death in 1753 had survived. However, a specimen of a rhinoceros hornbill, originally in Sloane's hands, was discovered in the Natural History Museum's collections in London in 2003, and three more Sloane hornbill specimens have subsequently come to light. In addition, we report here a most unexpected discovery, that of the head of a woodpecker among the pages of one of Sloane's bound volumes of pressed plants. The context suggests that the head, like its associated plant specimens, was probably collected in south-east Asia about 1698–1699 by Nathanael Maidstone, an East India Company trader, the material reaching Sloane via William Courten after the latter's death in 1702. A detailed description of the head is provided, along with observations on its identity and possible provenance.


Writing from a wide range of historical perspectives, contributors to the anthology shed new light on historical, theoretical and empirical issues pertaining to the documentary film, in order to better comprehend the significant transformations of the form in colonial, late colonial and immediate post-colonial and postcolonial times in South and South-East Asia. In doing so, this anthology addresses an important gap in the global understanding of documentary discourses, practices, uses and styles. Based upon in-depth essays written by international authorities in the field and cutting-edge doctoral projects, this anthology is the first to encompass different periods, national contexts, subject matter and style in order to address important and also relatively little-known issues in colonial documentary film in the South and South-East Asian regions. This anthology is divided into three main thematic sections, each of which crosses national or geographical boundaries. The first section addresses issues of colonialism, late colonialism and independence. The second section looks at the use of the documentary film by missionaries and Christian evangelists, whilst the third explores the relation between documentary film, nationalism and representation.


2017 ◽  
Vol 10 (1) ◽  
pp. 59-73
Author(s):  
Michelle Ann Abate ◽  
Sarah Bradford Fletcher

Since its release in 1963, Maurice Sendak's Where the Wild Things Are has been viewed from a psychological perspective as a literary representation of children's inner emotional struggles. This essay challenges that common critical assessment. We make a case that Sendak's classic picturebook was also influenced by the turbulent era of the 1960s in general and the nation's rapidly escalating military involvement in Vietnam in particular. Our alternative reading of Sendak's text reveals a variety of both visual and verbal elements that recall the conflict in South East Asia and considers the significance of the book's geo-political engagement.


Sign in / Sign up

Export Citation Format

Share Document