Effectiveness of an integrated program to reduce maternal and child malnutrition in Indonesia

The article summarizes the long-term experience of practical application of domestic breakthrough technologies of preventive personalized medicine for laboratory diagnostics of a wide range of socially significant non-infectious diseases. Conceptual approaches to the formation of an integrated program for early detection and prevention of civilization diseases based on these technologies are given. A vision of the prospects for the development of this area in domestic and foreign medicine has been formed.

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Child Malnutrition, Social Development and Health Services in the Andean Region

SSRN Electronic Journal ◽

10.2139/ssrn.1814749 ◽

2005 ◽

Cited By ~ 3

Author(s):

Carlos Larrea ◽

Pedro Montalvo ◽

Ana María Ricaurte

Keyword(s):

Health Services ◽

Social Development ◽

Child Malnutrition ◽

Andean Region

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Immobilization of Rhodococcus wratislaviensis Strain KT112-7 Сells in Order to Increase Efficiency of Biodegradation of Modified Polychlorinated Biphenyls

Biotekhnologiya ◽

10.21519/0234-2758-2019-35-2-58-70 ◽

2019 ◽

pp. 58-70

Author(s):

M.G. Pervova ◽

T.I. Gorbunova ◽

V.A. Demakov

Keyword(s):

Activated Carbon ◽

Carbon Fiber ◽

Polychlorinated Biphenyls ◽

Suspension Culture ◽

Chemically Modified ◽

Commercial Mixture ◽

Immobilized Culture ◽

Rhodococcus Wratislaviensis ◽

Academy Of Sciences ◽

Integrated Program

The degradation of a mixture of hydroxy- and methoxy-PCB obtained as a result of a chemical modification of a commercial mixture of PCB «Sovol» by the Rhodococcus wratislaviensis strain KT112-7 in plankton culture or immobilized on carbon carriers has been investigated. It was established that the KT112-7 strain in plankton culture degraded 73.2% of a mixture of modified PCBs for 96 h; the strain immobilized on BAU-A activated carbon and on Carbopon-B-active carbon fiber provided the 59.5% and 95.3% degradation for the same time, respectively (with the starting concentration of PBS of 0.5 g/L). The application of the R. wratislaviensis KT112-7 strain immobilized on the BAU-A carrier decreased the number of the PCB derivatives by 1.5 times at the end of the experiment; the corresponding result for the Carbopon-B-active-immobilized culture was 3 times; the set of PCBs after the treatment with the suspension culture remained unchanged. In practice, the immobilization of R. wratislaviensis КТ112-7 strain on carbon carriers can be used in the development of the techniques for the degradation of chemically modified PCB mixtures. polychlorinated biphenyls, immobilization, destruction, utilization, PCB, Rhodococcus. Funding-This work was supported by the Integrated Program of the Ural Branch of the Russian Academy of Sciences No. 18-3-8-19. The work was performed using the equipment of the Center for collective use «Spectroscopy and analysis of organic compounds».

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Impact of COVID-19 on child malnutrition, obesity in women and household food insecurity in underserved urban settlements in Sri Lanka: a prospective follow up study

Public Health Nutrition ◽

10.1017/s1368980021001841 ◽

2021 ◽

pp. 1-24

Author(s):

Renuka Jayatissa ◽

Himali Herath ◽

Amila Gayan Perera ◽

Thulasika Thejani Dayaratne ◽

Nawmali Dhanuska De Alwis ◽

...

Keyword(s):

Sri Lanka ◽

Food Insecurity ◽

Child Malnutrition ◽

Nutrition Status ◽

Household Food Insecurity ◽

Follow Up Study ◽

Household Food ◽

Before And After ◽

Urban Settlements

Abstract Objectives: To determine changes and factors associated with child malnutrition, obesity in women and household food insecurity before and after the first wave of COVID-19 pandemic. Design: A prospective follow up study. Setting: In 2019, the baseline Urban Health and Nutrition Study (UHNS-2019) was conducted in 603 households, which were selected randomly from 30 clusters to represent underserved urban settlements in Colombo. In the present study, 35% of households from the UHNS-2019 cohort were randomly selected for repeat interviews, one year after the baseline study and 6 months after COVID-19 pandemic in Sri Lanka. Height/length and weight of children and women were re-measured, household food insecurity was reassessed, and associated factors were gathered through interviewer administered questionnaires. Differences in measurements at baseline and follow-up studies were compared. Participants: A total of 207 households, comprising 127 women and 109 children were included. Results: The current prevalence of children with wasting and overweight was higher in the follow-up study than at baseline UHNS-2019 (18.3%vs13.7%;p=0.26 and 8.3%vs3.7%;p=0.12 respectively). There was a decrease in prevalence of child stunting (14.7%vs11.9%;p=0.37). A change was not observed in overall obesity in women, which was around 30.7%. Repeated lockdown was associated with a significant reduction in food security from 57% in UHNS-2019 to 30% in the current study (p<0.001). Conclusions: There was an increase in wasting and overweight among children while women had a persistent high prevalence of obesity. This population needs suitable interventions to improve nutrition status of children and women to minimise susceptibility to COVID-19.

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Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157844 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7844

Author(s):

Delaram Ghodsi ◽

Nasrin Omidvar ◽

Bahareh Nikooyeh ◽

Roshanak Roustaee ◽

Elham Shakibazadeh ◽

...

Keyword(s):

Cost Effectiveness ◽

Mediterranean Region ◽

Eastern Mediterranean ◽

Meta Analysis ◽

Eastern Mediterranean Region ◽

Child Malnutrition ◽

Z Score ◽

Community Based ◽

Nutritional Status Of Children ◽

Children Under 5

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.

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