Severe malnutrition in children presenting to health facilities in an urban slum in Bangladesh

SETTING: An urban slum in Kamrangirchar, Bangladesh. OBJECTIVES: Among children aged 6–59 months seeking medical care from the two Médecins Sans Frontières-supported primary health centres, to determine 1) the prevalence of severe acute malnutrition (SAM) and severe chronic malnutrition (SCM), and 2) the extent of overlap between SAM and SCM. DESIGN: In a retrospective record review, data were analysed from out-patient registers on age, sex, height, weight and mid-upper arm circumference (MUAC) of children attending for medical care from April to September 2011. SAM was defined as weight for height < −3 Z scores of the median and/or MUAC <115 mm. SCM was defined as height for age < −3 Z scores of the median. World Health Organization growth standards were used as reference. RESULTS: Data were complete in the records of 7318 (98%) children, of whom 322 (4%) had SAM and 1698 (23%) had SCM. Among the 322 children with SAM, 162 (50%) also had SCM. CONCLUSION: In an urban Bangladesh slum, SAM and SCM co-exist, with a predominance of SCM. The current national guidelines for severe malnutrition, which focus on identification and management only for SAM, urgently need to be expanded to include SCM if substantial childhood morbidity and mortality are to be reduced

Prediction of huge X-ray Faraday rotation at the Gd N_4,5 threshold

X-ray absorption spectra in a wide energy range around the 4d-4f excitation threshold of Gd were recorded by total electron yield from in-plane magnetized Gd metal films. Matching the experimental spectra to tabulated absorption data reveals unprecedented short light absorption lengths down to 3 nm. The associated real parts of the refractive index for circularly polarized light propagating parallel or antiparallel to the Gd magnetization, determined through the Kramers-Kronig transformation, correspond to a magneto-optical Faraday rotation of 0.7 degrees per atomic layer. This finding shall allow the study of magnetic structure and magnetization dynamics of lanthanide elements in nanosize systems and dilute alloys.Comment: 4 pages, 2 figures, final version resubmitted to Phys. Rev. B, Brief Reports. Minor change

A qualitative stakeholder analysis of avian influenza policy in Bangladesh

Avian influenza is a major animal and public health concern in Bangladesh. A decade after development and implementation of the first national avian influenza and human pandemic influenza preparedness and response plan in Bangladesh, a two-stage qualitative stakeholder analysis was performed in relation to the policy development process and the actual policy. This study specifically aimed to identify the future policy options to prevent and control avian influenza and other poultry-related zoonotic diseases in Bangladesh. It was recommended that the policy should be based on the One Health concept, be evidence-based, sustainable, reviewed and updated as necessary. The future policy environment that is suitable for developing and implementing these policies should take into account the following points: the need to formally engage multiple sectors, the need for clear and acceptable leadership, roles and responsibilities, and the need for a common pool of resources and provision for transferring resources. Most of these recommendations are directed towards the Government of Bangladesh. However, other sectors, including research and poultry production stakeholders, also have a major role to play to inform policy-making and actively participate in the multi-sectoral approach

Structure and soft magnetic properties of sputter deposited MnZn-ferrite films

In this paper we report the soft magnetic properties of thin films of sputtered MnZn ferrite deposited on thermally oxidized Si substrates. A high deposition temperature, 600¿°C, together with the addition of water vapor to the sputtering gas was found to improve the initial ac permeability, µ. The highest value obtained was approximately 30. For MnZn-ferrite films with much larger grain sizes, as obtained by deposition on a polycrystalline Zn-ferrite substrate, a µ of 100 was obtained. The results are discussed in terms of the so-called nonmagnetic grain boundary model

Коррекция двигательных и поведенческих функций в лечении и реабилитации больных шизотипическим расстройством

На основании особенностей невербального поведения больных шизотипическим расстройством разработаны поведенческие методы, применение которых в их комплексной терапии позволяет добиться более полной редукции психопатологической симптоматики.Behavioral methods were worked out basing of the peculiarities of non−verbal behavior of the patients with schizotypical disorders. The use of the methods in complex therapy allows to achieve more complete reduction in psychopathological signs

An appraisal of the indigenous chicken market in Tanzania and Zambia. Are the markets ready for improved outputs from village production systems?

Traditional or village poultry, consisting primarily of indigenous chickens, make up over 80% of poultry in Africa. Most are kept as small flocks in free-ranging, scavenging, low input production systems. They provide vital nutritional and financial needs especially for children, women of reproductive age, people with HIV/AIDS and the poor. Poultry meat and eggs provide animal source protein and essential micronutrients which improves growth and cognitive development in children. While productivity of indigenous chickens is low due to uncontrolled disease and an unreliable scavenging resource base, the minimal inputs result in a high benefit-cost ratio. By increasing supplementary feeding through improved crop yields and improving disease control through vaccination, a higher number of chickens of greater bodyweight will be available to market. An appraisal of the indigenous chicken market in Tanzania and Zambia was conducted to identify the key individuals (including gender imbalances), market channels, commercialisation margins, market trends and competition from exotic, commercial chickens (broilers and spent layers). Consumers preferred indigenous chickens and urban consumers paid their significantly higher price, which resulted from the accumulative costs of intermediary traders’ fees, transport costs and market fees. Commercial chickens in urban markets sold at a lower price but were vulnerable to fluctuating costs of high inputs. Indigenous chicken producers’ margins were favourable enough to suggest that some additional costs were sustainable, provided the off take channels and consumer confidence is sustained. Markets for indigenous chickens were informal and consequently, their response to increased production may be unpredictable