What explains Cambodia’s success in reducing child stunting-2000-2014?

In many developing countries, high levels of child undernutrition persist alongside rapid economic growth. There is considerable interest in the study of countries that have made rapid progress in child nutrition to uncover the driving forces behind these improvements. Cambodia is often cited as a success case having reduced the incidence of child stunting from 51% to 34% over the period 2000 to 2014. To what extent is this success driven by improvements in the underlying determinants of nutrition, such as wealth and education, (“covariate effects”) and to what extent by changes in the strengths of association between these determinants and nutrition outcomes (“coefficient effects”)? Using determinants derived from the widely-applied UNICEF framework for the analysis of child nutrition and data from four Demographic and Health Surveys datasets, we apply quantile regression based decomposition methods to quantify the covariate and coefficient effect contributions to this improvement in child nutrition. The method used in the study allows the covariate and coefficient effects to vary across the entire distribution of child nutrition outcomes. There are important differences in the drivers of improvements in child nutrition between severely stunted and moderately stunted children and between rural and urban areas. The translation of improvements in household endowments, characteristics and practices into improvements in child nutrition (the coefficient effects) may be influenced by macroeconomic shocks or other events such as natural calamities or civil disturbance and may vary substantially over different time periods. Our analysis also highlights the need to explicitly examine the contribution of targeted child health and nutrition interventions to improvements in child nutrition in developing countries

Comparing the accuracy of an ultrasound height measurement device with a wooden measurement board among children aged 2-5 years in rural Lao People's Democratic Republic: A methods-comparison study.

BACKGROUND: Height is a key component of nutrition assessments in children from limited-resource settings. This study aimed to assess whether handheld digital ultrasound devices for measuring children's height provide comparable accuracy to traditional measurement boards, which are bulky and difficult to transport. METHODS: We trained 12 health workers to measure the standing height of 222 children aged 2-5 years in rural Lao People's Democratic Republic using both the ultrasound device and measurement board. The Bland-Altman method was used to depict limits of agreement and potential bias. We reported the technical error of measurement (TEM) for precision and accuracy, then assessed these results against the Standardized Monitoring and Assessment for Relief and Transition (SMART) Manual 2.0 and the WHO Multicentre Growth Reference Study (MGRS). RESULTS: The average difference between the ultrasound and board measurements was 0.096 cm (95% limits-of-agreement: 0.041cm, 0.61cm) with a systematic bias of 0.1cm (95% confidence interval: 0.067cm, 0.134cm), suggesting the ultrasound measurements were slightly higher than those from the board. The ultrasound and board TEMs for precision were 0.157cm and 0.091cm respectively. The accuracy TEM was 0.205cm. All TEMs were within SMART and WHO MGRS limits. CONCLUSION: The ultrasound device is comparable to the measurement board among standing Lao children aged 2-5 years for precision and accuracy TEMs but showed a bias of 0.1cm. Further studies are required to assess whether calibration can minimise this bias and determine the ultrasound's accuracy on recumbent length for infants and younger children

A Tribute to Patrick Baude

The Board of Editors dedicates Volume 86 of the Indiana Law Journal to the memory of Patrick Baude, who taught at the School of Law from August 1968 until his death in January 2011, and who served for many years as the faculty advisor for the Indiana Law Journal. As evidenced below, Professor Baude’s influence spread far beyond the bounds of his classroom walls, and his presence in the Law School’s community will be sorely missed

A Tribute to Patrick Baude

The Board of Editors dedicates Volume 86 of the Indiana Law Journal to the memory of Patrick Baude, who taught at the School of Law from August 1968 until his death in January 2011, and who served for many years as the faculty advisor for the Indiana Law Journal. As evidenced below, Professor Baude’s influence spread far beyond the bounds of his classroom walls, and his presence in the Law School’s community will be sorely missed

Reliability of anthropometric measurements of a digi-board in comparison to an analog height board in Namibian children under 5 years.

Poor measurement quality has set back the utility of anthropometry in defining childhood malnutrition, prompting calls for alternative measurement techniques. This study aimed to assess the reliability of anthropometric measurements using a digital height board in comparison to an analog height board in Namibian children under 5 years of age. A cross-sectional, descriptive study was conducted (n = 425) between the age of 6 and 59 months, using anthropometric measurements of weight, height and mid-upper arm circumference. Two trained enumerators each collected four height measurements of each child: two using an analog height board and two using a digi-board. The repeated height measurements between and within the enumerators were used to determine intra- and interobserver reliability. Reliability of the digi-board was assessed using the technical error of measurement (TEM), relative TEM (%TEM), intraclass correlation and a Bland-Altman analysis to assess the agreement between the two methods. In all these assessments, the analog height board was considered as the gold standard and used for comparison. The digi-board showed superiority to the analog height board in terms of reliability (analog TEM = 0.22, digi-board TEM = 0.16). Although the digi-board has potential to improve child anthropometry, further clinical and large survey studies are needed to validate the used of this tool in routine population-based surveys

Microbial succession during the degradation of bioplastic in coastal marine sediment favors sulfate reducing microorganisms

Marine environments are sinks for many contaminants, including petroleum-based plastic waste. Bioplastics, or biodegradable plastics derived from renewable resources, are considered promising alternatives as numerous studies have demonstrated their degradation in marine environments. However, their rates of degradation vary and microbial consortia responsible for its degradation are not well characterized. Previous research by our group has shown that polyhydroxyalkanoate (PHA) stimulates sulfate reducing microorganisms (SRM), enriches sulfate reduction gene pools, and accumulates antibiotic and metal resistance genes. Here, we quantify the degradation rate of PHA pellets in marine sediment and present the long-term temporal changes in PHA-associated SRM communities over 424 days. For comparative purposes, polyethylene terephthalate (PET) and ceramic served as biofilm controls and the free-living microorganisms in the overlying water column served as a non-biofilm control. PHA experienced a 51% mass loss after 424 days and a generalized additive mixed model predicted that 100% mass loss would require 909 days. Throughout the course of the 424-day exposure, PHA was colonized by a distinct microbial community while PET and ceramic were colonized by similarly structured communities. SRM comprised a larger proportion of the overall community (25 – 40%) in PHA-associated biofilms as compared to PET and ceramic controls across all timepoints. Further, the diversity of SRM was greater within PHA biofilms than PET and ceramic biofilms. This study shows that PHA degrades relatively slowly and promotes a long-term shift in microbial community structure toward sulfate reduction, demonstrating the ability of this manufactured polymer to alter its environment via the disruption of biogeochemical cycling, indicating that PHA rises to the level of pollutant in benthic marine systems.This study was funded by the Texas General Land Office Coastal Management Program (GLO-CMP), the Texas Research and Development Fund (TRDF), Texas Sea Grant (TSG), and the National Sciences and Engineering Research Council of Canada (NSERC). The majority of computational data analysis was performed on TAMU-CC’s high-performance computing cluster, which is funded in part by the National Science Foundation’s CNS MRI Grant (No. 1429518)