Extensive Acute Lower Extremity Arterial Thrombosis: A Major Thrombus Formation Caused by COVID-19

Acute thromboembolic events have been frequently reported in patients with coronavirus disease 2019 (COVID-19) due to an increase in the coagulation system activity and endothelial dysfunction. This report describes a patient with COVID-19 who initially reported respiratory symptoms and developed acute lower limb ischemia secondary to extensive macrovascular arterial thrombosis, which was treated with thrombectomy. The development of such extensive arterial thrombosis with anticoagulants at therapeutic doses is a new sign of increased viral pathogenicity, and it is necessary to develop and apply updated prophylaxis protocols for thrombosis in these patients.

A Report of Health Related Anthropometric Indices in 2–5 Years Old Children of Golestan Province of Iran in 2015

Pediatric malnutrition is an enormous health issue all around the world and its distribution is different in distinct areas of a country. This study has been designed to report the anthropometric status and some socio-economic factors among 2–5 years old children from Golestan province of Iran to show a better view of pediatric health status and better planning for future actions. This study was carried out by clustered-randomized sampling method on 1,382 of 2–5 years old children in urban and rural areas of Golestan province. Anthropometric measurements were performed and World Health Organization child growth standards were used for further analyses. The prevalence of stunting in boys and girls were 7.4% and 7.5% in urban and 4.1% and 5.4% in rural areas. The prevalence of underweight in boys and girls were 6.9% and 4.7% in urban and 5.7% and 4.4% in rural areas. The prevalence of subjects being at risk for overweight were 17.8% and 11.7% in boys and girls, respectively, in urban areas and were 11.1% and 9.2% in rural areas, respectively. There was a marginally significant difference between urban boys and girls in terms of weight status (p = 0.067). In this study remarkably high prevalence of malnutrition, especially a high dominance of overweight, was reported in Golestan province of Iran. Follow-up investigation to identify the cause of malnutrition and to establish public health policies are needed to revise these health issues in Golestan province of Iran.

role of national sectors in food and nutrition security: the experience of the Islamic Republic of Iran

Background: Solving the problem of food and nutrition security requires the integration of various sectors of the society. Determining the role of each sector in promoting people's health has presented intersectoral collaboration and transformed the theory of social health determinant approach into action. In this study, with a new approach, and in regards, the national organizations responsible for food and nutrition security have been classified and the role of each has been identified as functions and responsibilities

Methods: This qualitative study was conducted by studying the documents and programs related to food and nutrition security, as well as semi-structured interviews and focused group discussion with two groups, including experts and executives. To determine the role of organizations, the food supply chain was used

Results: According to the food chain, organizations responsible for food and nutrition security in Iran can be divided into three categories: 1. Responsible governance in the economic, political, social, technological, international, and environmental changes affecting food and nutrition security, 2. Responsible governance in the main process of food and nutrition security 3. Supportive sectors and systems for food and nutrition security. Generally speaking, it appears that the government responsible for the main process of food and nutrition security are made up of institutions responsible for providing adequate food, responsible governance for food safety, and responsible governance in the field of nutrition and body consumption

Conclusion: The findings of this study aimed to explain the expectations and responsibilities of ministries and organizations responsible for food and nutrition security

Nutrition and food security policy in the Islamic Republic of Iran: situation analysis and roadmap towards 2021

Background: All government policies and programmes for food and nutrition security should include providing healthy food, as well as providing economic and social availability for all people. Aim: This study aimed to analyse the current situation of Iranian food and nutrition security and establish a road map towards 2021. Methods: The applied methods were situation analysis and a mixed qualitative–quantitative method. The conceptual method used for developing this national document encompassed three areas: sustainable food supply, food safety and nutrition. Results: The outcomes of the Iranian food and nutrition security system in the past three decades include development of management infrastructure and improvement in food and nutrition security status. However, analysis of current programmes showed that there were some overlapping, intertwining and parallel works in the responsibilities of related organizations in the field of supervision of food safety [from production to supply]. The national document produced as the outcome of this paper was communicated by the Iranian Ministry of Health in 2012 and has been running for 2 years. Selected ministries are responsible for implementation of 20 national programmes by the end of the 5th Economic, Social and Cultural Development Programme [2016–2011]. The consensus of stakeholders by the end of the 6th Development Programme [2021] is to put all of the provinces in a safe or very safe situation in terms of food and nutrition security. Conclusion: The most important challenge in establishing national documents is to make them operational. This aim was achieved by an intersectoral nutrition and food security working group, which produced a general memorandum of understanding with the main organizations, the media, universities and private sector

Oral zinc supplementation positively affects linear growth, but not weight, in children 6-24 months of age

Childhood zinc deficiency is a common problem in many developing countries where people rely mainly on plant based diets with low zinc contents. Zinc supplementation is one of strategies to combat zinc deficiency and its consequences in children. The aim of this community trial was to examine the effect of zinc supplementation on the linear growth of children 6-24 months of age and to examine the feasibility of its implementation in the context of primary health care [PHC]. Rural community health centers providing maternal and child care in two areas with moderate rates of malnutrition were randomly assigned to intervention and control groups, including 393 and 445 children 6-24 months of age, respectively. Children in both groups received routine iron and multivitamin or vitamin A and D supplements through PHC services. Mothers of children in the intervention group were asked to give a single dose of 5 ml/day zinc sulfate syrup [containing 5 mg elemental zinc] to their children for 3 months while children in the control group did not receive the supplement. Anthropometric measurements were performed at baseline and on a monthly basis in both groups. We found a 0.5 cm difference in the height increment in the intervention group as compared with the control [P< 0.001]. Zinc supplementation had no effect on weight increment of children. Oral zinc supplementation was found to be both practical and effective in increasing linear growth rate of children less than 2 years of age through PHC