ABSTRACT
BACKGROUND: A better understanding of the nutritional status of infants who are HIV-Exposed-Uninfected (HEU) and HIV-Unexposed-Uninfected (HUU) during their first 1000 days is key to improving population health, particularly in sub-Saharan Africa. METHODS: A cross-sectional study compared the nutritional status, feeding practices and determinants of nutritional status of HEU and HUU infants residing in representative selected districts in Botswana during their first 1000 days of life. Four hundred and thirteen infants (37.3% HIV-exposed), aged 6-24 months, attending routine child health clinics, were recruited. Anthropometric, 24-h dietary intake and socio-demographic data was collected. Anthropometric Z-scores were calculated using 2006 World Health Organization growth standards. Modelling of the determinants of malnutrition was undertaken using logistic regression. RESULTS: Overall, the prevalences of stunting, wasting and being underweight were 10.4%, 11.9% and 10.2%, respectively. HEU infants were more likely to be underweight (15.6% versus 6.9%), (P < 0.01) and stunted (15.6% versus 7.3%), (P < 0.05) but not wasted (P = 0.14) than HUU infants. HEU infants tended to be formula fed (82.5%), whereas HUU infants tended to breastfeed (94%) for the first 6 months (P < 0.001). Significant predictors of nutritional status were HIV exposure, birthweight, birth length, APGAR (appearance, pulse, grimace, activity and respiration) score and mother/caregiver's education with little influence of socio-economic status. CONCLUSIONS: HEU infants aged 6-24 months had worse nutritional status compared to HUU infants. Low birthweight was the main predictor of undernutrition in this population. Optimisation of infant nutritional status should focus on improving birthweight. In addition, specific interventions should target HEU infants aiming to eliminate growth disparity between HEU and HUU infants.
Subject(s)
Birth Weight , Growth Disorders/epidemiology , HIV Infections/epidemiology , Malnutrition/epidemiology , Nutritional Status , Anthropometry , Botswana/epidemiology , Breast Feeding , Cross-Sectional Studies , Female , Humans , Infant , Infant Formula/chemistry , Logistic Models , Male , Prevalence , Sample Size , Treatment OutcomeSubject(s)
Interprofessional Relations , Medical Staff, Hospital/psychology , Prejudice , Humans , State Medicine , United KingdomABSTRACT
A physiological quiet standing model, described by a delayed differential equation, subject to a white noise perturbation, is proposed to study the postural control system of human beings. It has been found that the white noise destabilizes the equilibrium state, and inertia accelerates the destabilizing process, and that the position of a person is detected and processed by the person's nervous system with a delay. This paper focuses on the analysis of Hopf bifurcation and its stability in this context. Based on the analytical predictions confirmed by numerical simulations, it has been shown that the posture of a person is controlled in such a way that possible amplitude oscillations are minimized.
Subject(s)
Models, Neurological , Nervous System , Computer Simulation , Humans , Models, Biological , Models, Statistical , Models, Theoretical , Numerical Analysis, Computer-Assisted , Oscillometry , PostureSubject(s)
Family Practice/standards , Professional-Patient Relations , Child , Communication , Humans , Neuroblastoma/therapySubject(s)
Communication , Medical Records , Referral and Consultation , Consultants , Humans , Medical Staff, Hospital , Professional Practice , WritingSubject(s)
Drug Therapy , Practice Patterns, Physicians' , Refusal to Treat , Child , Humans , United KingdomABSTRACT
Tracheal agenesis is a potentially lethal congenital anomaly first described by Payne in 1900. It can occur in isolation or in association with tracheoesophageal (TO) or bronchoesophageal (BO) fistula, cardiovascular anomalies, limb deformities, vertebral anomalies and gastrointestinal tract abnormalities. There are 47 reported cases of tracheal agenesis up to 1989; 45 of these were associated with TO fistula. Another 15 cases of tracheal agenesis have been reported since then, and all have been associated with TO fistula. We report only the third case of type 2 tracheal agenesis without TO fistula.
Subject(s)
Trachea/abnormalities , Tracheoesophageal Fistula , Fatal Outcome , Humans , Infant, Newborn , Kidney/abnormalities , Larynx/abnormalities , MaleABSTRACT
Ionizing radiation is expected to produce mutants with deletions or other chromosomal rearrangements. These mutants are useful for a variety of purposes, such as creating null alleles and cloning genes whose existence is known only from their mutant phenotype; however, only a few mutations generated by ionizing radiation have been characterized at the molecular level in Arabidopsis thaliana. Twenty fast neutron-generated alleles of the Arabidopsis HY4 locus, which encodes a blue light receptor, CRY1, were isolated and characterized. Nine of the mutant alleles displayed normal genetic behavior. The other 11 mutant alleles were poorly transmitted through the male gametophyte and were lethal in homozygous plants. Southern blot analysis demonstrated that alleles of the first group generally contain small or moderate-sized deletions at HY4, while alleles of the second group contain large deletions at this locus. These results demonstrate that fast neutrons can produce a range of deletions at a single locus in Arabidopsis. Many of these deletions would be suitable for cloning by genomic subtraction or representational difference analysis. The results also suggest the presence of an essential locus adjacent to HY4.
