Search

Your search keyword '"John, Sushil"' showing total 170 results
Start Over Author "John, Sushil"
170 results on '"John, Sushil"'

5. Screening practices for breast and cervical cancer and associated factors, among rural women in Vellore, Tamil Nadu

Author

Saha, Shubhashis, Priya, S., Surender, Anu, Jacob, Rohan, George, Michael, Varghese, Namitha, Kumar, Nishant, Eappen, Noel, Kumar, Prabhas, Raymond, Riya, Phillips, Ashna, Mathew, Reuben, Vijayan, Miji, Sukhadhan, Christina, Thomas, Bincy, Marconi, Sam, Sindhu, Kulandaipalayam, Oommen, Anu, and John, Sushil

Subjects
Oncology, Experimental, Women, Cancer -- Diagnosis -- Research, Breast cancer, Health
Abstract

Byline: Shubhashis. Saha, S. Priya, Anu. Surender, Rohan. Jacob, Michael. George, Namitha. Varghese, Nishant. Kumar, Noel. Eappen, Prabhas. Kumar, Riya. Raymond, Ashna. Phillips, Reuben. Mathew, Miji. Vijayan, Christina. Sukhadhan, Bincy. [...]

Published
2023

8. Use of quantitative molecular diagnostic methods to assess the aetiology, burden, and clinical characteristics of diarrhoea in children in low-resource settings: a reanalysis of the MAL-ED cohort study

Author

Acosta, Angel Mendez, Rios de Burga, Rosa, Chavez, Cesar Banda, Flores, Julian Torres, Olotegui, Maribel Paredes, Pinedo, Silvia Rengifo, Trigoso, Dixner Rengifo, Vasquez, Angel Orbe, Ahmed, Imran, Alam, Didar, Ali, Asad, Rasheed, Muneera, Soofi, Sajid, Turab, Ali, Yousafzai, Aisha, Zaidi, Anita KM, Shrestha, Binob, Rayamajhi, Bishnu Bahadur, Strand, Tor, Ammu, Geetha, Babji, Sudhir, Bose, Anuradha, George, Ajila T, Hariraju, Dinesh, Jennifer, M. Steffi, John, Sushil, Kaki, Shiny, Karunakaran, Priyadarshani, Koshy, Beena, Lazarus, Robin P, Muliyil, Jayaprakash, Ragasudha, Preethi, Raghava, Mohan Venkata, Raju, Sophy, Ramachandran, Anup, Ramadas, Rakhi, Ramanujam, Karthikeyan, Rose, Anuradha, Roshan, Reeba, Sharma, Srujan L, Sundaram, Shanmuga, Thomas, Rahul J, Pan, William K, Ambikapathi, Ramya, Carreon, J Daniel, Doan, Viyada, Hoest, Christel, Knobler, Stacey, Miller, Mark A, Psaki, Stephanie, Rasmussen, Zeba, Richard, Stephanie A, Tountas, Karen H, Svensen, Erling, Amour, Caroline, Bayyo, Eliwaza, Mvungi, Regisiana, Pascal, John, Yarrot, Ladislaus, Barrett, Leah, Dillingham, Rebecca, Petri, William A, Scharf, Rebecca, Ahmed, AM Shamsir, Alam, Md Ashraful, Haque, Umma, Hossain, Md Iqbal, Islam, Munirul, Mahfuz, Mustafa, Mondal, Dinesh, Nahar, Baitun, Tofail, Fahmida, Chandyo, Ram Krishna, Shrestha, Prakash Sunder, Shrestha, Rita, Ulak, Manjeswori, Bauck, Aubrey, Black, Robert, Caulfield, Laura, Checkley, William, Lee, Gwenyth, Schulze, Kerry, Scott, Samuel, Murray-Kolb, Laura E, Ross, A Catharine, Schaefer, Barbara, Simons, Suzanne, Pendergast, Laura, Abreu, Cláudia B, Costa, Hilda, Di Moura, Alessandra, Filho, José Quirino, Leite, Álvaro M, Lima, Noélia L, Lima, Ila F, Maciel, Bruna LL, Medeiros, Pedro HQS, Moraes, Milena, Mota, Francisco S, Oriá, Reinaldo B, Quetz, Josiane, Soares, Alberto M, Mota, Rosa MS, Patil, Crystal L, Mahopo, Cloupas, Maphula, Angelina, Nyathi, Emanuel, Platts-Mills, James A, Liu, Jie, Rogawski, Elizabeth T, Kabir, Furqan, Lertsethtakarn, Paphavee, Siguas, Mery, Khan, Shaila S, Praharaj, Ira, Murei, Arinao, Nshama, Rosemary, Mujaga, Buliga, Havt, Alexandre, Maciel, Irene A, McMurry, Timothy L, Operario, Darwin J, Taniuchi, Mami, Gratz, Jean, Stroup, Suzanne E, Roberts, James H, Kalam, Adil, Aziz, Fatima, Qureshi, Shahida, Islam, M Ohedul, Sakpaisal, Pimmada, Silapong, Sasikorn, Yori, Pablo P, Rajendiran, Revathi, Benny, Blossom, McGrath, Monica, McCormick, Benjamin J J, Seidman, Jessica C, Lang, Dennis, Gottlieb, Michael, Guerrant, Richard L, Lima, Aldo A M, Leite, Jose Paulo, Samie, Amidou, Bessong, Pascal O, Page, Nicola, Bodhidatta, Ladaporn, Mason, Carl, Shrestha, Sanjaya, Kiwelu, Ireen, Mduma, Estomih R, Iqbal, Najeeha T, Bhutta, Zulfiqar A, Ahmed, Tahmeed, Haque, Rashidul, Kang, Gagandeep, Kosek, Margaret N, and Houpt, Eric R

Published
2018
Full Text
View/download PDF

9. Use of quantitative molecular diagnostic methods to investigate the effect of enteropathogen infections on linear growth in children in low-resource settings: longitudinal analysis of results from the MAL-ED cohort study

Author

Acosta, Angel Mendez, Rios de Burga, Rosa, Chavez, Cesar Banda, Flores, Julian Torres, Olotegui, Maribel Paredes, Pinedo, Silvia Rengifo, Trigoso, Dixner Rengifo, Vasquez, Angel Orbe, Ahmed, Imran, Alam, Didar, Ali, Asad, Rasheed, Muneera, Soofi, Sajid, Turab, Ali, Yousafzai, Aisha, Zaidi, Anita KM, Shrestha, Binob, Rayamajhi, Bishnu Bahadur, Strand, Tor, Ammu, Geetha, Babji, Sudhir, Bose, Anuradha, George, Ajila T, Hariraju, Dinesh, Jennifer, M. Steffi, John, Sushil, Kaki, Shiny, Karunakaran, Priyadarshani, Koshy, Beena, Lazarus, Robin P, Muliyil, Jayaprakash, Ragasudha, Preethi, Raghava, Mohan Venkata, Raju, Sophy, Ramachandran, Anup, Ramadas, Rakhi, Ramanujam, Karthikeyan, Rose, Anuradha, Roshan, Reeba, Sharma, Srujan L, Sundaram, Shanmuga, Thomas, Rahul J, Pan, William K, Ambikapathi, Ramya, Carreon, J Daniel, Doan, Viyada, Hoest, Christel, Knobler, Stacey, Miller, Mark A, Psaki, Stephanie, Rasmussen, Zeba, Richard, Stephanie A, Tountas, Karen H, Svensen, Erling, Amour, Caroline, Bayyo, Eliwaza, Mvungi, Regisiana, Pascal, John, Yarrot, Ladislaus, Barrett, Leah, Dillingham, Rebecca, Petri, William A, Scharf, Rebecca, Ahmed, AM Shamsir, Alam, Md Ashraful, Haque, Umma, Hossain, Md Iqbal, Islam, Munirul, Mahfuz, Mustafa, Mondal, Dinesh, Nahar, Baitun, Tofail, Fahmida, Chandyo, Ram Krishna, Shrestha, Prakash Sunder, Shrestha, Rita, Ulak, Manjeswori, Bauck, Aubrey, Black, Robert, Caulfield, Laura, Checkley, William, Lee, Gwenyth, Schulze, Kerry, Scott, Samuel, Murray-Kolb, Laura E, Ross, A Catharine, Schaefer, Barbara, Simons, Suzanne, Pendergast, Laura, Abreu, Cláudia B, Costa, Hilda, Di Moura, Alessandra, Filho, José Quirino, Leite, Álvaro M, Lima, Noélia L, Lima, Ila F, Maciel, Bruna LL, Medeiros, Pedro HQS, Moraes, Milena, Mota, Francisco S, Oriá, Reinaldo B, Quetz, Josiane, Soares, Alberto M, Mota, Rosa MS, Patil, Crystal L, Mahopo, Cloupas, Maphula, Angelina, Nyathi, Emanuel, Rogawski, Elizabeth T, Liu, Jie, Platts-Mills, James A, Kabir, Furqan, Lertsethtakarn, Paphavee, Siguas, Mery, Khan, Shaila S, Praharaj, Ira, Murei, Arinao, Nshama, Rosemary, Mujaga, Buliga, Havt, Alexandre, Maciel, Irene A, Operario, Darwin J, Taniuchi, Mami, Gratz, Jean, Stroup, Suzanne E, Roberts, James H, Kalam, Adil, Aziz, Fatima, Qureshi, Shahida, Islam, M Ohedul, Sakpaisal, Pimmada, Silapong, Sasikorn, Yori, Pablo P, Rajendiran, Revathi, Benny, Blossom, McGrath, Monica, Seidman, Jessica C, Lang, Dennis, Gottlieb, Michael, Guerrant, Richard L, Lima, Aldo A M, Leite, Jose Paulo, Samie, Amidou, Bessong, Pascal O, Page, Nicola, Bodhidatta, Ladaporn, Mason, Carl, Shrestha, Sanjaya, Kiwelu, Ireen, Mduma, Estomih R, Iqbal, Najeeha T, Bhutta, Zulfiqar A, Ahmed, Tahmeed, Haque, Rashidul, Kang, Gagandeep, Kosek, Margaret N, and Houpt, Eric R

Published
2018
Full Text
View/download PDF

14. Use of antibiotics in children younger than two years in eight countries: a prospective cohort study/Utilisation d'antibiotiques chez les enfants de moins de deux ans dans huit pays: une etude de cohorte prospective/El uso de antibioticos en ninos menores de dos anos en ocho paises: un estudio prospectivo de cohortes

Author

Rogawski, Elizabeth T., Platts-Mills, James A., Seidman, Jessica C., John, Sushil, Mahfuz, Mustafa, Ulak, Manjeswori, Shrestha, Sanjaya K., Soofi, Sajid Bashir, Yori, Pablo Penataro, Mduma, Estomih, Svensen, Erling, Ahmed, Tahmeed, Lima, Aldo A.M., Bhutta, Zulfiqar A., Kosek, Margaret N., Lang, Dennis R., Gottlieb, Michael, Zaidi, Anita K.M., Kang, Gagandeep, Bessong, Pascal O., Houpt, Eric R., and Guerrant, Richard L.

Subjects
Gastrointestinal agents, Pediatric pharmacology, Antibiotics -- Usage, Health, World Health Organization
Abstract

Objective To describe the frequency and factors associated with antibiotic use in early childhood, and estimate the proportion of diarrhoea and respiratory illnesses episodes treated with antibiotics. Methods Between 2009 and 2014, we followed 2134 children from eight sites in Bangladesh, Brazil, India, Nepal, Pakistan, Peru, South Africa and the United Republic of Tanzania, enrolled in the MAL-ED birth cohort study. We documented all antibiotic use from mothers' reports at twice-weekly visits over the children's first two years of life. We estimated the incidence of antibiotic use and the associations of antibiotic use with child and household characteristics. We described treatment patterns for diarrhoea and respiratory illnesses, and identified factors associated with treatment and antibiotic class. Findings Over 1 346 388 total days of observation, 16 913 courses of antibiotics were recorded (an Incidence of 4.9 courses per child per year), with the highest use in South Asia. Antibiotic treatment was given for 375/499 (75.2%) episodes of bloody diarrhoea and for 4274/9661 (44.2%) episodes of diarrhoea without bloody stools. Antibiotics were used in 2384/3943 (60.5%) episodes of fieldworker-confirmed acute lower respiratory tract illness as well as in 6608/16742 (39.5%) episodes of upper respiratory illness. Penicillins were used most frequently for respiratory illness, while antibiotic classes for diarrhoea treatment varied within and between sites. Conclusion Repeated antibiotic exposure was common early in life, and treatment of non-bloody diarrhoea and non- specific respiratory illnesses was not consistent with international recommendations. Rational antibiotic use programmes may have the most impact in South Asia, where antibiotic use was highest. Objectif Decrire la frequence et les facteurs associes a l'utilisation d'antibiotiques chez les jeunes enfants et estimer la proportion d'episodes de diarrhee et de maladies respiratoires traites avec des antibiotiques. Methodes De 2009 a 2014, nous avons suivi 2134 enfants qui participaient a l'etude de cohorte de naissance MAL-ED sur huit sites en Afrique du Sud, au Bangladesh, au Bresil, en Inde, au Nepal, au Pakistan, au Perou et en Republique-Unie de Tanzanie. Nous avons note l'utilisation de tous les antibiotiques declares par les meres lors de consultations bi-hebdomadalres pendant les deux premieres annees de vie des enfants. Nous avons estime l'Incidence du recours aux antibiotiques ainsi que les associations entre utilisation d'antibiotiques et caracteristiques des enfants et des foyers. Nous avons decrit les habitudes de traitement de la diarrhee et des maladies respiratoires et avons Identifie les facteurs associes aux traitements et aux classes d'antibiotiques. Resultats Sur 1 346 388 jours d'observation au total, 16 913 traitements aux antibiotiques ont ete enregistres (Incidence de 4,9 traitements par enfant et par an), la plus forte utilisation ayant ete observee en Asie du Sud. Un traitement antibiotique a ete administre pour 375/499 (75,2%) episodes de diarrhee sanglante et pour 4274/9661 (44,2%) episodes de diarrhee sans presence de sang dans les selles. Des antibiotiques ont ete utilises pour 2384/3943 (60,5%) episodes de maladie aigue des voies respiratoires inferieures confirmee par un professionnel sur le terrain ainsi que pour 6608/16 742 (39,5%) episodes de maladie des voies respiratoires superieures. Les penicillines etaient les plus frequemment utilisees pour combattre les maladies respiratoires, tandis que les classes d'antibiotiques utilisees pour traiter la diarrhee variaient selon les sites et au sein d'un meme site. Conclusion L'exposition repetee aux antibiotiques a un jeune age etait courante et le traitement de la diarrhee sans presence de sang dans les selles et de maladies respiratoires non specifiques ne respectait pas les recommandations internationales. C'est en Asie du Sud, oU l'usage des antibiotiques etait le plus important, que les programmes d'utilisation rationnelle des antibiotiques pourraient avoir le plus fort impact. Objetivo Describir la frecuencia y los-factores relacionados con el uso de antibioticos en la primera infancia y estimar la proporcion de los episodios de diarrea y enfermedades respiratorias tratados con antibioticos. Metodos Entre 2009 y 2014, se realizo el seguimiento de 2 134 ninos de ocho lugares en Bangladesh, Brasil, India, Nepal, Pakistan, Peru, la Republica Unida de Tanzania y Sudafrica inscritos en el estudio de cohortes en el nacimiento MAL-ED. Se documento el uso de todos los antibioticos de los informes de las madres en las visitas dos veces por semana a lo largo de los dos primeros anos de vida de los ninos. Se estimo la incidencia del uso de antibioticos y las asociaciones del uso de antibioticos con caracteristicas familiares y con ninos. Se describieron los patrones de tratamiento para la diarrea y las enfermedades respiratorias, y se identificaron los factores relacionados con las clases de tratamientos y de antibioticos. Resultados De un total de 1 346 388 dias de observacion, se registraron 16 913 tratamientos con antibioticos (una incidencia de 4,9 tratamientos por nino al ano), siendo el mayor uso en el sur de Asia. Se empleo tratamiento con antibioticos en 375/499 (75,2%) episodios de diarrea hemorragica y en 4 274/9 661 (44,2%) episodios de diarrea sin deposiciones hemorragicas. Se usaron antibioticos en 2 384/3 943 (60,5%) episodios de enfermedad respiratoria aguda de las vias bajas confirmadas por los investigadores, asi como en 6 608/16 742 (39,5%) episodios de enfermedad respiratoria de las vias altas. Las penicilinas se usaron mas frecuentemente para las enfermedades respiratorias, mientras que los antibioticos para el tratamiento de la diarrea variaron entre los distintos lugares. Conclusion La exposicion repetida a antibioticos fue comun en los primeros anos de vida, y el tratamiento de diarrea no hemorragica y de enfermedades respiratorias no especificas no fue coherente con las recomendaciones internacionales. Los programas de uso racional de antibioticos pueden tener el mayor efecto en el sur de Asia, donde el uso de antibioticos fue el mas alto., Introduction Antibiotics can be a lifesaving treatment for children with bacterial infections and are the most commonly prescribed therapy among all medications given to children. (1) However, antibiotics can also [...]

Published
2017
Full Text
View/download PDF

18. Early Antibiotic Exposure in Low-resource Settings Is Associated With Increased Weight in the First Two Years of Life

Author

Rogawski, Elizabeth T., Platts-Mills, James A., Seidman, Jessica C., John, Sushil, Mahfuz, Mustafa, Ulak, Manjeswori, Shrestha, Sanjaya, Soofi, Sajid B., Yori, Pablo Penataro, Mduma, Estomih, Svensen, Erling, Ahmed, Tahmeed, Lima, Aldo A.M., Bhutta, Zulfiqar, Kosek, Margaret, Lang, Dennis, Gottlieb, Michael, Zaidi, Anita, Kang, Gagandeep, Bessong, Pascal, Houpt, Eric R., and Guerrant, Richard L.

Published
2017
Full Text
View/download PDF

20. Impact of the COVID-19 National Lockdown on a Rural and Tribal Population of Tamil Nadu, Southern India: A Mixed-Methods Survey

Author

Ramesh, Rohan Michael, primary, Aruldas, Kumudha, additional, Marconi, Sam David, additional, Janagaraj, Venkateshprabhu, additional, Rose, Anuradha, additional, John, Sushil Mathew, additional, Moorthy, Mahesh, additional, Muliyil, Jayaprakash, additional, Saravanakumar, Puthupalayam Kaliappan, additional, Ajjampur, Sitara Swarna Rao, additional, and Sindhu, Kulandaipalayam Natarajan, additional

Published
2022
Full Text
View/download PDF

22. Chapter 4 Household Food Access and Child Malnutrition

Author

Psaki, Stephanie, primary, A. Bhutta, Zulfiqar, additional, Ahmed, Tahmeed, additional, Ahmed, Shamsir, additional, Bessong, Pascal, additional, Islam, Munirul, additional, John, Sushil, additional, Kosek, Margaret, additional, Lima, Aldo, additional, Nesamvuni, Cebisa, additional, Shrestha, Prakash, additional, Svensen, Erling, additional, Mcgrath, Monica, additional, Richard, Stephanie, additional, Seidman, Jessica, additional, Caulfield, Laura, additional, Miller, Mark, additional, and Checkley, William, additional

Published
2016
Full Text
View/download PDF

25. Full breastfeeding protection against common enteric bacteria and viruses: results from the MAL-ED cohort study

Author

Mccormick, Benjamin J. J, Richard, Stephanie A, Murray-Kolb, Laura E, Kang, Gagandeep, Lima, Aldo A. M, Mduma, Estomih, Kosek, Margaret N, Rogawski Mcquade, Elizabeth T, Houpt, Eric R, Bessong, Pascal, Shrestha, Sanjaya, Bhutta, Zulfiqar, Ahmed, Tahmeed, Caulfield, Laura E, Acosta, Angel Mendez, De Burga, Rosa Rios, Chavez, Cesar Banda, Flores, Julian Torres, Olotegui, Maribel Paredes, Pinedo, Silvia Rengifo, Salas, Mery Siguas, Trigoso, Dixner Rengifo, Vasquez, Angel Orbe, Ahmed, Imran, Alam, Didar, Ali, Asad, Bhutta, Zulfiqar A., Qureshi, Shahida, Rasheed, Muneera Abdul, Soofi, Sajid, Turab, Ali, Yousafzai, Aisha, Zaidi, Anita K. M., Bodhidatta, Ladaporn, Ammu, Geetha, Babji, Sudhir, Bose, Anuradha, George, Ajila T., Hariraju, Dinesh, Jennifer, M Steffi, John, Sushil, Kaki, Shiny, Karunakaran, Priyadarshani, Koshy, Beena, Lazarus, Robin P., Muliyil, Jayaprakash, Ragasudha, Preethi, Raghava, Mohan Venkata, Raju, Sophy, Ramachandran, Anup, Ramadas, Rakhi, Ramanujam, Karthikeyan, Rose, Anuradha, Roshan, Reeba, Sharma, Srujan L., Shanmuga Sundaram, Sundaram, Thomas, Rahul J., Pan, William K., Ambikapathi, Ramya, Carreon, J. Daniel, Doan, Viyada, Hoest, Christel, Knobler, Stacey, McCormick, Benjamin J. J., McGrath, Monica, Miller, Mark A., Psaki, Stephanie, Rasmussen, Zeba, Seidman, Jessica C., Gottlieb, Michael, Lang, Dennis R., Tountas, Karen H., Svensen, Erling, Amour, Caroline, Bayyo, Eliwaza, Mduma, Estomih R., Mvungi, Regisiana, Nshama, Rosemary, Pascal, John, Swema, Buliga Mujaga, Yarrot, Ladislaus, Mason, Carl J., Shamsir Ahmed, Ahmed, Alam, Md Ashraful, Haque, Rashidul, Haque, Umma, Hossain, Md Iqbal, Islam, Munirul, Mahfuz, Mustafa, Mondal, Dinesh, Nahar, Baitun, Tofail, Fahmida, Chandyo, Ram Krishna, Shrestha, Prakash Sunder, Shrestha, Rita, Chandyo, Manjeswori Ulak, Bauck, Aubrey, Black, Robert E., Checkley, William, Lee, Gwenyth O., Schulze, Kerry, Yori, Pablo Peñataro, Ross, A. Catharine, Schaefer, Barbara, Simons, Suzanne, Pendergast, Laura, Abreu, Cláudia B., Costa, Hilda, Di Moura, Alessandra, Filho, José Quirino, Havt, Alexandre, Leite, Álvaro M., Lima, Noélia L., Lima, Ila F., Maciel, Bruna L. L., Medeiros, Pedro H. Q. S., Moraes, Milena, Mota, Francisco S., Oriá, Reinaldo B., Quetz, Josiane, Soares, Alberto M., Mota, Rosa M. S., Patil, Crystal L., Mahopo, Cloupas, Maphula, Angelina, Nyathi, Emanuel, Samie, Amidou, Barrett, Leah, Dillingham, Rebecca, Gratz, Jean, Guerrant, Richard L., Houpt, Eric, Petri, William A., Platts-Mills, James, Rogawski, Elizabeth, Scharf, Rebecca, Rogawski, Elizabeth T., Shrestha, Binob, Rayamajhi, Bishnu Bahadur, and Strand, Tor Arne

Subjects
Diarrhea, medicine.medical_specialty, Breastfeeding, Medicine (miscellaneous), Cryptosporidiosis, Cryptosporidium, Breast milk, medicine.disease_cause, Astrovirus, Cohort Studies, Internal medicine, Enterotoxigenic Escherichia coli, Rotavirus, parasitic diseases, medicine, Escherichia coli, Humans, Nutrition and Dietetics, biology, business.industry, Campylobacter, Infant, Newborn, Infant, Sapovirus, biology.organism_classification, Gastrointestinal Microbiome, Breast Feeding, Viruses, Norovirus, Female, business
Abstract

Background Breastfeeding is known to reduce risk of enteropathogen infections, but protection from specific enteropathogens is not well characterized. Objective To estimate the association between full breastfeeding (days fed breast milk exclusively or with non-nutritive liquids) and enteropathogen detection. Design 2,145 newborns were enrolled in eight sites, of whom 1,712 had breastfeeding and key enteropathogen data through 6 months. We focused on eleven enteropathogens: adenovirus 40/41, norovirus, sapovirus, astrovirus, and rotavirus, enterotoxigenic Escherichia coli (ETEC), Campylobacter spp, and typical enteropathogenic E. coli as well as entero-aggregative E. coli, Shigella and Cryptosporidium. Logistic regression was used to estimate the risk of enteropathogen detection in stools and survival analysis to estimate the timing of first detection of an enteropathogen. Results Infants with 10% more days of full breastfeeding within the preceding 30 days of a stool sample were less likely to have the three E. Coli and Campylobacter spp detected in their stool (mean odds 0.92���0.99) but equally likely (0.99���1.02) to have the viral pathogens detected in their stool. A 10% longer period of full breastfeeding from birth was associated with later first detection of the three E. Coli, Campylobacter, adenovirus, astrovirus, and rotavirus (mean hazard ratios of 0.52���0.75). The hazards declined and point estimates were not statistically significant at 3 months. Conclusions In this large multi-center cohort study, full breastfeeding was associated with lower likelihood of detecting four important enteric pathogens in the first six months of life. These results also show that full breastfeeding is related to delays in the first detection of some bacterial and viral pathogens in the stool. As several of these pathogens are risk factors for poor growth during childhood, this work underscores the importance of exclusive or full breastfeeding during the first six months of life to optimize early health., Accepted for publication in AJCN

Published
2021

27. Risk Factors and Hazards in the Household Environment for Elevated Blood Lead Levels in Urban Preschool Children of Vellore: A Case–Control Approach in the MAL-ED Birth Cohort

Author

Ramesh, Rohan Michael, primary, Khiratkar, Avinash Ganesh, additional, Sindhu, Kulandaipalayam Natarajan, additional, Rose, Anuradha, additional, John, Sushil Mathew, additional, Bhagat, Pundlik Rambhau, additional, Kang, Gagandeep, additional, and Mohan, Venkata Raghava, additional

Published
2021
Full Text
View/download PDF

30. Correspondence

Author

Rathi, Sunil, Mandliya, Jagdish, John, Sushil Mathew, David, Kirubah Vasandhi, Arlappa, N., Ravikumar, B. P., Singhal, S. C., Choudhury, Panna, Yewale, Vijay, Rajmohan, K., Ramesh Menon, P., Huang, Shu-Ching, and Yang, Yao-Jong

Published
2011
Full Text
View/download PDF

34. A study on water, sanitation and hygiene practices among the urban slum dwellers of Vellore, Tamil Nadu, India

Author

Chu, Justin Q. Y., primary, John, Renita, additional, Balasubramanya, Bhavya, additional, Jeyapaul, Shalini, additional, Mohan, Venkata Raghava, additional, John, Ananth, additional, Viola, Chelsea, additional, K., Poornima, additional, Reji, Aashish, additional, John, Sushil, additional, Rebecca, Kajini, additional, and ., Lalrintluangi, additional

Published
2020
Full Text
View/download PDF

36. Body iron and lead status in early childhood and its effects on development and cognition: a longitudinal study from urban Vellore

Author

Koshy, Beena, primary, Srinivasan, Manikandan, additional, Zachariah, Susan Mary, additional, Karthikeyan, Arun S, additional, Roshan, Reeba, additional, Bose, Anuradha, additional, Mohan, Venkata Raghava, additional, John, Sushil, additional, Ramanujam, Karthikeyan, additional, Muliyil, Jayaprakash, additional, and Kang, Gagandeep, additional

Published
2020
Full Text
View/download PDF

38. Causal Pathways from Enteropathogens to Environmental Enteropathy: Findings from the MAL-ED Birth Cohort Study

Author

Kosek, Margaret, Ahmed, Tahmeed, Bhutta, Zulfiquar, Caulfield, Laura, Guerrant, Richard, Houpt, Eric, Kang, Gagandeep, Lee, Gwenyth, Lima, Aldo, McCormick, Benjamin J.J., Platts-Mills, James, Seidman, Jessica, Blank, Rebecca R., Gottlieb, Michael, Knobler, Stacey L., Lang, Dennis R., Miller, Mark A., Tountas, Karen H., Bhutta, Zulfiqar A., Checkley, William, Guerrant, Richard L., Kosek, Margaret N., Mason, Carl J., Murray-Kolb, Laura E., Petri Jr., William A., Seidman, Jessica C., Bessong, Pascal, Haque, Rashidul, John, Sushil, Lima, Aldo A.M., Mduma, Estomih R., Oriá, Reinaldo B., Shrestha, Prakash Sunder, Shrestha, Sanjaya Kumar, Svensen, Erling, Zaidi, Anita K.M., Abreu, Cláudia B., Acosta, Angel Mendez, Ahmed, Imran, Shamsir Ahmed, A.M., Ali, Asad, Ambikapathi, Ramya, Barrett, Leah, Bauck, Aubrey, Bayyo, Eliwaza, Bodhidatta, Ladaporn, Bose, Anuradha, Daniel Carreon, J., Chandyo, Ram Krishna, Charu, Vivek, Costa, Hilda, Dillingham, Rebecca, Di Moura, Alessandra, Doan, Viyada, Filho, Jose Quirino, Graham, Jhanelle, Hoest, Christel, Hossain, Iqbal, Islam, Munirul, Steffi Jennifer, M., Kaki, Shiny, Koshy, Beena, Leite, Álvaro M., Lima, Noélia L., Maciel, Bruna L.L., Mahfuz, Mustafa, Mahopo, Cloupas, Maphula, Angelina, McGrath, Monica, Mohale, Archana, Moraes, Milena, Mota, Francisco S., Muliyil, Jayaprakash, Mvungi, Regisiana, Nayyar, Gaurvika, Nyathi, Emanuel, Olortegui, Maribel Paredes, Oria, Reinaldo, Vasquez, Angel Orbe, Pan, William K., Pascal, John, Patil, Crystal L., Pendergast, Laura, Pinedo, Silvia Rengifo, Psaki, Stephanie, Raghava, Mohan Venkata, Ramanujam, Karthikeyan, Rasheed, Muneera, Rasmussen, Zeba A., Richard, Stephanie A., Rose, Anuradha, Roshan, Reeba, Schaefer, Barbara, Scharf, Rebecca, Sharma, Srujan L., Shrestha, Binob, Shrestha, Rita, Simons, Suzanne, Soares, Alberto M., Mota, Rosa M.S., Soofi, Sajid, Strand, Tor, Tofail, Fahmida, Thomas, Rahul J., Turab, Ali, Ulak, Manjeswori, Wang, Vivian, Yarrot, Ladislaus, Yori, Pablo Peñataro, Alam, Didar, Amour, Caroline, Chavez, Cesar Banda, Babji, Sudhir, de Burga, Rosa Rios, Flores, Julian Torres, Gratz, Jean, George, Ajila T., Hariraju, Dinesh, Havt, Alexandre, Karunakaran, Priyadarshani, Lazarus, Robin P., Lima, Ila F., Mondal, Dinesh, Medeiros, Pedro H.Q.S., Nshama, Rosemary, Quetz, Josiane, Qureshi, Shahida, Raju, Sophy, Ramachandran, Anup, Ramadas, Rakhi, Catharine Ross, A., Salas, Mery Siguas, Samie, Amidou, Schulze, Kerry, Shanmuga Sundaram, E., Swema, Buliga Mujaga, and Trigoso, Dixner Rengifo

Subjects
Child health, Stunting, lcsh:R5-920, Child growth, lcsh:R, lcsh:Medicine, Undernutrition, Enteropathogen, lcsh:Medicine (General), Enteropathy
Abstract

Background: Environmental enteropathy (EE), the adverse impact of frequent and numerous enteric infections on the gut resulting in a state of persistent immune activation and altered permeability, has been proposed as a key determinant of growth failure in children in low- and middle-income populations. A theory-driven systems model to critically evaluate pathways through which enteropathogens, gut permeability, and intestinal and systemic inflammation affect child growth was conducted within the framework of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) birth cohort study that included children from eight countries. Methods: Non-diarrheal stool samples (N = 22,846) from 1253 children from multiple sites were evaluated for a panel of 40 enteropathogens and fecal concentrations of myeloperoxidase, alpha-1-antitrypsin, and neopterin. Among these same children, urinary lactulose:mannitol (L:M) (N = 6363) and plasma alpha-1-acid glycoprotein (AGP) (N = 2797) were also measured. The temporal sampling design was used to create a directed acyclic graph of proposed mechanistic pathways between enteropathogen detection in non-diarrheal stools, biomarkers of intestinal permeability and inflammation, systemic inflammation and change in length- and weight- for age in children 0–2 years of age. Findings: Children in these populations had frequent enteric infections and high levels of both intestinal and systemic inflammation. Higher burdens of enteropathogens, especially those categorized as being enteroinvasive or causing mucosal disruption, were associated with elevated biomarker concentrations of gut and systemic inflammation and, via these associations, indirectly associated with both reduced linear and ponderal growth. Evidence for the association with reduced linear growth was stronger for systemic inflammation than for gut inflammation; the opposite was true of reduced ponderal growth. Although Giardia was associated with reduced growth, the association was not mediated by any of the biomarkers evaluated. Interpretation: The large quantity of empirical evidence contributing to this analysis supports the conceptual model of EE. The effects of EE on growth faltering in young children were small, but multiple mechanistic pathways underlying the attribution of growth failure to asymptomatic enteric infections had statistical support in the analysis. The strongest evidence for EE was the association between enteropathogens and linear growth mediated through systemic inflammation. Funding: Bill & Melinda Gates Foundation.

Published
2017

41. Additional file 1: of Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India

Author

Kulandaipalayam Sindhu, Prashanth Ramamurthy, Karthikeyan Ramanujam, Ankita Henry, Bondu, Joseph, John, Sushil, Babji, Sudhir, Koshy, Beena, Bose, Anuradha, Gagandeep Kang, and Venkata Mohan

Abstract

Table S7. Comparison of baseline characteristics of the children who completed the two-year follow-up with those who were lost-to-follow up. (DOCX 19 kb)

Published
2019
Full Text
View/download PDF

42. Epidemiology and Impact of Campylobacter Infection in Children in 8 Low-Resource Settings: Results From the MAL-ED Study

Author

Amour, Caroline, Gratz, Jean, Mduma, Estomih, Svensen, Erling, Rogawski, Elizabeth T., McGrath, Monica, Seidman, Jessica C., McCormick, Benjamin J. J., Shrestha, Sanjaya, Samie, Amidou, Mahfuz, Mustafa, Qureshi, Shahida, Hotwani, Aneeta, Babji, Sudhir, Trigoso, Dixner Rengifo, Lima, Aldo A. M., Bodhidatta, Ladaporn, Bessong, Pascal, Ahmed, Tahmeed, Shakoor, Sadia, Kang, Gagandeep, Kosek, Margaret, Guerrant, Richard L., Lang, Dennis, Gottlieb, Michael, Houpt, Eric R., Platts-Mills, James A., Acosta, Angel Mendez, de Burga, Rosa Rios, Chavez, Cesar Banda, Flores, Julian Torres, Olotegui, Maribel Paredes, Pinedo, Silvia Rengifo, Salas, Mery Siguas, Vasquez, Angel Orbe, Ahmed, Imran, Alam, Didar, Ali, Asad, Bhutta, Zulfiqar A., Rasheed, Muneera, Soofi, Sajid, Turab, Ali, Zaidi, Anita K.M., Mason, Carl J., Bose, Anuradha, George, Ajila T., Hariraju, Dinesh, Jennifer, M. Steffi, John, Sushil, Kaki, Shiny, Karunakaran, Priyadarshani, Koshy, Beena, Lazarus, Robin P., Muliyil, Jayaprakash, Raghava, Mohan Venkata, Raju, Sophy, Ramachandran, Anup, Ramadas, Rakhi, Ramanujam, Karthikeyan, Rose, Anuradha, Roshan, Reeba, Sharma, Srujan L., Sundaram, Shanmuga, Thomas, Rahul J., Pan, William K., Ambikapathi, Ramya, Carreon, J. Daniel, Charu, Vivek, Doan, Viyada, Graham, Jhanelle, Hoest, Christel, Knobler, Stacey, Lang, Dennis R., McCormick, Benjamin J.J., Miller, Mark A., Mohale, Archana, Nayyar, Gaurvika, Psaki, Stephanie, Rasmussen, Zeba, Richard, Stephanie A., Wang, Vivian, Blank, Rebecca, Tountas, Karen H., Bayyo, Eliwaza, Mduma, Estomih R., Mvungi, Regisiana, Nshama, Rosemary, Pascal, John, Swema, Buliga Mujaga, Yarrot, Ladislaus, Ahmed, A.M. Shamsir, Haque, Rashidul, Hossain, Iqbal, Islam, Munirul, Mondal, Dinesh, Tofail, Fahmida, Chandyo, Ram Krishna, Shrestha, Prakash Sunder, Shrestha, Rita, Ulak, Manjeswori, Bauck, Aubrey, Black, Robert, Caulfield, Laura, Checkley, William, Kosek, Margaret N., Lee, Gwenyth, Schulze, Kerry, Yori, Pablo Peñataro, Murray-Kolb, Laura E., Ross, A. Catharine, Schaefer, Barbara, Simons, Suzanne, Pendergast, Laura, Abreu, Cláudia B., Costa, Hilda, Di Moura, Alessandra, Filho, José Quirino, Havt, Alexandre, Leite, Álvaro M., Lima, Aldo A.M., Lima, Noélia L., Lima, Ila F., Maciel, Bruna L.L., Medeiros, Pedro H.Q.S., Moraes, Milena, Mota, Francisco S., Oriá, Reinaldo B., Quetz, Josiane, Soares, Alberto M., Mota, Rosa M.S., Patil, Crystal L., Mahopo, Cloupas, Maphula, Angelina, Nyathi, Emanuel, Barrett, Leah, Dillingham, Rebecca, Houpt, Eric, Petri, William A., Platts-Mills, James, Scharf, Rebecca, Shrestha, Binob, Shrestha, Sanjaya Kumar, and Strand, Tor

Subjects
Diarrhea, Male, growth, Infant, Newborn, Infant, Campylobacter, Gastroenteritis, Cohort Studies, Editor's Choice, Child Development, children, Cost of Illness, inflammation, Risk Factors, Campylobacter Infections, Prevalence, Humans, Female, Prospective Studies, Articles and Commentaries, Follow-Up Studies
Abstract

In a multisite birth cohort study, we document a high burden of Campylobacter infection using enzyme immunoassay, demonstrate an association between Campylobacter and linear growth shortfalls and both increased intestinal permeability and intestinal and systemic inflammation, and identify potential interventions., Background. Enteropathogen infections have been associated with enteric dysfunction and impaired growth in children in low-resource settings. In a multisite birth cohort study (MAL-ED), we describe the epidemiology and impact of Campylobacter infection in the first 2 years of life. Methods. Children were actively followed up until 24 months of age. Diarrheal and nondiarrheal stool samples were collected and tested by enzyme immunoassay for Campylobacter. Stool and blood samples were assayed for markers of intestinal permeability and inflammation. Results. A total of 1892 children had 7601 diarrheal and 26 267 nondiarrheal stool samples tested for Campylobacter. We describe a high prevalence of infection, with most children (n = 1606; 84.9%) having a Campylobacter-positive stool sample by 1 year of age. Factors associated with a reduced risk of Campylobacter detection included exclusive breastfeeding (risk ratio, 0.57; 95% confidence interval, .47–.67), treatment of drinking water (0.76; 0.70–0.83), access to an improved latrine (0.89; 0.82–0.97), and recent macrolide antibiotic use (0.68; 0.63–0.74). A high Campylobacter burden was associated with a lower length-for-age Z score at 24 months (−1.82; 95% confidence interval, −1.94 to −1.70) compared with a low burden (−1.49; −1.60 to −1.38). This association was robust to confounders and consistent across sites. Campylobacter infection was also associated with increased intestinal permeability and intestinal and systemic inflammation. Conclusions. Campylobacter was prevalent across diverse settings and associated with growth shortfalls. Promotion of exclusive breastfeeding, drinking water treatment, improved latrines, and targeted antibiotic treatment may reduce the burden of Campylobacter infection and improve growth in children in these settings.

Published
2016

43. Household food access and child malnutrition: results from the eight-country MAL-ED study

Author

Psaki Stephanie, Bhutta Zulfiqar A, Ahmed Tahmeed, Ahmed Shamsir, Bessong Pascal, Islam Munirul, John Sushil, Kosek Margaret, Lima Aldo, Nesamvuni Cebisa, Shrestha Prakash, Svensen Erling, McGrath Monica, Richard Stephanie, Seidman Jessica, Caulfield Laura, Miller Mark, and Checkley William

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27) was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42%) was much higher than the prevalence of wasting (6%). In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17). Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and death related to malnutrition.

Published
2012
Full Text
View/download PDF

44. Additional file 2: of Unintentional injuries among children aged 1â 5Â years: understanding the burden, risk factors and severity in urban slums of southern India

Author

Srujan Sharma, Samarasimha Reddy N, Karthikeyan Ramanujam, Jennifer, Mats, Annai Gunasekaran, Rose, Anuradha, John, Sushil, Bose, Anuradha, and Venkata Mohan

Abstract

Table S1. Example of calculating environmental hazard score for a subject at one location. Table S2. Distribution of different types of injuries as per gender (DOCX 14Â kb)

Published
2018
Full Text
View/download PDF

45. Intestinal permeability and inflammation mediate the association between nutrient density of complementary foods and biochemical measures of micronutrient status in young children: results from the MAL-ED study

Author

McCormick, Benjamin JJ, primary, Murray-Kolb, Laura E, additional, Lee, Gwenyth O, additional, Schulze, Kerry J, additional, Ross, A Catharine, additional, Bauck, Aubrey, additional, Lima, Aldo AM, additional, Maciel, Bruna LL, additional, Kosek, Margaret N, additional, Seidman, Jessica C, additional, Ambikapathi, Ramya, additional, Bose, Anuradha, additional, John, Sushil, additional, Kang, Gagandeep, additional, Turab, Ali, additional, Mduma, Estomih, additional, Bessong, Pascal, additional, Shrestra, Sanjaya K, additional, Ahmed, Tahmeed, additional, Mahfuz, Mustafa, additional, Olortegui, Maribel Paredes, additional, Bhutta, Zulfiqar, additional, and Caulfield, Laura E, additional

Published
2019
Full Text
View/download PDF

46. Use of quantitative molecular diagnostic methods to assess the aetiology, burden, and clinical characteristics of diarrhoea in children in low-resource settings: a reanalysis of the MAL-ED cohort study

Author

Platts-Mills, James A, primary, Liu, Jie, additional, Rogawski, Elizabeth T, additional, Kabir, Furqan, additional, Lertsethtakarn, Paphavee, additional, Siguas, Mery, additional, Khan, Shaila S, additional, Praharaj, Ira, additional, Murei, Arinao, additional, Nshama, Rosemary, additional, Mujaga, Buliga, additional, Havt, Alexandre, additional, Maciel, Irene A, additional, McMurry, Timothy L, additional, Operario, Darwin J, additional, Taniuchi, Mami, additional, Gratz, Jean, additional, Stroup, Suzanne E, additional, Roberts, James H, additional, Kalam, Adil, additional, Aziz, Fatima, additional, Qureshi, Shahida, additional, Islam, M Ohedul, additional, Sakpaisal, Pimmada, additional, Silapong, Sasikorn, additional, Yori, Pablo P, additional, Rajendiran, Revathi, additional, Benny, Blossom, additional, McGrath, Monica, additional, McCormick, Benjamin J J, additional, Seidman, Jessica C, additional, Lang, Dennis, additional, Gottlieb, Michael, additional, Guerrant, Richard L, additional, Lima, Aldo A M, additional, Leite, Jose Paulo, additional, Samie, Amidou, additional, Bessong, Pascal O, additional, Page, Nicola, additional, Bodhidatta, Ladaporn, additional, Mason, Carl, additional, Shrestha, Sanjaya, additional, Kiwelu, Ireen, additional, Mduma, Estomih R, additional, Iqbal, Najeeha T, additional, Bhutta, Zulfiqar A, additional, Ahmed, Tahmeed, additional, Haque, Rashidul, additional, Kang, Gagandeep, additional, Kosek, Margaret N, additional, Houpt, Eric R, additional, Acosta, Angel Mendez, additional, Rios de Burga, Rosa, additional, Chavez, Cesar Banda, additional, Flores, Julian Torres, additional, Olotegui, Maribel Paredes, additional, Pinedo, Silvia Rengifo, additional, Trigoso, Dixner Rengifo, additional, Vasquez, Angel Orbe, additional, Ahmed, Imran, additional, Alam, Didar, additional, Ali, Asad, additional, Rasheed, Muneera, additional, Soofi, Sajid, additional, Turab, Ali, additional, Yousafzai, Aisha, additional, Zaidi, Anita KM, additional, Shrestha, Binob, additional, Rayamajhi, Bishnu Bahadur, additional, Strand, Tor, additional, Ammu, Geetha, additional, Babji, Sudhir, additional, Bose, Anuradha, additional, George, Ajila T, additional, Hariraju, Dinesh, additional, Jennifer, M. Steffi, additional, John, Sushil, additional, Kaki, Shiny, additional, Karunakaran, Priyadarshani, additional, Koshy, Beena, additional, Lazarus, Robin P, additional, Muliyil, Jayaprakash, additional, Ragasudha, Preethi, additional, Raghava, Mohan Venkata, additional, Raju, Sophy, additional, Ramachandran, Anup, additional, Ramadas, Rakhi, additional, Ramanujam, Karthikeyan, additional, Rose, Anuradha, additional, Roshan, Reeba, additional, Sharma, Srujan L, additional, Sundaram, Shanmuga, additional, Thomas, Rahul J, additional, Pan, William K, additional, Ambikapathi, Ramya, additional, Carreon, J Daniel, additional, Doan, Viyada, additional, Hoest, Christel, additional, Knobler, Stacey, additional, Miller, Mark A, additional, Psaki, Stephanie, additional, Rasmussen, Zeba, additional, Richard, Stephanie A, additional, Tountas, Karen H, additional, Svensen, Erling, additional, Amour, Caroline, additional, Bayyo, Eliwaza, additional, Mvungi, Regisiana, additional, Pascal, John, additional, Yarrot, Ladislaus, additional, Barrett, Leah, additional, Dillingham, Rebecca, additional, Petri, William A, additional, Scharf, Rebecca, additional, Ahmed, AM Shamsir, additional, Alam, Md Ashraful, additional, Haque, Umma, additional, Hossain, Md Iqbal, additional, Islam, Munirul, additional, Mahfuz, Mustafa, additional, Mondal, Dinesh, additional, Nahar, Baitun, additional, Tofail, Fahmida, additional, Chandyo, Ram Krishna, additional, Shrestha, Prakash Sunder, additional, Shrestha, Rita, additional, Ulak, Manjeswori, additional, Bauck, Aubrey, additional, Black, Robert, additional, Caulfield, Laura, additional, Checkley, William, additional, Lee, Gwenyth, additional, Schulze, Kerry, additional, Scott, Samuel, additional, Murray-Kolb, Laura E, additional, Ross, A Catharine, additional, Schaefer, Barbara, additional, Simons, Suzanne, additional, Pendergast, Laura, additional, Abreu, Cláudia B, additional, Costa, Hilda, additional, Di Moura, Alessandra, additional, Filho, José Quirino, additional, Leite, Álvaro M, additional, Lima, Noélia L, additional, Lima, Ila F, additional, Maciel, Bruna LL, additional, Medeiros, Pedro HQS, additional, Moraes, Milena, additional, Mota, Francisco S, additional, Oriá, Reinaldo B, additional, Quetz, Josiane, additional, Soares, Alberto M, additional, Mota, Rosa MS, additional, Patil, Crystal L, additional, Mahopo, Cloupas, additional, Maphula, Angelina, additional, and Nyathi, Emanuel, additional

Published
2018
Full Text
View/download PDF

47. Use of quantitative molecular diagnostic methods to investigate the effect of enteropathogen infections on linear growth in children in low-resource settings: longitudinal analysis of results from the MAL-ED cohort study

Author

Rogawski, Elizabeth T, primary, Liu, Jie, additional, Platts-Mills, James A, additional, Kabir, Furqan, additional, Lertsethtakarn, Paphavee, additional, Siguas, Mery, additional, Khan, Shaila S, additional, Praharaj, Ira, additional, Murei, Arinao, additional, Nshama, Rosemary, additional, Mujaga, Buliga, additional, Havt, Alexandre, additional, Maciel, Irene A, additional, Operario, Darwin J, additional, Taniuchi, Mami, additional, Gratz, Jean, additional, Stroup, Suzanne E, additional, Roberts, James H, additional, Kalam, Adil, additional, Aziz, Fatima, additional, Qureshi, Shahida, additional, Islam, M Ohedul, additional, Sakpaisal, Pimmada, additional, Silapong, Sasikorn, additional, Yori, Pablo P, additional, Rajendiran, Revathi, additional, Benny, Blossom, additional, McGrath, Monica, additional, Seidman, Jessica C, additional, Lang, Dennis, additional, Gottlieb, Michael, additional, Guerrant, Richard L, additional, Lima, Aldo A M, additional, Leite, Jose Paulo, additional, Samie, Amidou, additional, Bessong, Pascal O, additional, Page, Nicola, additional, Bodhidatta, Ladaporn, additional, Mason, Carl, additional, Shrestha, Sanjaya, additional, Kiwelu, Ireen, additional, Mduma, Estomih R, additional, Iqbal, Najeeha T, additional, Bhutta, Zulfiqar A, additional, Ahmed, Tahmeed, additional, Haque, Rashidul, additional, Kang, Gagandeep, additional, Kosek, Margaret N, additional, Houpt, Eric R, additional, Acosta, Angel Mendez, additional, Rios de Burga, Rosa, additional, Chavez, Cesar Banda, additional, Flores, Julian Torres, additional, Olotegui, Maribel Paredes, additional, Pinedo, Silvia Rengifo, additional, Trigoso, Dixner Rengifo, additional, Vasquez, Angel Orbe, additional, Ahmed, Imran, additional, Alam, Didar, additional, Ali, Asad, additional, Rasheed, Muneera, additional, Soofi, Sajid, additional, Turab, Ali, additional, Yousafzai, Aisha, additional, Zaidi, Anita KM, additional, Shrestha, Binob, additional, Rayamajhi, Bishnu Bahadur, additional, Strand, Tor, additional, Ammu, Geetha, additional, Babji, Sudhir, additional, Bose, Anuradha, additional, George, Ajila T, additional, Hariraju, Dinesh, additional, Jennifer, M. Steffi, additional, John, Sushil, additional, Kaki, Shiny, additional, Karunakaran, Priyadarshani, additional, Koshy, Beena, additional, Lazarus, Robin P, additional, Muliyil, Jayaprakash, additional, Ragasudha, Preethi, additional, Raghava, Mohan Venkata, additional, Raju, Sophy, additional, Ramachandran, Anup, additional, Ramadas, Rakhi, additional, Ramanujam, Karthikeyan, additional, Rose, Anuradha, additional, Roshan, Reeba, additional, Sharma, Srujan L, additional, Sundaram, Shanmuga, additional, Thomas, Rahul J, additional, Pan, William K, additional, Ambikapathi, Ramya, additional, Carreon, J Daniel, additional, Doan, Viyada, additional, Hoest, Christel, additional, Knobler, Stacey, additional, Miller, Mark A, additional, Psaki, Stephanie, additional, Rasmussen, Zeba, additional, Richard, Stephanie A, additional, Tountas, Karen H, additional, Svensen, Erling, additional, Amour, Caroline, additional, Bayyo, Eliwaza, additional, Mvungi, Regisiana, additional, Pascal, John, additional, Yarrot, Ladislaus, additional, Barrett, Leah, additional, Dillingham, Rebecca, additional, Petri, William A, additional, Scharf, Rebecca, additional, Ahmed, AM Shamsir, additional, Alam, Md Ashraful, additional, Haque, Umma, additional, Hossain, Md Iqbal, additional, Islam, Munirul, additional, Mahfuz, Mustafa, additional, Mondal, Dinesh, additional, Nahar, Baitun, additional, Tofail, Fahmida, additional, Chandyo, Ram Krishna, additional, Shrestha, Prakash Sunder, additional, Shrestha, Rita, additional, Ulak, Manjeswori, additional, Bauck, Aubrey, additional, Black, Robert, additional, Caulfield, Laura, additional, Checkley, William, additional, Lee, Gwenyth, additional, Schulze, Kerry, additional, Scott, Samuel, additional, Murray-Kolb, Laura E, additional, Ross, A Catharine, additional, Schaefer, Barbara, additional, Simons, Suzanne, additional, Pendergast, Laura, additional, Abreu, Cláudia B, additional, Costa, Hilda, additional, Di Moura, Alessandra, additional, Filho, José Quirino, additional, Leite, Álvaro M, additional, Lima, Noélia L, additional, Lima, Ila F, additional, Maciel, Bruna LL, additional, Medeiros, Pedro HQS, additional, Moraes, Milena, additional, Mota, Francisco S, additional, Oriá, Reinaldo B, additional, Quetz, Josiane, additional, Soares, Alberto M, additional, Mota, Rosa MS, additional, Patil, Crystal L, additional, Mahopo, Cloupas, additional, Maphula, Angelina, additional, and Nyathi, Emanuel, additional

Published
2018
Full Text
View/download PDF

49. The insulin sharps disposal study: Evaluation of a structured patient education initiative in an urban community health centre in India.

Author

Moray, Kusum, Manjunath, K, Martina Shalini, A, Pricilla.S, Ruby, John, Sushil, and Prasad, Jasmin

Subjects
URBAN health, PATIENT education, COMMUNITY centers, INSULIN, URBAN education
Abstract

Context: India has witnessed an increase in people suffering from diabetes mellitus and also those on insulin. The issue of handling used sharps in the community is an area of concern. Aims: Our study aimed to assess the change in knowledge and practise concerning the disposal of used insulin sharps in patients with diabetes, pre- and post-evaluation, a structured, health provider-initiated, patient-centred insulin-use health education (PIHE) Settings and Design: A pre- and post-evaluation study of PIHE set in an urban health centre in south India Methods and Materials: A pre-evaluation study was done on a cross-sectional sample of type II diabetes patients, who visited the urban health centre and were on insulin for at least 1 year. A semi-structured pilot-tested questionnaire was used for the study. For 18 months, PIHE was provided to all insulin users at outpatient contact, after which a post-evaluation study among another cross-sectional sample of patients in the same centre, was done to assess change in knowledge and practise. Statistical Analysis Used: Univariate analysis followed by logistic regression. Results: The participants in the pre- and post-evaluation studies had a mean (SD) age of 54.9 (11.33) years and 57.2 (11.01) years, respectively. The baseline characteristics of gender, socioeconomic status and diabetes duration were similar. There was a statistically significant (P < 0.001) difference in knowledge (19 [19%] to 81 [81%]) and practise (7 [7%] to 73 [73%]) of participants regarding the correct disposal method of used insulin syringes and sharps before and after PIHE. Conclusions: PIHE over an 18-month period for diabetic patients on insulin significantly improved knowledge and practises relating to insulin use and correct disposal of syringes and sharps. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results