2 research outputs found
Bioarqueología del Bajo Magdalena, norte de Colombia, América del Sur
No full textThe Pre-Hispanic human skeletal collection housed at the museo Mapuka (Universidad del Norte) has been studied in order to contribute to the reconstruction of the life conditions in the past in the Bajo Magdalena. This series integrates the human remains excavated by Angulo Valdés between 1950 and 1980 in the sites Malambo, Ciénaga de Guájaro, Tubará and Valle de Santiago. Forty-one individualized skeletons and several assemblages of skeletal elements (MNI, minimal number of individuals, 45) were studied. Although the sample does not allow general conclusions about the populations, because of its MNI and its preservation, the anomalies observed allow approaching to their sufferings.
https://doi.org/10.22380/2539472X15El análisis realizado a los restos óseos humanos de la colección del museo Mapuka (Universidad del Norte) contribuye al conocimiento de las poblaciones prehispánicas que habitaron la zona del Bajo Magdalena. La colección está principalmente integrada por los restos humanos provenientes de diversos sitios excavados por Angulo Valdés, entre 1950 y 1980: Malambo, Ciénaga de Guájaro, Tubará y Valle de Santiago. Se estudiaron 41 esqueletos individualizados y varios conjuntos de elementos óseos mezclados, cuyo NMI (número mínimo de individuos) fue 45. La muestra no permite llegar a conclusiones generales sobre estas poblaciones, dado su NMI y preservación; sin embargo, las anomalías observadas hacen posible un acercamiento a las dolencias que padecieron.
https://doi.org/10.22380/2539472X1
Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.
No full textBACKGROUND: Child stunting reduces survival and impairs neurodevelopment. We tested the independent and combined effects of improved water, sanitation, and hygiene (WASH), and improved infant and young child feeding (IYCF) on stunting and anaemia in in Zimbabwe. METHODS: We did a cluster-randomised, community-based, 2 × 2 factorial trial in two rural districts in Zimbabwe. Clusters were defined as the catchment area of between one and four village health workers employed by the Zimbabwe Ministry of Health and Child Care. Women were eligible for inclusion if they permanently lived in clusters and were confirmed pregnant. Clusters were randomly assigned (1:1:1:1) to standard of care (52 clusters), IYCF (20 g of a small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counselling; 53 clusters), WASH (construction of a ventilated improved pit latrine, provision of two handwashing stations, liquid soap, chlorine, and play space plus hygiene counselling; 53 clusters), or IYCF plus WASH (53 clusters). A constrained randomisation technique was used to achieve balance across the groups for 14 variables related to geography, demography, water access, and community-level sanitation coverage. Masking of participants and fieldworkers was not possible. The primary outcomes were infant length-for-age Z score and haemoglobin concentrations at 18 months of age among children born to mothers who were HIV negative during pregnancy. These outcomes were analysed in the intention-to-treat population. We estimated the effects of the interventions by comparing the two IYCF groups with the two non-IYCF groups and the two WASH groups with the two non-WASH groups, except for outcomes that had an important statistical interaction between the interventions. This trial is registered with ClinicalTrials.gov, number NCT01824940. FINDINGS: Between Nov 22, 2012, and March 27, 2015, 5280 pregnant women were enrolled from 211 clusters. 3686 children born to HIV-negative mothers were assessed at age 18 months (884 in the standard of care group from 52 clusters, 893 in the IYCF group from 53 clusters, 918 in the WASH group from 53 clusters, and 991 in the IYCF plus WASH group from 51 clusters). In the IYCF intervention groups, the mean length-for-age Z score was 0·16 (95% CI 0·08-0·23) higher and the mean haemoglobin concentration was 2·03 g/L (1·28-2·79) higher than those in the non-IYCF intervention groups. The IYCF intervention reduced the number of stunted children from 620 (35%) of 1792 to 514 (27%) of 1879, and the number of children with anaemia from 245 (13·9%) of 1759 to 193 (10·5%) of 1845. The WASH intervention had no effect on either primary outcome. Neither intervention reduced the prevalence of diarrhoea at 12 or 18 months. No trial-related serious adverse events, and only three trial-related adverse events, were reported. INTERPRETATION: Household-level elementary WASH interventions implemented in rural areas in low-income countries are unlikely to reduce stunting or anaemia and might not reduce diarrhoea. Implementation of these WASH interventions in combination with IYCF interventions is unlikely to reduce stunting or anaemia more than implementation of IYCF alone. FUNDING: Bill & Melinda Gates Foundation, UK Department for International Development, Wellcome Trust, Swiss Development Cooperation, UNICEF, and US National Institutes of Health.The SHINE trial is funded by the Bill & Melinda Gates Foundation (OPP1021542 and OPP113707); UK Department for International Development; Wellcome Trust, UK (093768/Z/10/Z, 108065/Z/15/Z and 203905/Z/16/Z); Swiss Agency for Development and Cooperation; US National Institutes of Health (2R01HD060338-06); and UNICEF (PCA-2017-0002)
