17,723 research outputs found
The effectiveness of interventions to treat severe acute malnutrition in young children: a systematic review
No full textSevere acute malnutrition (SAM) arises as a consequence of a sudden period of food shortage and is associated with loss of a person’s body fat and wasting of their skeletal muscle. Many of those affected are already undernourished and are often susceptible to disease. Infants and young children are the most vulnerable as they require extra nutrition for growth and development, have comparatively limited energy reserves and depend on others. Undernutrition can have drastic and wide-ranging consequences for the child’s development and survival in the short and long term. Despite efforts made to treat SAM through different interventions and programmes, it continues to cause unacceptably high levels of mortality and morbidity. Uncertainty remains as to the most effective methods to treat severe acute malnutrition in young children.ObjectivesTo evaluate the effectiveness of interventions to treat infants and children aged < 5 years who have SAM.Data sourcesEight databases (MEDLINE, EMBASE, MEDLINE In-Process & Other Non-Indexed Citations, CAB Abstracts Ovid, Bioline, Centre for Reviews and Dissemination, EconLit EBSCO and The Cochrane Library) were searched to 2010. Bibliographies of included articles and grey literature sources were also searched. The project expert advisory group was asked to identify additional published and unpublished references.Review methodsPrior to the systematic review, a Delphi process involving international experts prioritised the research questions. Searches were conducted and two reviewers independently screened titles and abstracts for eligibility. Inclusion criteria were applied to the full texts of retrieved papers by one reviewer and checked independently by a second. Included studies were mapped to the research questions. Data extraction and quality assessment were undertaken by one reviewer and checked by a second reviewer. Differences in opinion were resolved through discussion at each stage. Studies were synthesised through a narrative review with tabulation of the results.ResultsA total of 8954 records were screened, 224 full-text articles were retrieved, and 74 articles (describing 68 studies) met the inclusion criteria and were mapped. No evidence focused on treatment of children with SAM who were human immunodeficiency virus sero-positive, and no good-quality or adequately reported studies assessed treatments for SAM among infants < 6 months old. One randomised controlled trial investigated fluid resuscitation solutions for shock, with none adequately treating shock. Children with acute diarrhoea benefited from the use of hypo-osmolar oral rehydration solution (H-ORS) compared with the standard World Health Organization-oral rehydration solution (WHO-ORS). WHO-ORS was not significantly different from rehydration solution for malnutrition (ReSoMal), but the safety of ReSoMal was uncertain. A rice-based ORS was more beneficial than glucose-based ORSs, and provision of zinc plus a WHO-ORS had a favourable impact on diarrhoea and need for ORS. Comparisons of different diets in children with persistent diarrhoea produced conflicting findings. For treating infection, comparison of amoxicillin with ceftriaxone during inpatient therapy, and routine provision of antibiotics for 7 days versus no antibiotics during outpatient therapy of uncomplicated SAM, found that neither had a significant effect on recovery at the end of follow-up. No evidence mapped to the next three questions on factors that affect sustainability of programmes, long-term survival and readmission rates, the clinical effectiveness of management strategies for treating children with comorbidities such as tuberculosis and Helicobacter pylori infection and the factors that limit the full implementation of treatment programmes. Comparison of treatment for SAM in different settings showed that children receiving inpatient care appear to do as well as those in ambulatory or home settings on anthropometric measures and response time to treatment. Longer-term follow-up showed limited differences between the different settings. The majority of evidence on methods for correcting micronutrient deficiencies considered zinc supplements; however, trials were heterogeneous and a firm conclusion about zinc was not reached. There was limited evidence on either supplementary potassium or nicotinic acid (each produced some benefits), and nucleotides (not associated with benefits). Evidence was identified for four of the five remaining questions, but not assessed because of resource limitation.LimitationsThe systematic review focused on key questions prioritised through a Delphi study and, as a consequence, did not encompass all elements in the management of SAM. In focusing on evidence from controlled studies with the most rigorous designs that were published in the English language, the systematic review may have excluded other forms of evidence. The systematic review identified several limitations in the evidence base for assessing the effectiveness of interventions for treating young children with severe acute malnutrition, including a lack of studies assessing the different interventions; limited details of study methods used; short follow-up post intervention or discharge; and heterogeneity in participants, interventions, settings, and outcome measures affecting generalisability.ConclusionsFor many of the most highly ranked questions evidence was lacking or inconclusive. More research is needed on a range of topic areas concerning the treatment of infants and children with SAM. Further research is required on most aspects of the management of SAM in children < 5 years, including intravenous resuscitation regimens for shock, management of subgroups (e.g. infants < 6 months old, infants and children with SAM who are human immunodeficiency virus sero-positive) and on the use of antibiotics.FundingThe National Institute for Health Research Technology Assessment programme.<br/
The Impact of Structural Adjustment on Income Distribution in Pakistan A SAM-based Analysis
No full textDomestic poverty and income distribution are closely related to the state of the economy, which is linked with internal and external economic policies. Since 1988, under the rubric of structural adjustment programme (SAP), Pakistan has made use of fiscal, monetary and trade policies to correct her macro economic imbalances. It is hard to substantiate with proof that these programmes protect the poor. A number of studies have found that income distribution has been getting worse during the adjustment period in Pakistan.1 For example, Kemal (1994); Jaffery and Khattak (1995) and Anwar (1996) found that SAP accompanied with rising income inequality and poverty in Pakistan. But these studies are restricted as they did not employ an adequate methodology to assess the impact of structural adjustment reforms on income distribution.2 This paper, however, uses a simple static fixed-price SAM-based framework to analyse distributional outcome of incomes for rural and urban households. This methodology is useful because social accounting matrix (SAM) represents the whole economy and it does not need a large data set.
Lyman break galaxies and the star formation rate of the Universe at z ~ 6
No full textWe determine the space density of UV-luminous starburst galaxies at z≈ 6 using deep HST ACS SDSS-i′ (F775W) and SDSS-z′ (F850LP) and VLT ISAAC J and Ks band imaging of the Chandra Deep Field South. We find eight galaxies and one star with (i′−z′) > 1.5 to a depth of z′AB= 25.6 (an 8σ detection in each of the 3 available ACS epochs). This corresponds to an unobscured star formation rate of ≈15 h−270 M⊙ yr−1 at z= 5.9, equivalent to L* for the Lyman-break population at z= 3–4 (ΩΛ= 0.7, ΩM= 0.3). We are sensitive to star-forming galaxies at 5.6 ≲z≲ 7.0 with an effective comoving volume of ≈1.8 × 105h−370 Mpc3 after accounting for incompleteness at the higher redshifts due to luminosity bias. This volume should encompass the primeval subgalactic-scale fragments of the progenitors of about a thousand L* galaxies at the current epoch. We determine a volume-averaged global star formation rate of (6.7 ± 2.7) × 10−4h70 M⊙ yr−1 Mpc−3 at z∼ 6 from rest-frame UV selected starbursts at the bright end of the luminosity function: this is a lower limit because of dust obscuration and galaxies below our sensitivity limit. This measurement shows that at z∼ 6 the star formation density at the bright end is a factor of ∼6 times less than that determined by Steidel et al. for a comparable sample of UV-selected galaxies at z= 3–4, and so extends our knowledge of the star formation history of the Universe to earlier times than previous work and into the epoch where reionization may have occurred
Observation of a Charged Charmoniumlike Structure Z(c) (4020) and Search for the Z(c) (3900) in e(+)e(-) -> pi(+) pi(-)h(c)
No full text<p>We study e(+)e(-) -> pi(+) pi(-)h(c) at center-of-mass energies from 3.90 to 4.42 GeV by using data samples collected with the BESIII detector operating at the Beijing Electron Positron Collider. The Born cross sections are measured at 13 energies and are found to be of the same order of magnitude as those of e(+)e(-) -> pi(+) pi(-) J/Psi but with a different line shape. In the pi(+/-)h(c) mass spectrum, a distinct structure, referred to as Z(c)(4020) is observed at 4. 02 GeV/c(2). The Z(c)(4020) carries an electric charge and couples to charmonium. A fit to the pi(+/-)h(c) invariant mass spectrum, neglecting possible interferences, results in a mass of (4022.9 +/- 0.8 +/- 2.7) MeV/c(2) and a width of (7.9 +/- 2.7 +/- 2.6) MeV for the Z(c)(4020), where the first errors are statistical and the second systematic. The difference between the parameters of this structure and the Z(c) (4025) observed in the D*(D) over bar* final state is within 1.5 sigma, but whether they are the same state needs further investigation. No significant Z(c)(3900) signal is observed, and upper limits on the Z(c)(3900) production cross sections in pi +/- h(c) at center-of-mass energies of 4.23 and 4.26 GeVare set.</p>
Salient features of social accounting matrix of Pakistan for 1989-90: Disaggregation of the households sector
No full textThis report compiles a latest social accounting matrix (SAM) of Pakistan for the year 1989-90. The SAM framework provides useful information about the structure of Pakistan’s economy. Within this framework, the preferred classifications of various accounts are undertaken according to the policy objectives and later model building. The SAM presents four types of accounts: factor account, institution account, production account, and capital account. Theses accounts are disaggregated on the basis of requirement and availability of data. The account of factors of production is disaggregated into labour and capital. Institution accounts consist of households, firms, government, and rest of the world. Household account is further disaggregated by four income categories for rural and urban areas. Production account is disaggregated into agriculture, industry, education, health and other sectors. Further disaggregation of production account is also made on the basis of goods for domestic market and for export market. Finally, it presents consolidated capital account. This study also aims to undertake a multiplier analysis, which provides backward and forward linkages in production, consumption, distribution, and accumulation accounts of the economy. The multipliers for all endogenous accounts imply a high degree of integration of the accounts. For the production sectors, backward linkages are strongest for the education, followed by agriculture, health, other sector and industry. The largest forward linkage multipliers are found for industry, followed by other sectors, agriculture, health and education. Regarding the households income groups, the largest backward linkage is found for the urban poorest and smallest for the rural rich. While, the largest forward linkage is for the rural poorest and smallest for the urban poorest.SAM; Pakistan
Preferential concentration of particles in compressible turbulence
No full textThe behavior of particles in compressible turbulence has been seldom investigated to date despite its importance in many natural and industrial flows. Direct numerical simulations of particle-laden compressible isotropic turbulence are performed to study the preferential concentration of particles and the underling mechanisms. It turns out that heavy particles tend to concentrate in regions of low enstrophy and high fluid density (i.e, strain regions between vortex rings), especially the particles of Kolmogorov scale, which show the largest number density. Due to the compressibility, fluid particles do not distribute uniformly as in incompressible case, but show a tendency to bunch up in high density zones. The preliminary result might give some insights into compressible turbulent transport, dispersion and mixing as well as the subgrid-scale modeling for large-eddy simulation of particle-laden compressible flows
Incorporation of acceleration effects into the one-dimensional-turbulence model, with application to turbulent combustion and shock-turbulence interactions
No full textOne-dimensional turbulence (ODT) is a stochastic simulation in which 3D turbulence effects are captured on a notional 1D line of sight by introducing instantaneous spatial re-arrangements (maps) that represent advection by notional turbulent eddies. These eddy events incorporate the possibility of kinetic-energy changes that are equal and opposite to changes of other forms of energy such as the gravitational potential energy change due to a re-arrangement of a vertical density profile. This illustrates that motion aligned with an applied force, in this case gravitation , can be associated with energy change. Using this principle, we 1) present a model of turbulence interaction with the dilatational acceleration caused by thermal expansion in flames and show results for a turbulent counterflow flame with comparison to DNS and 2) present a model for shock-induced turbulence and show results for mixing width growth in a shock tube with comparison to experiments
Direct numerical simulation of weakly spanwise-rotating turbulent plane Couette flow
No full textIn this report, we conduct direct numerical simulations (DNS) of weakly spanwise-rotating plane Couette flows at Reynolds number (here, is the half the wall velocity difference, and is half-channel height). A series of simulations with different rotation numbers ( is constant angular velocity component in the spanwise direction) is carried out to investigate the effect of on the flow statistics. Our results show that the flow statistics are affected by the , and a "critical" rotation number (between and ) is observed, where the kinetic energy of secondary flow contributes about a half of the turbulent kinetic energy, and the mean shear rate at the center line reaches a minimum value. We conjecture that different mechanisms should exist around , and will be investigated further
Non-Fermi-liquid behavior and anomalous suppression of Landau damping in layered metals close to ferromagnetism
No full textFinancial support from the EPSRC (U.K.) under Grants No. EP/G03673X/1 (S. P. R.) and No. EP/I031014/1 (C. A. H.) is acknowledged.We analyze the low-energy physics of nearly ferromagnetic metals in two spatial dimensions using the functional renormalization group technique. We find a new low-energy fixed point, at which the fermionic (electronlike) excitations are non-Fermi-liquid (zƒ=13/10) and the magnetic fluctuations exhibit an anomalous Landau damping whose rate vanishes as Γq∼|q|3/5 in the low-|q| limit. We discuss this renormalization of the Landau-damping exponent, which is the major novel prediction of our work, and highlight the possible link between that renormalization and neutron-scattering data on UGe2 and related compounds. Implications of our analysis for YFe2Al10 are also discussed.Peer reviewe
Self-archiving practice and the influence of publisher policies in the social sciences
No full textAuthors in different disciplines exhibit very different behaviours on the so-called ‘green’ road to open access, i.e. self-archiving. This study looks at the self-archiving behaviour of authors publishing in leading journals in six social science disciplines. It tests the hypothesis that authors are self-archiving according to the norms of their respective disciplines rather than following self-archiving policies of publishers, and that, as a result, they are self-archiving significant numbers of publisher PDF versions. It finds significant levels of
self-archiving, as well as significant self-archiving of
the publisher PDF version, in all the disciplines
investigated. Publishers’ self-archiving policies have
no influence on author self-archiving practice
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