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Medical bulletin. United States. Army. Army, 1st最新文献

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PRESENCE of coliform organisms in milk. 牛奶中大肠菌群的存在。
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引用次数: 0
SILVER or silver nitrate stains. 银或硝酸银污渍。
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引用次数: 0
NEW procedure for commissioning dental officers. 委任牙科医生的新程序。
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引用次数: 0
MEASLES (rubeola). MEASLES(风疹)。
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引用次数: 0
DISINFECTION of water. 水的消毒。
Pub Date : 1948-01-01 DOI: 10.1016/B978-0-08-100025-0.00011-9
M. Brandt, K. Johnson, Andrew J. Elphinston, D. Ratnayaka
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引用次数: 29
EXAMINATION of food handlers. 食品处理人员的检查。
Pub Date : 1948-01-01 DOI: 10.1056/nejm192411131912013
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引用次数: 0
SHIPMENT of blood specimens for serological examinations. 运送用于血清学检查的血液标本。
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引用次数: 0
DIARRHEAL diseases. 腹泻疾病。
Pub Date : 1948-01-01 DOI: 10.1596/978-1-4648-0348-2_ch9
G. Keusch, C. Walker, Jai K. Das, S. Horton, D. Habte
The annual number of deaths from diarrheal diseases among the 0–4 year age group in lowand middle-income countries (LMICs) has dropped by 89 percent, from 4.6 million in 1980 to 526,000 in 2015 (Liu, Hill and others 2016). This striking improvement occurred without vaccines against the major pathogens, except for rotavirus, which is now being scaled-up in LMICs. The incidence of diarrhea has not significantly diminished, especially in young infants (Fischer Walker and others 2012). Therefore, success in reducing mortality appears to be driven largely by improved management rather than prevention (box 9.1). Each day, 4.7 million episodes of diarrheal disease occur, including 100,000 cases of severe diarrhea, along with nearly 1,600 deaths, approximately 9 percent of the mortality in children under age five years (chapter 4 in this volume, Liu, Oza, and others 2016). Increasing awareness of the adverse effects of nonfatal episodes of diarrhea on infant and childhood growth and development, particularly the role of repeated illness and the potential impact of frequent subclinical infections with the same pathogens, presents a new challenge. Interventions will depend on enhanced understanding of causal pathways, pathogenesis, and sequelae of these infections, with or without symptomatic diarrhea. Diarrheal diseases are good indicators of the stage of development of communities in LMICs because of the impact of proximal and distal determinants of diarrheal morbidity and mortality, including the availability of safe drinking water; sanitation; level of education, particularly of mothers; income; food security; nutrition; and access to health care, both preventive and therapeutic. Continued progress depends on recognition that intersectoral interventions are integral to required measures to reduce or eliminate diarrheal diseases as a public health concern. This chapter explores the still-limited evidence on subclinical infections due to known microbial causes of diarrhea, and impacts on intestinal physiology, nutrient absorption, and nutritional status as plausible mechanisms underlying growth stunting and developmental delays. The potential interventions for clinical and subclinical intestinal infections are not necessarily identical, although they undoubtedly overlap. Accordingly, we consider epidemiology, transmission, and mechanisms of disease, as well as social and cultural factors instrumental in determining outcomes. Nutritional needs of infants and young children, breastfeeding practices, use of complementary foods, and management of nutritional rehabilitation of acute malnutrition are covered in greater depth in Das and others (2016, chapter 12 of this volume).
中低收入国家0-4岁儿童每年死于腹泻病的人数下降了89%,从1980年的460万下降到2015年的52.6万(Liu, Hill等,2016年)。在没有针对主要病原体(轮状病毒除外)的疫苗的情况下取得了这一显著改善,轮状病毒目前正在中低收入国家推广。腹泻的发病率并没有明显减少,特别是在年幼的婴儿中(Fischer Walker等人,2012)。因此,降低死亡率的成功似乎主要是靠改进管理而不是预防(方框9.1)。每天有470万例腹泻病例发生,其中包括10万例严重腹泻病例,以及近1600例死亡,约占5岁以下儿童死亡率的9%(本卷第4章,Liu, Oza等2016年)。越来越多的人认识到非致命性腹泻对婴幼儿生长发育的不良影响,特别是反复患病的作用和同一病原体频繁亚临床感染的潜在影响,提出了一个新的挑战。干预措施将取决于对这些感染的因果途径、发病机制和后遗症(伴有或不伴有症状性腹泻)的进一步了解。腹泻疾病是中低收入国家社区发展阶段的良好指标,因为影响腹泻发病率和死亡率的近端和远端决定因素,包括安全饮用水的可得性;环境卫生;教育水平,特别是母亲的教育水平;收入;粮食安全;营养;以及获得预防和治疗保健的机会。继续取得进展取决于认识到部门间干预是减少或消除作为公共卫生问题的腹泻病所需措施的组成部分。本章探讨了由于已知微生物引起的腹泻引起的亚临床感染,以及对肠道生理、营养吸收和营养状况的影响作为生长发育迟缓和发育迟缓的可能机制的证据仍然有限。临床和亚临床肠道感染的潜在干预措施不一定相同,尽管它们无疑是重叠的。因此,我们考虑流行病学、传播和疾病机制,以及决定结果的社会和文化因素。婴幼儿的营养需求、母乳喂养做法、辅食的使用以及急性营养不良的营养康复管理在Das和其他人(2016年,本卷第12章)中有更深入的介绍。
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引用次数: 3
DIARRHEAL diseases. 腹泻疾病。
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引用次数: 0
UMT experimental unit VD rates. UMT实验单位VD率。
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引用次数: 0
期刊
Medical bulletin. United States. Army. Army, 1st
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