Assuntos
Agricultura , Planejamento em Saúde , Estado Nutricional , Saúde da População Rural , Adulto , Criança , Pré-Escolar , Feminino , Educação em Saúde , Humanos , Lactente , Projetos Piloto , Gravidez , Qualidade de Vida , TailândiaAssuntos
Aleitamento Materno , População Rural , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , TailândiaRESUMO
PIP: Data on infant and child mortality obtained in 8 studies previously undertaken in various regions of Thailand were reviewed in order to obtain a more accurate assessment of mortality rates and causes of death for infants and preschool children than can be obtained by analyzing birth and death registrations. Studies reviewed included 6 retrospective population and sample surveys conducted between 1969-1979 in marginal areas of Bangkok, rural areas near Bangkok, 6 provinces in the Meklong River Basin, and 9 villages in Ubon Province and a prospective and follow-up study of perinatal and infant deaths in the district of Bang Pa-In. In the retrospective studies women of reproductive age wre interviewed about their pregnancy histories. A summary of the findings of these studies indicated that the infant death rates in rural areas around Bangkok and in the central and northeastern regions of the country were 2-3 times higher than in the metropolitan areas of bangkok. The approxiamte infant mortality rate was 20/1000 live births for Bangkok, 42/1000 live births in the rural areas near Bangkok, and 61-65/1000 live births in the central and northeastern regions. Neonatal deaths accounted for 2/3 of the infant deaths and 2/3-3/4 of the neonatal deaths were early neonatal deaths. Infromation on the cause of death was obtained in some of the surveys and in the prospective study. This information is presented in tabular form. Many of the causes of early and late neonatal deaths, such as tetanus, diarrhea, sepsis, and bleeding are preventable or at least reducible. The prevalence of protein energy malnutrition ranged from 42-34% in the studied areas. The information derived from the analysis should be useful in developing health care programs.^ieng
Assuntos
Mortalidade Infantil , Pré-Escolar , Estudos Transversais , Países em Desenvolvimento , Humanos , Lactente , Estudos Longitudinais , Estudos Prospectivos , TailândiaAssuntos
Diarreia/epidemiologia , Atenção Primária à Saúde , Criança , Pré-Escolar , Diarreia/prevenção & controle , Humanos , Lactente , TailândiaAssuntos
Gorduras na Dieta/administração & dosagem , Ácidos Graxos Essenciais/deficiência , Nutrição Parenteral Total , Nutrição Parenteral , Adolescente , Adulto , Idoso , Carboidratos da Dieta/administração & dosagem , Ingestão de Energia , Ácidos Graxos/sangue , Ácidos Graxos Essenciais/sangue , Feminino , Glucose/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Nutrição Parenteral/efeitos adversos , Nutrição Parenteral Total/efeitos adversos , Desnutrição Proteico-Calórica/sangue , TailândiaRESUMO
Histamine, serum complement factor 3 (C'3) and platelets were studied in 33 Plasmodium falciparum patients. Elevation of histamine level in the blood was found during acute infection but was more marked in the group of patients with systemic complications. A correlation between histamine changes, clinical complications, reduction of C'3 and degree of thrombocytopenia was observed. The possible role of histamine in the development of complications in P. falciparum infection and the possible release of this substance through the activation of complement system and immune destruction of platelets were discussed.