RESUMO
In 2017, an estimated 1 in every 4 (23%) children aged < 5 years were stunted worldwide. With slow progress in stunting reduction in many regions and the realization that a large proportion of stunting is not due to insufficient diet or diarrhea alone, it remains that other factors must explain continued growth faltering. Environmental enteric dysfunction (EED), a subclinical state of intestinal inflammation, can occur in infants across the developing world and is proposed as an immediate causal factor connecting poor sanitation and stunting. A result of chronic pathogen exposure, EED presents multiple causal pathways, and as such the scope and sensitivity of traditional water, sanitation, and hygiene (WASH) interventions have possibly been unsubstantial. Although the definite pathogenesis of EED and the mechanism by which stunting occurs are yet to be defined, this paper reviews the existing literature surrounding the proposed pathology and transmission of EED in infants and considerations for nutrition and WASH interventions to improve linear growth worldwide.
Assuntos
Diarreia/prevenção & controle , Comportamento Alimentar , Transtornos do Crescimento/epidemiologia , Saneamento , Criança , Pré-Escolar , Países em Desenvolvimento , Meio Ambiente , Humanos , Higiene , Lactente , Estado NutricionalRESUMO
A rigorous and practical approach for interpretation of impeller flow log data to determine vertical variations in hydraulic conductivity is presented and applied to two well logs from a Chalk aquifer in England. Impeller flow logging involves measuring vertical flow speed in a pumped well and using changes in flow with depth to infer the locations and magnitudes of inflows into the well. However, the measured flow logs are typically noisy, which leads to spurious hydraulic conductivity values where simplistic interpretation approaches are applied. In this study, a new method for interpretation is presented, which first defines a series of physical models for hydraulic conductivity variation with depth and then fits the models to the data, using a regression technique. Some of the models will be rejected as they are physically unrealistic. The best model is then selected from the remaining models using a maximum likelihood approach. This balances model complexity against fit, for example, using Akaike's Information Criterion.