72 research outputs found
Nutrient intakes and nutritional biomarkers in pregnant adolescents: a systematic review of studies in developed countries
Background: Babies born to adolescent mothers have been shown to have poorer outcomes compared to those born to adults. Nutritional status may have an important role to play in improving the health of pregnant adolescents; however there is a lack of evidence regarding the adequacy of adolescent diets during pregnancy. This systematic review aims to examine what is known about the nutritional status of adolescent pregnant women. Methods: A systematic search of the literature identified 21 studies which met the inclusion criteria for the review. Primary research papers using any methods were included where they were published in English between January 1995 and May 2015 and included measurements of nutrient intakes or biological markers of nutritional status in pregnant women aged 11-19 years. Individual study data was first summarised narratively before study means were pooled to give an estimate of nutritional status in the population. Results: The results show that individual studies reported intakes of energy, fibre and a number of key micronutrients which were below recommended levels. Biological markers of iron and selenium status also showed cause for concern. Pooled analysis of individual means as a percentage of UK Dietary Reference Intakes showed intakes of vitamin D (34.8 % CI 0-83.1) to be significantly below recommendations (p=0.05). Serum selenium levels were also found to be low (61.8 μg/L, CI 39-84). Conclusions: This review has identified a number of areas where the nutritional status of pregnant adolescents is sub-optimal, which may have implications for the health of adolescent mothers and their babies. It was not however possible to examine the impact of supplement use or socio-demographic characteristics which limits the interpretation these results. Further work is needed to establish the characteristics of those most at risk within this population, how this differs from adult pregnant women and the role of supplementation in achieving adequate nutrition
Isolated Sphenoid Sinus Aspergillosis with Intracranial Extension: Report on Three Cases
The Ecology of Tropical Asian Rivers and Streams in Relation to Biodiversity Conservation
Tropical Asian rivers support a rich but incompletely known biota, including a host of fishes, a diverse array of benthic invertebrates, and an assemblage of mammals adapted to riverine wetlands. River ecology is dominated by flow seasonality imposed by monsoonal rains with profound consequences for fishes and zoobenthos. Information on life histories, feeding, and the trophic base of production of these animals is summarized. Widespread use of allochthonous foods by fishes and zoobenthos is apparent. Migration by fishes is often associated with breeding and results in seasonal occupation of different habitats. Riverine biodiversity is threatened by habitat degradation (pollution, deforestation of drainage basins), dams and flow regulation, as well as over-harvesting. Conservation efforts in tropical Asia are constrained by a variety of factors, including lack of ecological information, but the extent of public awareness and political commitment to environmental protection are likely determinants of the future of riverine biodiversity.link_to_subscribed_fulltex
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