Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.Peer reviewe

Liver transplantation after radioembolization in a patient with unresectable HCC

Background. A 58-year-old white man who was being followed by his hepatologist for nonalcoholic steatohepatitis-related liver cirrhosis and portal hypertension and who had been found to have a biopsy-proven hepatocellular carcinoma (HCC) on routine screening, self-referred to our center for a second opinion on the management of his HCC. Investigations. Laboratory investigations, CT scan of the abdomen and chest, bone scan and technetium macroaggregated albumin scan. Diagnosis. The patient had unresectable HCC. Management. The patient underwent two treatments with Yttrium-90 glass microspheres, which were performed as outpatient procedures 1 month and 3 months after diagnosis. He underwent orthotopic liver transplantation (OLT) 1 year after the initial diagnosis of HCC. The post-OLT immunoregimen included OKT3 plus rituximab and high-dose steroids. On discharge from hospital he was on immunosuppressive treatment with tacrolimus. He had de novo autoimmune hepatitis 6 months post-OLT, which was treated with a short course of low-dose steroids and addition of mycophenolate mofetil

Water consumption when exposed to sun and shade for native goats in the semiarid of the State of Paraiba, Brazil Consumo de água quando exposta ao sol e à sombra por caprinos nativos no Semiárido Paraibano

This work aimed to evaluate the preference and water consumption of native goats in the semiarid of Brazil. The water was freely supplied, in individual buckets, one exposed to the sun and the other in the shade. The experiment was realized using 18 animals of Moxotó, Graúna and Azul breeds, with average weight of 16,6 ± 2,4 kg, kept in confinement in individual stalls equipped with feeders and drinkers, during the period from January to February of 2009. The water temperature was measured by sensors (thermocouples type T - copper/constantan), which were coupled to a system of data acquisition. It was observed that the average water temperature exposed to the sun was 29.02 ºC, and 23.85 ºC in the shade. For all breeds there was a preference for the water exposed to the sun, corresponding to an average consumption of 64.71% of the total. Among the breeds, the greatest preference for water exposed to the sun was the Azul (71.18%), followed by the Moxotó (65.95%) and the Graúna (57.00%). The animals consumed more water during the day, and the average water consumption was 1.15 grams day-1, corresponding to 6.9 % of body weight of the animals.<br>O trabalho teve o objetivo de avaliar a preferência e o consumo de água por caprinos nativos no semiárido brasileiro, fornecida à vontade, em baldes individuais, sendo um exposto ao sol e outro à sombra. O experimento foi realizado, utilizado-se de 18 animais das raça Moxotó, Graúna e Azul, com peso vivo médio de 16,6 ± 2,4 kg, mantidos em confinamento, em baias individuais, providas de comedouro e bebedouro, durante o período de janeiro a março de 2009. A temperatura da água foi medida através de sensores (termopares tipo T - cobre/constantan), que estavam acoplados a um sistema de aquisição de dados. Observou-se que a temperatura média da água exposta ao sol foi de 29,02 ºC, e à sombra, de 23,85 ºC. Para todas as raças, houve preferência pela água exposta ao sol, correspondendo a um consumo médio de 64,71% do total. Entre as raças, a maior preferência pela água exposta ao sol foi da Azul (71,18%), seguida da Moxotó (65,95%) e Graúna (57,00%). Os animais consumiram mais água no período diurno, sendo o consumo médio de 1.150 gramas dia-1, correspondendo a 6,9% do peso vivo dos animais

Growth performance of native goats fed diets containing different levels of energy

Castrated male goats (n = 40) of the Moxotó (n = 20) and Canindé (n = 20) breeds with an average weight of 15.3 kg were studied to determine intake, nutrient digestibility and weight gain for two diets with different energy levels. The experiment utilized a 2 × 2 factorial arrangement (two breeds and two diets), in which goats were randomly allocated. A diet of low energy density and a forage:concentrate ratio of 70:30 was utilized along with a diet of high energy density and a forage:concentrate ratio of 35:64. To determine the nutrient intake and digestibility, at the end of the experiment, goats were kept in metabolism cages for a period of 15 days. Weighing of the goats was conducted weekly over a period of 90 days. The goats that were fed a diet of high energy density displayed significantly increased consumption of metabolic fractions, with the exception of dry matter and neutral detergent fiber, when compared with those fed a diet of low energy density. The lack of difference in dry matter and neutral detergent fiber intake indicated that goats have a high digestive capacity for the diet containing a greater quantity of Maniçoba hay. Weight gain was significantly greater for those on the diet of greater energy density. Among the breeds, Canindé goats recorded the highest average consumption and weight gain. Coefficients of digestibility were significantly greater for the more energy dense diet, with no difference between breeds. Regardless of diet, the Canindé breed shows greater weight gain than the Moxotó breed