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This digital document is an article from Family Practice News, published by International Medical News Group on September 1, 2003. The length of the article is 513 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: Derm diagnosis.(Clinical Rounds)(rash caused by malnutrition in an infant with cystic fibrosis)
Author: Timothy F. Kirn
Publication: Family Practice News (Magazine/Journal)
Date: September 1, 2003
Publisher: International Medical News Group
Volume: 33Issue: 17Page: 30(1)

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High levels of child malnutrition in developing countries contributeto mortality and have long-term consequences for children’scognitive development and earnings as adults. Recent impact evaluationsshow that many different interventions have had an impact onchildren’s anthropometric outcomes (height, weight, and birthweight), but there is no simple answer to the question “Whatworks?” to address the problem. Similar interventions have widelydifferent results in different settings, owing to differences in localcontext, the causes and severity of malnutrition, and the capacity forprogram implementation.

Impact evaluations of programs supported by the Bank, which aregenerally large-scale, complex inter-ventions in low-capacity settings,show equally variable results. The findings confirm that it should notbe assumed that an intervention found effective in a randomized medicalsetting will have the same effects when implemented under fieldconditions. There are many robust experimental and quasi-experimentalmethods for assessing impact under difficult circumstances often foundin field settings.

The relevance and impact of nutrition impact evaluations could beenhanced by collecting data on service delivery, demand-side behavioraloutcomes, and implementation processes to better understand the causalchain and what part of the chain is weak, in parallel with impactevaluations. It is also important to understand better the distributionof impacts, particularly among the poor, and to document better thecosts and effectiveness of interventions.

High levels of child malnutrition in developing countries arecontributing to mortality and present long-term consequences for thesurvivors. An estimated 178 million children under age 5 in developingcountries are stunted (low height for age) and 55 million are wasted(low weight for height). Malnutrition makes children more susceptibleto illness and strongly affects child mortality. Beyond the mortalityrisk in the short run, the developmental delays caused byundernutrition affect children’s cognitive outcomes andproductive potential as adults. Micronutrientdeficiencies—vitamin A, iron, zinc, iodine, for example—arealso common and have significant consequences. Progress in reducingmalnutrition has been slow: More than half of countries are not ontrack to achieve the Millennium Development Goal of halving the shareof children who are malnou-rished (low weight for age) by 2015. Thefood price and financial crises are making achievement of this goaleven more elusive.

The World Bank has recently taken steps to ex-pand its support fornutrition in response to the underlying need and the increased urgencydue to the crises.

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Describes the contemporary paradox of hunger and malnutrition in the United States, one of the richest countries in the world. Also discusses some solutions to eliminate this problem including government programs and public education. ... Read more

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The causes and solutions to disease, malnutrition and the medical sins that are killing the world. Do you really know the effects of the chemicals in the foods that you're eating? Did you know that your lack of awareness about the connection between the pharmaceutical industry and those who govern Agribusiness are at the core of most common illnesses? Yes, this book uncovers the conspiracy of the Medical Industry, while at the same time guiding its readers back to a pathway of sound health. ... Read more

Customer Reviews (22)

This book woke me up!
This book woke me up regarding pharmaceutical drugs and their real purpose....to make money for the big pharma corporations.I have purchased several copies and have given them to friends to read and pass on to others.

Are looking for a Truthful perspective of the medical community.
I have read many books about the medical community nationally as a whole and also within the urban setting. Dr. Scott Whitaker's book has encompassed wonderful insight as a health care professional, as well as, pertinent information being a patient of these services. There are chapters detailing the ins & outs of the food, pharmacutical and medical industry. These unknown agendas and subject matters are not discussed or provided to the patient when meeting with a health care professional. This book is a treasure for me and I thank Dr. Scott Whitaker for sharing his professional assessment of truths happening right now in the medical practice. Thanks.

Has some good points
This book makes good points however I found it very basic.I have studied the subject for years though.It could be good for someone just getting into these areas. I was hoping for more indepth information. SW

great book
This is an amazing book that will tell you the truth about western medicine and their desire for money and power rather than saving lives.

Flat Out Awesome!!
This might be the best book on the medical and dental scam out there. My father was killed in the hospital when they gave him the wrong medicine. A dentist nearly destroyed my teeth. I am convinced it's safer to avoid these people unless it's a severe emergency like a car accident. Every other page the authors drop one bomb after another and they all check out with facts to back them out. The only other book in the same building with this book is Never Be Sick Again By Raymond Francis. ... Read more

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Nearly 800 million people in the world do not have enough to eat. In many developing countries, inadequate amounts of food and inadequate diversity of food continue to be priority health problems. Malnutrition in all its forms increases the risk of disease and early death. Neurologic Consequences of Malnutrition, edited by Dr. Marco T. Medina, seeks to underline the magnitude of neurologic diseases related to malnutrition and the importance of early detection and opportune treatment. Designed particularly for neurologists practicing in low-resource environments, this text is written by a multinational group of expert practicing neurologists who treat patients suffering from the neurologic consequence of malnutrition. Neurologic Consequences of Malnutrition begins with an overview of the epidemiology and incidence of malnutrition and neurologic disorders. There is a discussion of the clinical and functional assessment of undernourished patients, focusing on patients with Protein-Energy Malnutrition, as well as an extensive and complete classification of the different micronutrient deficiencies related to neurologic symptoms. Other topics covered include the relationship between alcoholism and malnutrition, a major public health challenge in developing nations, and the neurophysiologic findings in undernourished patients. ... Read more

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World travel and trade have increased the public's knowledge of and concern for international health issues. Infectious diseases are now the biggest killer of children and young adults worldwide. They account for more than 13 million deaths a year and half the deaths in developing countries. Other worldwide health concerns include access to essential drugs, malnutrition, and risky health behaviors.

Worldwide Health Sourcebook reviews information important to individuals in both developing and industrialized countries. Readers will learn about leading causes of death, disease dispersion and prevention, emerging diseases, and risky health behaviors including tobacco use, overeating, and sexually transmitted disease risks. Specific concerns for children, women, and the elderly are reviewed. The effects on health of the environment, economics, and politics are also covered. ... Read more

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One in twelve people worldwide is malnourished, including 160 million children under the age of five. Every year, about 15 million children die of hunger. Malnutrition doesn t just occur in poor countries; poor nutrition happens in rich countries, too, where the popularity of highly processed foods, robbed of their nutritional value, can lead to health problems. This important book sheds light on why people aren t getting the sustenance they need to live healthy lives, and how the body reacts when it is malnourished. Malnutrition & Kids provides a comprehensive study of malnutrition: what the body needs and how it uses food; what causes famines and why people can t get the food they need; and much more. The book uses the latest educational methods to make the topic understandable to children:-- Simple and concise explanations make complicated health topics easy enough for young readers to understand.-- Color photographs, diagrams, and illustrations make malnutrition real for visual learners.-- A young person who experienced malnutrition firsthand shares his story.-- Information on the latest research and medical advancements is included.-- Ask the Doctor sections connect a licensed health practitioner with children s real questions about malnutrition.-- Inside/Outside perspectives help young learner grasp what malnutrition looks like both inside the body and outside.-- Boxed glossary words on every page define unfamiliar terms for kids.-- Did You Know? boxes round out readers information on the various topics.-- Just the Facts boxes summarize each chapter in easily understood, bite-size packages.-- A Find Out More section directs readers to additional resources found on the Internet.-- A learning map helps readers organize new information. ... Read more

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*Protein-Energy malnutrition: general introduction*Some general questions*Body composition and body water*Electrolytes and major minerals*Effects of PEM on structure and function of organs*Biochemical measurements for the assessment of PEM*Endocrine changes in severe PEM*Trace elements*Cell membranes and free radicals*Causes of oedema and its relation to kwashiorkor*Treatment of severe PEM*Nutrition and growth*Assessment of nutritional state in the community*Energy and protein requirements of infants and young children*Breast feeding and weaning*Nutrition and infection*Malnutrition and mortality*The effect of malnutrition on mental development*Prevention of protein-energy malnutrition ... Read more

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***This book was awarded the "Prescrire" prize***

This manual gives small hospitals in developing countries expert advice on the management of young children suffering from serious infections or severe malnutrition. Addressed to doctors and senior nurses, the manual aims to provide all the practical and technical guidance needed to facilitate quick decisions and life-saving interventions. Although outpatient care is included, the manual concentrates on the inpatient management of diseases known to be the major killers of children in the developing world. Conditions covered range from pneumonia, diarrhea, and severe malnutrition to malaria, meningitis, and measles.

The core of the manual provides detailed treatment instructions for individual clinical conditions, specifying the standard course and duration of treatment. Separate chapters cover the management of over twenty diseases in children presenting with cough or difficult breathing, diarrhea, and fever. Additional chapters cover the management of common problems in young infants, of children suffering from severe malnutrition, and of children with HIV/AIDS. The remaining chapters provide detailed guidelines for supportive care, propose a system for the regular monitoring of patients, and offer advice on when and how to discharge the child from hospital.

Further practical assistance is provided in five appendices, which offer an illustrated guide to the performance of practical procedures, list of recommended dosages and regimen for some 57 drugs, give formulas and recipes for treating severely malnourished children, and provides tables and charts for assessing nutritional status and recovery. Advice on play therapy and the construction of simple toys is also included. The manual is part of a series of tools that support the WHO Integrated Management of Childhood Illness initiative.
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