OBJECTIVE The study determined the impact of a community-based nutrition education programme, using trained community nutrition advisors, on the anthropometric nutritional status of mixed-race children aged between 2 and 5 years. DESIGN AND SETTING The programme was implemented over two years in four study areas in the Free State and Northern Cape Provinces. Two control areas were included to...

This study examines frequent attenders of a pediatric primary care clinic at a large urban children's hospital--who they are and their reasons for frequent attendance to the clinic. The literature suggests that some visits by frequent attenders may not be medically necessary, and these additional appointments may impair others' access to medical care within the same system. The key to eliminati...

Jefferson C. Frisbee, Adam G. Goodwill, Stephanie J. Frisbee, Joshua T. Butcher, Robert W. Brock, I. Mark Olfert, Evan R. DeVallance, and Paul D. Chantler Department of Physiology and Pharmacology, West Virginia University Health Sciences Center, Morgantown, West Virginia; Department of Health Policy, Management and Leadership, West Virginia University Health Sciences Center, Morgantown, West V...

This is a prospective study of clinical questions generated in primary care consultations and a comparison of two approaches to answering those clinical questions. Twenty-one doctors in a university-based primary care clinic submitted 78 clinical questions arising from patient consultations during 24 clinic days (0.01 question per patient encounter). These doctors subsequently found answers to ...

sthma is a common malady, affecting persons of all ages. Much of ur understanding of the natural history of this condition has come from comlnunity-based studies,12 including the Harvard Six Cities Study, discussed elsewhere in this issue (see article by Speizer, this issue). However, information on prevalence of asthma, mortality due to asthma, and the impact of the disease in the US populatio...

A cross-sectional study on 1206 children (788 boys, 618 girls) aged 1-12 years, belonging to low socioeconomic status, of Barasat and Madhyamgram, West Bengal, India, was undertaken to investigate age and sex variations in height and weight. It also evaluated the levels of underweight and stunting among them. Anthropometric measurements included weight and height. Weight-for-age (WA) and height...

The L-statistics form an important class of estimators in nonparametric statistics. Its members include trimmed means and sample quantiles and functions thereof. This article is devoted to theory and applications of L-statistics for repeated measurements data, wherein the measurements on the same subject are dependent and the measurements from different subjects are independent. This article ha...

Preschool children are an important nutritionally vulnerable segment of the population; they are the future citizens of the country. Therefore, prevention, early detection, prompt and effective treatment of undernutrition in preschool children had received priority attention. Height and weight have been widely used as anthropometric indices for assessment of nutritional status of preschool chil...

Objective The purpose of this commentary is to propose a flexible practice innovations decision model (PIDM) for use in health services planning and management. Method This is an example of fuzzy decision analysis. The elements of the model are explained by applying it to the decision of whether to open a primary care clinic in retail space. The model contains 10 criteria, each of which score...

This study was carried out to determine the prevalence of undernutrition among the Santal children of Puruliya district of West Bengal. 442 Santal children (216 boys and 226 girls) aged 5-12 years were taken from randomly selected schools of Balarampur and Baghmundi areas of Puruliya. Nutritional status was analyzed by Z-score values according to the height for age, weight for age and weight fo...