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  1. Article ; Online: Role of hypothalamic-pituitary adrenal-axis, toll-like receptors, and macrophage polarization in pre-atherosclerotic changes induced by social isolation stress in mice

    Arvin Haj-Mirzaian / Kiana Ramezanzadeh / Siavash Shariatzadeh / Michael Tajik / Farima Khalafi / Armin Tafazolimoghadam / Mahla Radmard / Alireza Rahbar / Fardad Pirri / Kiarash Kazemi / Ayda Khosravi / Niloufar Shababi / Ahmad Reza Dehpour

    Scientific Reports, Vol 11, Iss 1, Pp 1-

    2021  Volume 15

    Abstract: Abstract It has been well documented that chronic stress can induce atherosclerotic changes, however, the underlying mechanisms is yet to be established. In this regard, this study aimed to elucidate the relation between hypothalamic-pituitary adrenal- ... ...

    Abstract Abstract It has been well documented that chronic stress can induce atherosclerotic changes, however, the underlying mechanisms is yet to be established. In this regard, this study aimed to elucidate the relation between hypothalamic-pituitary adrenal-axis (HPA-axis), toll-like receptors (TLRs), as well as M1/M2 macrophage ratio and pre-atherosclerotic changes in social isolation stress (SIS) in mice. We used small interfering RNA against the glucocorticoid receptor (GR) to evaluate the relation between HPA-axis and TLRs. C57BL/6J mice were subjected to SIS and RT-PCR, ELISA, flow cytometry, and immunohistochemistry were used to assess the relations between pre-atherosclerotic changes and TLRs, macrophage polarization, pro-inflammatory cytokines, and cell adhesion molecules in aortic tissue. We used TAK-242 (0.3 mg/kg, intraperitoneally), a selective antagonist of TLR4, as a possible prophylactic treatment for atherosclerotic changes induced by SIS. We observed that isolated animals had higher serum concentration of corticosterone and higher body weight in comparison to normal animals. In isolated animals, results of in vitro study showed that knocking-down of the GR in bone marrow–derived monocytes significantly decreased the expression of TLR4. In vivo study suggested higher expression of TLR4 on circulating monocytes and higher M1/M2 ratio in aortic samples. Pathological study showed a mild pre-atherosclerotic change in isolated animals. Finally, we observed that treating animals with TAK-242 could significantly inhibit the pre-atherosclerotic changes. SIS can possibly increase the risk of atherosclerosis through inducing abnormal HPA-axis activity and subsequently lead to TLR4 up-regulation, vascular inflammation, high M1/M2 ratio in intima. Thus, TLR4 inhibitors might be a novel treatment to decrease the risk of atherosclerosis induced by chronic stress.
    Keywords Medicine ; R ; Science ; Q
    Subject code 630
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Acute Transplantation of Human Olfactory Mucosa-Derived Olfactory Ensheathing Cells Fails to Improve Locomotor Recovery in Rats

    Mina Afhami / Mansoureh Hashemi / Khashayar Afshari / Jamal Chenari / Seyed Mohammad Tavangar / Mahmoudreza Hadjighassem / Ahmad Reza Dehpour / Ahad Muhammadnejad / Arvin Haj-Mirzaian / Vafa Rahimi-Movaghar

    Acta Medica Iranica, Vol 56, Iss

    2018  Volume 7

    Abstract: Olfactory ensheathing cells-based therapy for spinal cord injury (SCI) repair has been a possible treatment for clinical study because of their safety in autologous transplantation and potential regenerative capability. However, there are contradictory ... ...

    Abstract Olfactory ensheathing cells-based therapy for spinal cord injury (SCI) repair has been a possible treatment for clinical study because of their safety in autologous transplantation and potential regenerative capability. However, there are contradictory reports on the results after transplantation in animal models. The purpose of this research was to investigate the effect of acute transplantation of human mucosa-derived olfactory ensheathing cells (OECs) on the repair of the spinal cord. Human olfactory ensheathing cells were isolated from the human mucosa and cultured under supplemented neuronal cell culture medium. They were characterized by immunocytochemistry for olfactory ensheathing cell markers. We induced spinal cord injury at T8-T9 of rats by aneurysm clips and simultaneously injected two million OECs into subarachnoid space of spinal cord. Sensory and motor behaviors were recorded by tail-flick reflex (TFR) and BBB scores, respectively every week for seven weeks after injury. Morphology and S100-beta antigen expression in olfactory ensheathing cells of the human olfactory mucosa was confirmed by immunostaining. OECs transplantation did not recover inflammation, neuronal vacuolation, hemorrhage, and cyst formation. These findings suggest that OECs transplantation in this experimental setting did not lead to tissue regeneration to enhance locomotion. These results broaden current knowledge and are additions to the science and literature.
    Keywords Spinal cord injury ; Olfactory ensheathing cells ; Functional recovery ; Rat ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2018-08-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.

    Elizabeth A Cromwell / Joshua C P Osborne / Thomas R Unnasch / Maria-Gloria Basáñez / Katherine M Gass / Kira A Barbre / Elex Hill / Kimberly B Johnson / Katie M Donkers / Shreya Shirude / Chris A Schmidt / Victor Adekanmbi / Olatunji O Adetokunboh / Mohsen Afarideh / Ehsan Ahmadpour / Muktar Beshir Ahmed / Temesgen Yihunie Akalu / Ziyad Al-Aly / Fahad Mashhour Alanezi /
    Turki M Alanzi / Vahid Alipour / Catalina Liliana Andrei / Fereshteh Ansari / Mustafa Geleto Ansha / Davood Anvari / Seth Christopher Yaw Appiah / Jalal Arabloo / Benjamin F Arnold / Marcel Ausloos / Martin Amogre Ayanore / Atif Amin Baig / Maciej Banach / Aleksandra Barac / Till Winfried Bärnighausen / Mohsen Bayati / Krittika Bhattacharyya / Zulfiqar A Bhutta / Sadia Bibi / Ali Bijani / Somayeh Bohlouli / Mahdi Bohluli / Oliver J Brady / Nicola Luigi Bragazzi / Zahid A Butt / Felix Carvalho / Souranshu Chatterjee / Vijay Kumar Chattu / Soosanna Kumary Chattu / Natalie Maria Cormier / Saad M A Dahlawi / Giovanni Damiani / Farah Daoud / Aso Mohammad Darwesh / Ahmad Daryani / Kebede Deribe / Samath Dhamminda Dharmaratne / Daniel Diaz / Hoa Thi Do / Maysaa El Sayed Zaki / Maha El Tantawi / Demelash Abewa Elemineh / Anwar Faraj / Majid Fasihi Harandi / Yousef Fatahi / Valery L Feigin / Eduarda Fernandes / Nataliya A Foigt / Masoud Foroutan / Richard Charles Franklin / Mohammed Ibrahim Mohialdeen Gubari / Davide Guido / Yuming Guo / Arvin Haj-Mirzaian / Kanaan Hamagharib Abdullah / Samer Hamidi / Claudiu Herteliu / Hagos Degefa de Hidru / Tarig B Higazi / Naznin Hossain / Mehdi Hosseinzadeh / Mowafa Househ / Olayinka Stephen Ilesanmi / Milena D Ilic / Irena M Ilic / Usman Iqbal / Seyed Sina Naghibi Irvani / Ravi Prakash Jha / Farahnaz Joukar / Jacek Jerzy Jozwiak / Zubair Kabir / Leila R Kalankesh / Rohollah Kalhor / Behzad Karami Matin / Salah Eddin Karimi / Amir Kasaeian / Taras Kavetskyy / Gbenga A Kayode / Ali Kazemi Karyani / Abraham Getachew Kelbore / Maryam Keramati / Rovshan Khalilov / Ejaz Ahmad Khan / Md Nuruzzaman Nuruzzaman Khan / Khaled Khatab / Mona M Khater / Neda Kianipour / Kelemu Tilahun Kibret / Yun Jin Kim / Soewarta Kosen / Kris J Krohn / Dian Kusuma / Carlo La Vecchia / Van Charles Lansingh / Paul H Lee / Kate E LeGrand / Shanshan Li / Joshua Longbottom / Hassan Magdy Abd El Razek / Muhammed Magdy Abd El Razek / Afshin Maleki / Abdullah A Mamun / Ali Manafi / Navid Manafi / Mohammad Ali Mansournia / Francisco Rogerlândio Martins-Melo / Mohsen Mazidi / Colm McAlinden / Birhanu Geta Meharie / Walter Mendoza / Endalkachew Worku Mengesha / Desalegn Tadese Mengistu / Seid Tiku Mereta / Tomislav Mestrovic / Ted R Miller / Mohammad Miri / Masoud Moghadaszadeh / Abdollah Mohammadian-Hafshejani / Reza Mohammadpourhodki / Shafiu Mohammed / Salahuddin Mohammed / Masoud Moradi / Rahmatollah Moradzadeh / Paula Moraga / Jonathan F Mosser / Mehdi Naderi / Ahamarshan Jayaraman Nagarajan / Gurudatta Naik / Ionut Negoi / Cuong Tat Nguyen / Huong Lan Thi Nguyen / Trang Huyen Nguyen / Rajan Nikbakhsh / Bogdan Oancea / Tinuke O Olagunju / Andrew T Olagunju / Ahmed Omar Bali / Obinna E Onwujekwe / Adrian Pana / Hadi Pourjafar / Fakher Rahim / Mohammad Hifz Ur Rahman / Priya Rathi / Salman Rawaf / David Laith Rawaf / Reza Rawassizadeh / Serge Resnikoff / Melese Abate Reta / Aziz Rezapour / Enrico Rubagotti / Salvatore Rubino / Ehsan Sadeghi / Abedin Saghafipour / S Mohammad Sajadi / Abdallah M Samy / Rodrigo Sarmiento-Suárez / Monika Sawhney / Megan F Schipp / Amira A Shaheen / Masood Ali Shaikh / Morteza Shamsizadeh / Kiomars Sharafi / Aziz Sheikh / B Suresh Kumar Shetty / Jae Il Shin / K M Shivakumar / Biagio Simonetti / Jasvinder A Singh / Eirini Skiadaresi / Amin Soheili / Shahin Soltani / Emma Elizabeth Spurlock / Mu'awiyyah Babale Sufiyan / Takahiro Tabuchi / Leili Tapak / Robert L Thompson / Alan J Thomson / Eugenio Traini / Bach Xuan Tran / Irfan Ullah / Saif Ullah / Chigozie Jesse Uneke / Bhaskaran Unnikrishnan / Olalekan A Uthman / Natalie V S Vinkeles Melchers / Francesco S Violante / Haileab Fekadu Wolde / Tewodros Eshete Wonde / Tomohide Yamada / Sanni Yaya / Vahid Yazdi-Feyzabadi / Paul Yip / Naohiro Yonemoto / Hebat-Allah Salah A Yousof / Chuanhua Yu / Yong Yu / Hasan Yusefzadeh / Leila Zaki / Sojib Bin Zaman / Maryam Zamanian / Zhi-Jiang Zhang / Yunquan Zhang / Arash Ziapour / Simon I Hay / David M Pigott

    PLoS Neglected Tropical Diseases, Vol 15, Iss 7, p e

    2021  Volume 0008824

    Abstract: Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across ...

    Abstract Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0·71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50·2% exceed this threshold for suitability in at least one 5 × 5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify.
    Keywords Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
    Subject code 333
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000–17

    Kirsten E Wiens / Paulina A Lindstedt / Brigette F Blacker / Kimberly B Johnson / Mathew M Baumann / Lauren E Schaeffer / Hedayat Abbastabar, Sr / Foad Abd-Allah / Ahmed Abdelalim / Ibrahim Abdollahpour / Kedir Hussein Abegaz / Ayenew Negesse Abejie / Lucas Guimarães Abreu / Michael R M Abrigo / Ahmed Abualhasan / Manfred Mario Kokou Accrombessi / Dilaram Acharya / Maryam Adabi / Abdu A Adamu /
    Oladimeji M Adebayo / Rufus Adesoji Adedoyin, Sr / Victor Adekanmbi / Olatunji O Adetokunboh, Sr / Beyene Meressa Adhena / Mohsen Afarideh / Sohail Ahmad / Keivan Ahmadi / Anwar E Ahmed / Muktar Beshir Ahmed / Rushdia Ahmed / Temesgen Yihunie Akalu / Fares Alahdab / Ziyad Al-Aly / Noore Alam, Sr / Samiah Alam / Genet Melak Alamene / Turki M Alanzi / Jacqueline Elizabeth Alcalde-Rabanal / Beriwan Abdulqadir Ali / Mehran Alijanzadeh / Vahid Alipour / Syed Mohamed Aljunid / Ali Almasi, Sr / Amir Almasi-Hashiani / Hesham M Al-Mekhlafi / Khalid A Altirkawi / Nelson Alvis-Guzman / Nelson J Alvis-Zakzuk / Saeed Amini, Sr / Arianna Maever L Amit, Sr / Catalina Liliana Andrei, Sr / Mina Anjomshoa / Amir Anoushiravani, Sr / Fereshteh Ansari / Carl Abelardo T Antonio / Benny Antony / Ernoiz Antriyandarti / Jalal Arabloo / Hany Mohamed Amin Aref, Sr / Olatunde Aremu / Bahram Armoon / Amit Arora, Sr / Krishna K Aryal / Afsaneh Arzani / Mehran Asadi-Aliabadi / Hagos Tasew Atalay / Seyyed Shamsadin Athari, Sr / Seyyede Masoume Athari / Sachin R Atre / Marcel Ausloos / Nefsu Awoke / Beatriz Paulina Ayala Quintanilla / Getinet Ayano / Martin Amogre Ayanore, Sr / Yared Asmare Aynalem IV / Samad Azari / Peter S Azzopardi / Ebrahim Babaee / Tesleem Kayode Babalola / Alaa Badawi, Sr / Mohan Bairwa / Shankar M Bakkannavar / Senthilkumar Balakrishnan / Ayele Geleto Bali / Maciej Banach, Sr / Joseph Adel Mattar Banoub, Sr / Aleksandra Barac / Till Winfried Bärnighausen / Huda Basaleem / Sanjay Basu / Vo Dinh Bay / Mohsen Bayati / Estifanos Baye / Neeraj Bedi / Mahya Mahya Beheshti Beheshti / Masoud Behzadifar / Meysam Behzadifar / Bayu Begashaw Bekele / Yaschilal Muche Belayneh / Michellr L Bell, Sr / Derrick A Bennett, Sr / Dessalegn Ajema Berbada / Robert S Bernstein / Anusha Ganapati Bhat, Sr / Krittika Bhattacharyya, Sr / Suraj Bhattarai / Soumyadeep Bhaumik / Zulfiqar A Bhutta / Ali Bijani / Boris Bikbov / Binyam Minuye Birihane IV / Raaj Kishore Biswas / Somayeh Bohlouli / Hunduma Amensisa Amensisa Bojia I / Soufiane Boufous / Oliver J Brady / Nicola Luigi Bragazzi / Andrey Nikolaevich Briko / Nikolay Ivanovich Briko / Gabrielle B Britton / Sharath Burugina Nagaraja, Sr / Reinhard Busse, Sr / Zahid A Butt / Luis LA Alberto Cámera, Sr / Ismael R Campos-Nonato, Sr / Jorge Cano / Josip Car / Rosario Cárdenas / Felix Carvalho, Sr / Carlos A Castañeda-Orjuela, Sr / Franz Castro / Wagaye Fentahun Chanie, Sr / Pranab Chatterjee / Vijay Kumar Chattu / Tesfaye Yitna Yitna Chichiabellu, Jr / Ken Lee Chin, Sr / Devasahayam J Christopher / Dinh-Toi Chu / Natalie Maria Cormier / Vera Marisa Costa / Carlos Culquichicon / Matiwos Soboka Daba / Giovanni Damiani, Sr / Lalit Dandona / Rakhi Dandona / Anh Kim Dang / Aso Mohammad Darwesh / Amira Hamed Darwish / Ahmad Daryani, Sr / Jai K Das / Rajat Das Gupta / Aditya Prasad Dash / Gail Davey / Claudio Alberto Dávila-Cervantes / Adrian C Davis, Sr / Dragos Virgil Davitoiu / Fernando Pio De la Hoz / Asmamaw Bizuneh Demis / Dereje Bayissa Demissie / Getu Debalkie Demissie / Gebre Teklemariam Demoz, Sr / Edgar Denova-Gutiérrez, Sr / Kebede Deribe, Sr / Assefa Desalew / Aniruddha Deshpande / Samath Dhamminda Dharmaratne / Preeti Dhillon / Meghnath Dhimal / Govinda Prasad Dhungana / Daniel Diaz, Sr / Isaac Oluwafemi Dipeolu / Shirin Djalalinia / Kerrie E Doyle / Eleonora Dubljanin / Bereket Duko / Andre Rodrigues Duraes / Mohammad Ebrahimi Kalan / Hisham Atan Edinur, Sr / Andem Effiong, Sr / Aziz Eftekhari / Nevine El Nahas / Iman El Sayed / Maysaa El Sayed Zaki / Maha El Tantawi / Teshome Bekele Elema I / Hala Rashad Elhabashy, Sr / Shaimaa I El-Jaafary / Hajer Elkout / Aisha Elsharkawy / Iqbal RF Elyazar / Aklilu Endalamaw / Daniel Adane Endalew, Sr / Sharareh Eskandarieh / Alireza Esteghamati / Sadaf Esteghamati, Sr / Arash Etemadi / Oluchi Ezekannagha / Mohammad Fareed / Roghiyeh Faridnia / Farshad Farzadfar / Mehdi Fazlzadeh / Valery L Feigin, Sr / Seyed-Mohammad Fereshtehnejad / Eduarda Fernandes / Irina Filip / Florian Fischer / Nataliya A Foigt / Morenike Oluwatoyin Folayan, Sr / Masoud Foroutan / Richard Charles Franklin / Takeshi Fukumoto / Mohamed M Gad / Reta Tsegaye Gayesa / Teshome Gebre, Sr / Ketema Bizuwork Gebremedhin / Gebreamlak Gebremedhn Gebremeskel, Sr / Hailay Abrha Gesesew / Kebede Embaye Gezae / Keyghobad Ghadiri, Sr / Ahmad Ghashghaee / Pramesh Raj Ghimire, Sr / Paramjit Singh Gill, Sr / Tiffany K Gill / Themba G G Ginindza / Nelson G M Gomes / Sameer Vali Gopalani / Alessandra C Goulart / Bárbara Niegia Garcia Goulart / Ayman Grada / Mohammed Ibrahim Mohialdeen Gubari / Harish Chander Gugnani, Sr / Davide Guido / Rafael Alves Guimarães / Yuming Guo, Sr / Rajeev Gupta / Nima Hafezi-Nejad / Dessalegn H Haile, Sr / Gessessew Bugssa Hailu / Arvin Haj-Mirzaian / Arya Haj-Mirzaian / Randah R Hamadeh / Samer Hamidi / Demelash Woldeyohannes Handiso / Hamidreza Haririan, Sr / Ninuk Hariyani / Ahmed I Hasaballah / Md Mehedi Hasan / Edris Hasanpoor / Amir Hasanzadeh / Hadi Hassankhani / Hamid Yimam Hassen / Mohamed I Hegazy / Behzad Heibati / Behnam Heidari / Delia Hendrie, Sr / Nathaniel J Henry / Claudiu Herteliu / Fatemeh Heydarpour / Hagos Degefa de Hidru I / Thomas R Hird / Chi Linh Hoang / Enayatollah Homaie Rad / Praveen Hoogar / Mohammad Hoseini / Naznin Hossain / Mostafa Hosseini / Mehdi Hosseinzadeh / Mowafa Househ / Mohamed Hsairi, Sr / Guoqing Hu / Mohammedaman Mama Hussen / Segun Emmanuel Ibitoye / Ehimario U Igumbor, Sr / Olayinka Stephen Ilesanmi / Milena D Ilic / Mohammad Hasan Imani-Nasab / Usman Iqbal / Seyed Sina Naghibi Irvani / Sheikh Mohammed Shariful Islam / Chinwe Juliana Iwu / Neda Izadi, Sr / Anelisa Jaca / Nader Jahanmehr / Mihajlo Jakovljevic / Amir Jalali / Achala Upendra Jayatilleke / Ravi Prakash Jha / Vivekanand Jha / John S Ji, Sr / Jost B Jonas / Jacek Jerzy Jozwiak / Ali Kabir / Zubair Kabir, Sr / Amaha Kahsay / Hamed Kalani / Tanuj Kanchan / Behzad Karami Matin / André Karch / Mohd Anisul Karim / Hamidreza Karimi-Sari / Surendra Karki / Amir Kasaeian / Gebremicheal Gebreslassie Kasahun / Yawukal chane Kasahun / Habtamu Kebebe Kasaye / Gebrehiwot G Kassa / Getachew Mullu Kassa / Gbenga A Kayode / Ali Kazemi Karyani / Mihiretu M Kebede / Peter Njenga Keiyoro / Abraham Getachew Kelbore, Sr / Andre Pascal Kengne, Sr / Daniel Bekele Ketema / Yousef Saleh Khader / Morteza Abdullatif Khafaie / Nauman Khalid / Rovshan Khalilov / Ejaz Ahmad Khan, Sr / Junaid Khan / Md Nuruzzaman Khan I / Muhammad Shahzeb Khan / Khaled Khatab, Sr / Amir M Khater / Mona M Khater / Maryam Khayamzadeh / Mohammad Khazaei / Salman Khazaei / Mohammad Hossein Khosravi / Jagdish Khubchandani / Ali Kiadaliri / Yun Jin Kim / Ruth W Kimokoti / Adnan Kisa / Sezer Kisa / Niranjan Kissoon, Sr / Shivakumar KM Marulasiddaiah M KMShivakumar, Sr / Sonali Kochhar / Tufa Kolola, Sr / Hamidreza Komaki / Soewarta Kosen / Parvaiz A Koul / Ai Koyanagi / Moritz U G Kraemer / Kewal Krishan / Nuworza Kugbey / G Anil Kumar / Manasi Kumar, Sr / Pushpendra Kumar / Vivek Kumar / Dian Kusuma / Carlo La Vecchia / Ben Lacey / Sheetal D Lad / Dharmesh Kumar Lal / Felix Lam / Faris Hasan Lami, Sr / Prabhat Lamichhane / Van Charles Lansingh / Savita Lasrado / Avula Laxmaiah / Paul H Lee, Sr / Kate E LeGrand / Mostafa Leili / Tsegaye Lolaso Lenjebo / Cheru Tesema Leshargie, Sr / Aubrey J Levine / Shanshan Li, Sr / Shai Linn / Shiwei Liu / Simin Liu / Rakesh Lodha / Joshua Longbottom / Jaifred Christian F Lopez / Hassan Magdy Abd El Razek / Muhammed Magdy Abd El Razek / D R Mahadeshwara Prasad / Phetole Walter Mahasha, Sr / Narayan B Mahotra / Azeem Majeed / Reza Malekzadeh, Sr / Deborah Carvalho Malta / Abdullah A Mamun, Sr / Navid Manafi, Sr / Ana Laura Manda / Narendar Dawani Dawanu Manohar / Mohammad Ali Mansournia / Chabila Christopher Mapoma / Joemer C Maravilla / Gabriel Martinez, Sr / Santi Martini / Francisco Rogerlândio Martins-Melo / Anthony Masaka / Benjamin Ballard Massenburg / Manu Raj Mathur / Benjamin K Mayala / Mohsen Mazidi / Colm McAlinden / Birhanu Geta Meharie / Man Mohan Mehndiratta, Sr / Kala M Mehta / Tefera C Chane Mekonnen / Gebrekiros Gebremichael Meles / Peter T N Memiah / Ziad A Memish, Sr / Walter Mendoza / Ritesh G Menezes / Seid Tiku Mereta / Tuomo J Meretoja, Sr / Tomislav Mestrovic / Bartosz Miazgowski / Kebadnew Mulatu Mihretie, Sr / Ted R Miller / GK Mini / Erkin M Mirrakhimov / Babak Moazen / Bahram Mohajer / Amjad Mohamadi-Bolbanabad / Dara K Mohammad / Karzan Abdulmuhsin Mohammad / Yousef Mohammad / Naser Mohammad Gholi Mezerji / Roghayeh Mohammadibakhsh / Noushin Mohammadifard / Jemal Abdu Mohammed, Sr / Shafiu Mohammed / Farnam Mohebi / Ali H Mokdad / Mariam Molokhia / Lorenzo Monasta / Yoshan Moodley, Sr / Catrin E Moore, Sr / Ghobad Moradi / Masoud Moradi / Mohammad Moradi-Joo / Maziar Moradi-Lakeh / Paula Moraga / Linda Morales / Ilais Moreno Velásquez / Abbas Mosapour / Simin Mouodi / Seyyed Meysam Mousavi / Miliva Mozaffor I / Kindie Fentahun Muchie, Sr / Getahun Fentaw Mulaw, Sr / Sandra B Munro / Moses K Muriithi / Christopher J L Murray / GVS Murthy / Kamarul Imran Musa / Ghulam Mustafa, Sr / Saravanan Muthupandian, Sr / Ashraf F Nabhan / Mehdi Naderi / Ahamarshan Jayaraman Nagarajan / Kovin S Naidoo / Gurudatta Naik / Farid Najafi / Vinay Nangia, Sr / Jobert Richie Nansseu / Bruno Ramos Nascimento, Sr / Javad Nazari / Duduzile Edith Ndwandwe, Sr / Ionut Negoi, Sr / Henok Biresaw Netsere Netsere, Sr / Josephine W Ngunjiri, Sr / Cuong Tat Nguyen / Huong Lan Thi Nguyen / Trang Huyen Nguyen / Dabere Nigatu / Solomon Gedlu Nigatu / Dina Nur Anggraini Ningrum / Chukwudi A Nnaji / Marzieh Nojomi / Vuong Minh Nong / Ole F Norheim, Sr / Jean Jacques Noubiap / Soraya Nouraei Motlagh / Bogdan Oancea / Okechukwu Samuel Ogah / Felix Akpojene Ogbo / In-Hwan Oh / Andrew T Olagunju / Tinuke O Olagunju / Bolajoko Olubukunola Olusanya / Jacob Olusegun Olusanya / Obinna E Onwujekwe, Sr / Eyal Oren / Doris V V Ortega-Altamirano, Sr / Osayomwanbo Osarenotor / Frank B Osei, Sr / Mayowa O Owolabi / Mahesh P A, Sr / Jagadish Rao Padubidri / Smita Pakhale / Sangram Kishor Patel / Angel J Paternina-Caicedo, Sr / Ashish Pathak, Sr / George C Patton / Deepak Paudel, Sr / Kebreab Paulos, Sr / Veincent Christian Filipino Pepito / Alexandre Pereira / Norberto Perico / Aslam Pervaiz / Julia Moreira Pescarini / Bakhtiar Piroozi / Meghdad Pirsaheb / Maarten J Postma / Hadi Pourjafar / Farshad Pourmalek, Sr / Akram Pourshams / Hossein Poustchi / Sergio I Prada, Sr / Narayan Prasad / Liliana Preotescu / Hedley Quintana / Navid Rabiee / Amir Radfar / Alireza Rafiei / Fakher Rahim / Afarin Rahimi-Movaghar / Vafa Rahimi-Movaghar / Mohammad Hifz Ur Rahman / Muhammad Aziz Rahman / SHAFIUR Rahman / Fatemeh Rajati, Sr / Saleem Muhammad Rana, Sr / Chhabi Lal Ranabhat / Davide Rasella / David Laith Rawaf / Salman Rawaf, Sr / Lal Rawal / Wasiq Faraz Rawasia / Vishnu Renjith / Andre M N Renzaho, Sr / Serge Resnikoff, Sr / Melese Abate Reta / Negar Rezaei / Mohammad sadegh Rezai / Seyed Mohammad Riahi / Ana Isabel Ribeiro / Jennifer Rickard, Sr / Maria Rios-Blancas / Leonardo Roever / Luca Ronfani / Elias Merdassa Roro, Sr / Jennifer M Ross / Enrico Rubagotti / Salvatore Rubino / Anas M Saad / Yogesh Damodar Sabde / Siamak Sabour / Ehsan Sadeghi, Sr / Yahya Safari / Roya Safari-Faramani / Rajesh Sagar / Amirhossein Sahebkar / Mohammad Ali Sahraian / S Mohammad Sajadi / Mohammad Reza Salahshoor / Nasir Salam, Sr / Payman Salamati / Hosni Salem / Marwa R Rashad Salem I / Yahya Salimi / Hamideh Salimzadeh / Abdallah M Samy / Juan Sanabria, Sr / Milena M Santric-Milicevic / Bruno Piassi Sao Jose / Sivan Yegnanarayana Iyer Saraswathy / Kaushik Sarkar, Sr / Abdur Razzaque Sarker / Nizal Sarrafzadegan I / Benn Sartorius / Brijesh Sathian / Thirunavukkarasu Sathish / Monika Sawhney / Sonia Saxena, Sr / David C Schwebel, Sr / Anbissa Muleta Senbeta IV / Subramanian Senthilkumaran / Sadaf G Sepanlou / Edson Serván-Mori, Sr / Hosein Shabaninejad / Azadeh 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    The Lancet Global Health, Vol 8, Iss 8, Pp e1038-e

    2020  Volume 1060

    Abstract: Summary: Background: Oral rehydration solution (ORS) is a form of oral rehydration therapy (ORT) for diarrhoea that has the potential to drastically reduce child mortality; yet, according to UNICEF estimates, less than half of children younger than 5 ... ...

    Abstract Summary: Background: Oral rehydration solution (ORS) is a form of oral rehydration therapy (ORT) for diarrhoea that has the potential to drastically reduce child mortality; yet, according to UNICEF estimates, less than half of children younger than 5 years with diarrhoea in low-income and middle-income countries (LMICs) received ORS in 2016. A variety of recommended home fluids (RHF) exist as alternative forms of ORT; however, it is unclear whether RHF prevent child mortality. Previous studies have shown considerable variation between countries in ORS and RHF use, but subnational variation is unknown. This study aims to produce high-resolution geospatial estimates of relative and absolute coverage of ORS, RHF, and ORT (use of either ORS or RHF) in LMICs. Methods: We used a Bayesian geostatistical model including 15 spatial covariates and data from 385 household surveys across 94 LMICs to estimate annual proportions of children younger than 5 years of age with diarrhoea who received ORS or RHF (or both) on continuous continent-wide surfaces in 2000–17, and aggregated results to policy-relevant administrative units. Additionally, we analysed geographical inequality in coverage across administrative units and estimated the number of diarrhoeal deaths averted by increased coverage over the study period. Uncertainty in the mean coverage estimates was calculated by taking 250 draws from the posterior joint distribution of the model and creating uncertainty intervals (UIs) with the 2·5th and 97·5th percentiles of those 250 draws. Findings: While ORS use among children with diarrhoea increased in some countries from 2000 to 2017, coverage remained below 50% in the majority (62·6%; 12 417 of 19 823) of second administrative-level units and an estimated 6 519 000 children (95% UI 5 254 000–7 733 000) with diarrhoea were not treated with any form of ORT in 2017. Increases in ORS use corresponded with declines in RHF in many locations, resulting in relatively constant overall ORT coverage from 2000 to 2017. Although ORS was uniformly distributed subnationally in some countries, within-country geographical inequalities persisted in others; 11 countries had at least a 50% difference in one of their units compared with the country mean. Increases in ORS use over time were correlated with declines in RHF use and in diarrhoeal mortality in many locations, and an estimated 52 230 diarrhoeal deaths (36 910–68 860) were averted by scaling up of ORS coverage between 2000 and 2017. Finally, we identified key subnational areas in Colombia, Nigeria, and Sudan as examples of where diarrhoeal mortality remains higher than average, while ORS coverage remains lower than average. Interpretation: To our knowledge, this study is the first to produce and map subnational estimates of ORS, RHF, and ORT coverage and attributable child diarrhoeal deaths across LMICs from 2000 to 2017, allowing for tracking progress over time. Our novel results, combined with detailed subnational estimates of diarrhoeal morbidity and mortality, can support subnational needs assessments aimed at furthering policy makers' understanding of within-country disparities. Over 50 years after the discovery that led to this simple, cheap, and life-saving therapy, large gains in reducing mortality could still be made by reducing geographical inequalities in ORS coverage. Funding: Bill & Melinda Gates Foundation.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 310
    Language English
    Publishing date 2020-08-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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