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  1. Book ; Online: Past Law, Present Histories

    Kirkby, Diane

    2012  

    Abstract: This collection brings methods and questions from humanities, law and social sciences disciplines to examine different instances of lawmaking. Contributors explore the problematic of past law in present historical analysis across indigenous Australia and ...

    Abstract This collection brings methods and questions from humanities, law and social sciences disciplines to examine different instances of lawmaking. Contributors explore the problematic of past law in present historical analysis across indigenous Australia and New Zealand, from post-Franco Spain to current international law and maritime regulation, from settler colonial humanitarian debates to efforts to end cruelty to children and animals. They highlight problems both national and international in their implication. From different disciplines and theoretical positions, they illustrate the diverse and complex study of law's history
    Keywords Law in general. Comparative and uniform law. Jurisprudence
    Size 1 electronic resource ( p.)
    Publisher ANU Press
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT020088127
    ISBN 9781922144027 ; 1922144029
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Minimizing error in estimates of the effect of interventions by accounting for baseline measurements: A simulation study analyzing effects on child growth.

    Deichsel, Emily L / Tickell, Kirkby D / Rogawski McQuade, Elizabeth T

    Maternal & child nutrition

    2023  Volume 19, Issue 4, Page(s) e13547

    Abstract: Interventions to reduce childhood stunting burden require clinical trials with a primary outcome of linear growth. When growth is measured longitudinally, there are several options for including baseline measurements in the analysis. This study compares ... ...

    Abstract Interventions to reduce childhood stunting burden require clinical trials with a primary outcome of linear growth. When growth is measured longitudinally, there are several options for including baseline measurements in the analysis. This study compares the performance of several methods. Randomized controlled trials evaluating a hypothetical intervention to improve length-for-age z-score (LAZ) from birth through 24 months of age were simulated. The intervention effect was evaluated using linear regression and five methods for handling baseline measurements: comparing final measurements only (FINAL), comparing final measurement adjusted for baseline (ADJUST), comparing the change in the measurement over time (DELTA), adjusting for baseline when comparing the changes over time (DELTA+ADJUST) and adjusting for baseline in two-step residuals approach (RESIDUALS). We calculated bias, precision and power of each method for scenarios with and without a baseline imbalance in LAZ. Using a 0.15 effect size at 18 months, FINAL and DELTA required 1200 and 1500 enroled participants, respectively, to reach 80% power, whereas ADJUST, DELTA+ADJUST and RESIDUALS only required 900 participants. The adjusted models also produced unbiased estimates when there was a baseline imbalance, whereas the FINAL and DELTA methods produced biased estimates, as large as 0.07 lower and higher, respectively, than the true effect. Adjusted methods required smaller sample size and produced more precise results than both DELTA and FINAL methods in all test scenarios. If randomization fails, and there is an imbalance in LAZ at baseline, DELTA and FINAL methods can produce biased estimates, but adjusted models remain unbiased. These results warn against using the FINAL or DELTA methods.
    MeSH term(s) Child ; Humans ; Child, Preschool ; Computer Simulation ; Linear Models ; Bias ; Research Design ; Sample Size
    Language English
    Publishing date 2023-07-13
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175105-5
    ISSN 1740-8709 ; 1740-8695
    ISSN (online) 1740-8709
    ISSN 1740-8695
    DOI 10.1111/mcn.13547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The diagnosis and management of dehydration in children with wasting or nutritional edema: A systematic review.

    Tsegaye, Adino Tesfahun / Pavlinac, Patricia B / Walson, Judd L / Tickell, Kirkby D

    PLOS global public health

    2023  Volume 3, Issue 11, Page(s) e0002520

    Abstract: Dehydration is a major cause of death among children with wasting and diarrhea. We reviewed the evidence for the identification and management of dehydration among these children. Two systematic reviews were conducted to assess 1) the diagnostic ... ...

    Abstract Dehydration is a major cause of death among children with wasting and diarrhea. We reviewed the evidence for the identification and management of dehydration among these children. Two systematic reviews were conducted to assess 1) the diagnostic performance of clinical signs or algorithms intended to measure dehydration, and 2) the efficacy and safety of low-osmolarity ORS versus ReSoMal on mortality, treatment failure, time to full rehydration, and electrolyte disturbances (management review). We searched PubMed/Medline, Embase, and Global Index Medicus for studies enrolling children 0-60 months old with wasting and diarrhea. The diagnostic review included four studies. Two studies found the Integrated Management of Childhood Illness (IMCI) and the Dehydration: Assessing Kids Accurately (DHAKA) algorithms had similar diagnostic performance, but both algorithms had high false positive rates for moderate (41% and 35%, respectively) and severe (76% and 82%, respectively) dehydration. One further IMCI algorithm study found a 23% false positive rate for moderate dehydration. The management review included six trials. One trial directly compared low osmolarity ORS to ReSoMal and found no difference in treatment failure rates, although ReSoMal had a shorter duration of treatment (16.1 vs. 19.6 hours, p = 0.036) and a higher incidence of hyponatremia. Both fluids failed to correct a substantial number of hypokalemia cases across studies. In conclusion, the IMCI dehydration assessment has comparable performance to other algorithms among wasted children. Low osmolarity ORS may be an alternative to ReSoMal for children with severe wasting, but might require additional potassium to combat hypokalemia.
    Language English
    Publishing date 2023-11-03
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0002520
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The diagnosis and management of dehydration in children with wasting or nutritional edema

    Adino Tesfahun Tsegaye / Patricia B Pavlinac / Judd L Walson / Kirkby D Tickell

    PLOS Global Public Health, Vol 3, Iss 11, p e

    A systematic review.

    2023  Volume 0002520

    Abstract: Dehydration is a major cause of death among children with wasting and diarrhea. We reviewed the evidence for the identification and management of dehydration among these children. Two systematic reviews were conducted to assess 1) the diagnostic ... ...

    Abstract Dehydration is a major cause of death among children with wasting and diarrhea. We reviewed the evidence for the identification and management of dehydration among these children. Two systematic reviews were conducted to assess 1) the diagnostic performance of clinical signs or algorithms intended to measure dehydration, and 2) the efficacy and safety of low-osmolarity ORS versus ReSoMal on mortality, treatment failure, time to full rehydration, and electrolyte disturbances (management review). We searched PubMed/Medline, Embase, and Global Index Medicus for studies enrolling children 0-60 months old with wasting and diarrhea. The diagnostic review included four studies. Two studies found the Integrated Management of Childhood Illness (IMCI) and the Dehydration: Assessing Kids Accurately (DHAKA) algorithms had similar diagnostic performance, but both algorithms had high false positive rates for moderate (41% and 35%, respectively) and severe (76% and 82%, respectively) dehydration. One further IMCI algorithm study found a 23% false positive rate for moderate dehydration. The management review included six trials. One trial directly compared low osmolarity ORS to ReSoMal and found no difference in treatment failure rates, although ReSoMal had a shorter duration of treatment (16.1 vs. 19.6 hours, p = 0.036) and a higher incidence of hyponatremia. Both fluids failed to correct a substantial number of hypokalemia cases across studies. In conclusion, the IMCI dehydration assessment has comparable performance to other algorithms among wasted children. Low osmolarity ORS may be an alternative to ReSoMal for children with severe wasting, but might require additional potassium to combat hypokalemia.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Efficacy of World Health Organization Guideline in Facility-Based Reduction of Mortality in Severely Malnourished Children From Low and Middle Income Countries.

    Tickell, Kirkby D / Denno, Donna M

    Journal of paediatrics and child health

    2017  Volume 53, Issue 9, Page(s) 925

    MeSH term(s) Child ; Child Nutrition Disorders ; Developing Countries ; Humans ; Income ; World Health Organization
    Language English
    Publishing date 2017-09-04
    Publishing country Australia
    Document type Letter ; Comment
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.13637
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Environmental enteric dysfunction: a review of potential mechanisms, consequences and management strategies.

    Tickell, Kirkby D / Atlas, Hannah E / Walson, Judd L

    BMC medicine

    2019  Volume 17, Issue 1, Page(s) 181

    Abstract: Background: Environmental enteric dysfunction (EED) is an acquired enteropathy of the small intestine, characterized by enteric inflammation, villus blunting and decreased crypt-to-villus ratio. EED has been associated with poor outcomes, including ... ...

    Abstract Background: Environmental enteric dysfunction (EED) is an acquired enteropathy of the small intestine, characterized by enteric inflammation, villus blunting and decreased crypt-to-villus ratio. EED has been associated with poor outcomes, including chronic malnutrition (stunting), wasting and reduced vaccine efficacy among children living in low-resource settings. As a result, EED may be a valuable interventional target for programs aiming to reduce childhood morbidity in low and middle-income countries.
    Main text: Several highly plausible mechanisms link the proposed pathophysiology underlying EED to adverse outcomes, but causal attribution of these pathways has proved challenging. We provide an overview of recent studies evaluating the causes and consequences of EED. These include studies of the role of subclinical enteric infection as a primary cause of EED, and efforts to understand how EED-associated systemic inflammation and malabsorption may result in long-term morbidity. Finally, we outline recently completed and upcoming clinical trials that test novel interventions to prevent or treat this highly prevalent condition.
    Conclusions: Significant strides have been made in linking environmental exposure to enteric pathogens and toxins with EED, and in understanding the multifactorial mechanisms underlying this complex condition. Further insights may come from several ongoing and upcoming interventional studies trialing a variety of novel management strategies.
    MeSH term(s) Animals ; Clinical Trials as Topic ; Enteritis/complications ; Enteritis/etiology ; Enteritis/physiopathology ; Enteritis/therapy ; Environmental Exposure/adverse effects ; Environmental Pollution/adverse effects ; Humans ; Intestine, Small
    Language English
    Publishing date 2019-11-25
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1741-7015
    ISSN (online) 1741-7015
    DOI 10.1186/s12916-019-1417-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Mass Drug Administration of Azithromycin to Reduce Child Mortality: Only for High-Mortality Settings?

    Tickell, Kirkby D / Deichsel, Emily L / Walson, Judd L

    The American journal of tropical medicine and hygiene

    2019  Volume 103, Issue 3, Page(s) 1274–1275

    MeSH term(s) Anti-Bacterial Agents/administration & dosage ; Azithromycin/administration & dosage ; Child ; Child Mortality ; Global Health ; Humans ; Mass Drug Administration
    Chemical Substances Anti-Bacterial Agents ; Azithromycin (83905-01-5)
    Language English
    Publishing date 2019-01-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.19-0071
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Phenotypic and molecular characterization of β-lactamase-producing Klebsiella species among children discharged from hospital in Western Kenya.

    Rwigi, Doreen / Nyerere, Andrew K / Diakhate, Mame M / Kariuki, Kevin / Tickell, Kirkby D / Mutuma, Timothy / Tornberg, Stephanie N / Soge, Olusegun O / Walson, Judd L / Singa, Benson / Kariuki, Samuel / Pavlinac, Patricia B / Mogeni, Polycarp

    BMC microbiology

    2024  Volume 24, Issue 1, Page(s) 135

    Abstract: Background: The emergence and spread of β-lactamase-producing Klebsiella spp. has been associated with a substantial healthcare burden resulting in therapeutic failures. We sought to describe the proportion of phenotypic resistance to commonly used ... ...

    Abstract Background: The emergence and spread of β-lactamase-producing Klebsiella spp. has been associated with a substantial healthcare burden resulting in therapeutic failures. We sought to describe the proportion of phenotypic resistance to commonly used antibiotics, characterize β-lactamase genes among isolates with antimicrobial resistance (AMR), and assess the correlates of phenotypic AMR in Klebsiella spp. isolated from stool or rectal swab samples collected from children being discharged from hospital.
    Methods: We conducted a cross-sectional study involving 245 children aged 1-59 months who were being discharged from hospitals in western Kenya between June 2016 and November 2019. Whole stool or rectal swab samples were collected and Klebsiella spp. isolated by standard microbiological culture. β-lactamase genes were detected by PCR whilst phenotypic antimicrobial susceptibility was determined using the disc diffusion technique following standard microbiology protocols. Descriptive analyses were used to characterize phenotypic AMR and carriage of β-lactamase-producing genes. The modified Poisson regression models were used to assess correlates of phenotypic beta-lactam resistance.
    Results: The prevalence of β-lactamase carriage among Klebsiella spp. isolates at hospital discharge was 62.9% (154/245). Antibiotic use during hospitalization (adjusted prevalence ratio [aPR] = 4.51; 95%CI: 1.79-11.4, p < 0.001), longer duration of hospitalization (aPR = 1.42; 95%CI: 1.14-1.77, p < 0.002), and access to treated water (aPR = 1.38; 95%CI: 1.12-1.71, p < 0.003), were significant predictors of phenotypically determined β-lactamase. All the 154 β-lactamase-producing Klebsiella spp. isolates had at least one genetic marker of β-lactam/third-generation cephalosporin resistance. The most prevalent genes were bla
    Conclusion: Carriage of β-lactamase producing Klebsiella spp. in stool is common among children discharged from hospital in western Kenya and is associated with longer duration of hospitalization, antibiotic use, and access to treated water. The findings emphasize the need for continued monitoring of antimicrobial susceptibility patterns to inform the development and implementation of appropriate treatment guidelines. In addition, we recommend measures beyond antimicrobial stewardship and infection control within hospitals, improved sanitation, and access to safe drinking water to mitigate the spread of β-lactamase-producing Klebsiella pathogens in these and similar settings.
    MeSH term(s) Humans ; Kenya/epidemiology ; beta-Lactamases/genetics ; Infant ; Klebsiella/genetics ; Klebsiella/drug effects ; Klebsiella/enzymology ; Klebsiella/isolation & purification ; Child, Preschool ; Female ; Male ; Cross-Sectional Studies ; Klebsiella Infections/microbiology ; Klebsiella Infections/epidemiology ; Klebsiella Infections/drug therapy ; Anti-Bacterial Agents/pharmacology ; Microbial Sensitivity Tests ; Phenotype ; Feces/microbiology ; Patient Discharge ; Prevalence
    Chemical Substances beta-Lactamases (EC 3.5.2.6) ; Anti-Bacterial Agents
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041505-9
    ISSN 1471-2180 ; 1471-2180
    ISSN (online) 1471-2180
    ISSN 1471-2180
    DOI 10.1186/s12866-024-03284-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Environmental enteric dysfunction

    Kirkby D. Tickell / Hannah E. Atlas / Judd L. Walson

    BMC Medicine, Vol 17, Iss 1, Pp 1-

    a review of potential mechanisms, consequences and management strategies

    2019  Volume 9

    Abstract: Abstract Background Environmental enteric dysfunction (EED) is an acquired enteropathy of the small intestine, characterized by enteric inflammation, villus blunting and decreased crypt-to-villus ratio. EED has been associated with poor outcomes, ... ...

    Abstract Abstract Background Environmental enteric dysfunction (EED) is an acquired enteropathy of the small intestine, characterized by enteric inflammation, villus blunting and decreased crypt-to-villus ratio. EED has been associated with poor outcomes, including chronic malnutrition (stunting), wasting and reduced vaccine efficacy among children living in low-resource settings. As a result, EED may be a valuable interventional target for programs aiming to reduce childhood morbidity in low and middle-income countries. Main text Several highly plausible mechanisms link the proposed pathophysiology underlying EED to adverse outcomes, but causal attribution of these pathways has proved challenging. We provide an overview of recent studies evaluating the causes and consequences of EED. These include studies of the role of subclinical enteric infection as a primary cause of EED, and efforts to understand how EED-associated systemic inflammation and malabsorption may result in long-term morbidity. Finally, we outline recently completed and upcoming clinical trials that test novel interventions to prevent or treat this highly prevalent condition. Conclusions Significant strides have been made in linking environmental exposure to enteric pathogens and toxins with EED, and in understanding the multifactorial mechanisms underlying this complex condition. Further insights may come from several ongoing and upcoming interventional studies trialing a variety of novel management strategies.
    Keywords Environmental enteric dysfunction ; Enteric dysfunction ; Childhood malnutrition ; Acute malnutrition ; Stunting ; Medicine ; R
    Subject code 333
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Nutritional Enteric Failure: Neglected Tropical Diseases and Childhood Stunting.

    Tickell, Kirkby D / Walson, Judd L

    PLoS neglected tropical diseases

    2016  Volume 10, Issue 4, Page(s) e0004523

    MeSH term(s) Adolescent ; Child ; Child Nutrition Disorders/complications ; Child, Preschool ; Growth Disorders/epidemiology ; Growth Disorders/etiology ; Humans ; Infant ; Neglected Diseases/epidemiology ; Neglected Diseases/etiology ; Tropical Climate
    Language English
    Publishing date 2016-04-28
    Publishing country United States
    Document type Editorial
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2727
    ISSN (online) 1935-2735
    ISSN 1935-2727
    DOI 10.1371/journal.pntd.0004523
    Database MEDical Literature Analysis and Retrieval System OnLINE

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