* Predicted implications of using percentage weight gain as single discharge criterion in management of acute malnutrition in rural southern Ethiopia.
- Mid-upper arm circumference (MUAC) is increasingly used in identifying and admitting children with acute malnutrition for treatment. It is easy to use because it does not involve height assessment, but its use calls for alternative discharge criteria. This study examined how use of percentage weight gain as discharge criterion would affect the nutritional status of children admitted into a community-based management programme for acute malnutrition in rural southern Ethiopia. Non-oedematous children (n = 631) aged 6-59 months and having a MUAC of <125 mm were studied. By simulation, 10%, 15% and 20% weight was added to admission weight and their nutritional status by weight-for-height z-score (WHZ) was determined at each target. Moderate and severe wasting according to World Health Organization WHZ definitions was used as outcome. Applying the most commonly recommended target of 15% weight gain resulted in 9% of children with admission MUAC <115 mm still being moderately or severely wasted at theoretical discharge. In children with admission MUAC 115-124 mm, 10% of weight gain was sufficient to generate a similar result. Children failing to recover were the ones with the poorest nutritional status at admission. Increasing the percentage weight gain targets in the two groups to 20% and 15%, respectively, would largely resolve wasting but likely lead to increased programme costs by keeping already recovered children in the programme. Further research is needed on appropriate discharge procedures in programmes using MUAC for screening and admission.
=>利用, 使う, 利用する, (体, 能力など)を働かす, 使用, 利用法
Overview of noun use
The noun use has 7 senses (first 6 from tagged texts)
1. (90) use, usage, utilization, utilisation, employment, exercise -- (the act of using; "he warned
against the use of narcotic drugs"; "skilled in the utilization of computers")
2. (18) function, purpose, role, use -- (what something is used for; "the function of an auger is to
bore holes"; "ballet is beautiful but what use is it?")
3. (7) use -- (a particular service; "he put his knowledge to good use"; "patrons have their uses")
4. (1) consumption, economic consumption, usance, use, use of goods and services -- ((economics) the
utilization of economic goods to satisfy needs or in manufacturing; "the consumption of energy has
increased steadily")
5. (1) habit, use -- ((psychology) an automatic pattern of behavior in reaction to a specific
situation; may be inherited or acquired through frequent repetition; "owls have nocturnal habits";
"she had a habit twirling the ends of her hair"; "long use had hardened him to it")
6. (1) manipulation, use -- (exerting shrewd or devious influence especially for one's own
advantage; "his manipulation of his friends was scandalous")
7. use, enjoyment -- ((law) the exercise of the legal right to enjoy the benefits of owning
property; "we were given the use of his boat")
Overview of verb use
The verb use has 6 senses (first 3 from tagged texts)
1. (603) use, utilize, utilise, apply, employ -- (put into service; make work or employ for a
particular purpose or for its inherent or natural purpose; "use your head!"; "we only use Spanish at
home"; "I can't use this tool"; "Apply a magnetic field here"; "This thinking was applied to many
projects"; "How do you utilize this tool?"; "I apply this rule to get good results"; "use the
plastic bags to store the food"; "He doesn't know how to use a computer")
2. (12) use, habituate -- (take or consume (regularly or habitually); "She uses drugs rarely")
3. (8) use, expend -- (use up, consume fully; "The legislature expended its time on school
questions")
4. use -- (seek or achieve an end by using to one's advantage; "She uses her influential friends to
get jobs"; "The president's wife used her good connections")
5. practice, apply, use -- (avail oneself to; "apply a principle"; "practice a religion"; "use care
when going down the stairs"; "use your common sense"; "practice non-violent resistance")
6. use -- (habitually do something (use only in the past tense); "She used to call her mother every
week but now she calls only occasionally"; "I used to get sick when I ate in that dining hall";
"They used to vacation in the Bahamas")
--- WordNet end ---