Feasibility of using retinol-binding protein from capillary blood specimens to estimate serum retinol concentrations and the prevalence of vitamin A deficiency in low-resource settings

Vitamin A deficiency (VAD) is a significant public health problem in many countries. While cost-effective interventions are available to control VAD, reliable information is needed to the track progress of control programmes. However, assessment of VAD is uncommon because current approaches are expensive and not feasible in low-resource settings. The present study explores the utility of retinol-binding protein (RBP), analysed by enzyme-linked immunosorbent assay from capillary blood, as an alternative measure of serum retinol concentrations in populations. The study collected matched panels of venous and capillary blood from pre-school children in Chiang Mai, Thailand. Of a total sample of 195 children, there were no differences between RBP from venous blood, RBP from capillary blood or retinol from capillary blood relative to retinol from venous blood. Receiver-operating characteristic curve analysis suggested a cut-off of RBP < 0.825 micromol l(-1) had optimal screening proficiency relative to retinol <0.70 micromol l(-1). For the purpose of population assessment, all three parameters performed well in screening for VAD relative to retinol from venous blood. There were no differences in the estimates of VAD between children stratified by inflammation status. Lower RBP concentrations were found in children in the early convalescent stage of infection than in children with no infection or in the late convalescent stage. This study provided evidence of the biological comparability between retinol and RBP estimated from venous blood and capillary blood. This is a critical observation as it provides empirical evidence that RBP from capillary blood is a surrogate measure of serum retinol concentrations.     

Folate deficiency is associated with nutritional anaemia in Lebanese women of childbearing age

OBJECTIVE: The objective of this study was to identify the determinants of anaemia in Lebanese women of childbearing age attending health centres in Lebanon. DESIGN: Cross-sectional study carried out between May and December 2003. Anthropometric measurements as well as sociodemographic, health and dietary intake data were collected using a questionnaire. Haemoglobin (Hb), plasma ferritin, plasma folate and vitamin B12 were assessed using standard laboratory methods. SETTING: Governmental health centres in Lebanon. SUBJECTS: Four hundred and seventy non-pregnant Lebanese women aged 15-45 years. RESULTS: Anaemia (Hb <12 g dl(-1)) and iron deficiency (ferritin <15 microg l(-1)) were prevalent in 16.0 and 27.2% of the study sample, respectively. Of the total sample, 7.7% had iron-deficiency anaemia. The percentage of women with either Hb or ferritin deficiency or both was 35.6%. Plasma folate and vitamin B12 deficiency was reported in 25.1 and 39.4%, respectively, and 12.6% of the women had both folate and vitamin B12 deficiencies. Of the anaemic group, 48.0% of the women had iron deficiency. The intake of iron was lower in iron-deficient than in non-deficient women and a positive relationship was shown between folate intake and its corresponding serum levels. Regression analysis showed that ferritin, plasma folate and family history of anaemia were significant determinants of the anaemia in the sample of women. CONCLUSIONS: Anaemia not related to iron deficiency was partly explained by plasma folate deficiency. Measures to control folate and iron deficiency should be considered.     

Short Term Enhancement of Nutrients Availability in Zea mays L. Cultivation on an Acid Soil Using Compost and Clinoptilolite Zeolite

To avoid environmental pollution due to excessive use of inorganic fertilizers, it is essential to increase the availability of nutrients using environmentally friendly resources, such as composts and clinoptilolite zeolite, in soil fertility management. In this study, an attempt was made to use different rates of inorganic fertilizers, compost, and clinoptilolite zeolite to correct the ongoing excessive use of inorganic fertilizers. A pot study using maize (Zea mays L.) as a test crop was carried out to determine the effects of amending inorganic fertilizers with compost and clinoptilolite zeolite on: (i) selected soil chemical properties, and (ii) N, P, and K uptake and use efficiency in maize cultivation. The pot study was conducted for 45 days (tasseling stage of maize). Amending inorganic fertilizers with compost and clinoptilolite zeolite increased soil total N, exchangeable Ca, Mg, K, and available P. Furthermore, P and K uptake and use efficiency of maize were significantly improved upon amending inorganic fertilizers with compost and clinoptilolite zeolite. Soil chemical properties and productivity of maize on acid soils can be improved through co-application of compost and clinoptilolite zeolite. However, field application of the authors’ findings is being evaluated in an on-going field experiment.     

A light and electron microscopic study on abomasal globidiosis in Somali goats

Abomasum from apparently healthy Somali goats with globidiosis showed pin-head sized nodules embedded in the mucosa. The nodules consisted of encapsulated cysts, containing mature or immature schizonts. Glandular atrophy and lymphohistiocytic cell reaction were often found in the vicinity of these cysts. The fine structure of immature and mature cysts is described in details. The mature cysts contained elongated, spindle shaped merozoites (type I) or shorter, ovoidal merozoites (type II). Some mature cysts also had basophilic granular bodies among the merozoites. Type I and type II merozoites were morphologically different from those earlier described in goats.