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Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions
Objective : Anemia is a major public health problem caused by multiple factors. Vitamin A (VA) depletion can affect hemoglobin concentration (Hb). This study investigated the improvement in Hb and VA status in preschool Indonesian children following supplementation with 210 μmol VA and deworming wit...
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| Published in: | European journal of clinical nutrition 2004-09, Vol.58 (9), p.1223-1230 |
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| container_title | European journal of clinical nutrition |
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| creator | Tanumihardjo, S A Permaesih, D Muhilal |
| description | Objective
: Anemia is a major public health problem caused by multiple factors. Vitamin A (VA) depletion can affect hemoglobin concentration (Hb). This study investigated the improvement in Hb and VA status in preschool Indonesian children following supplementation with 210 μmol VA and deworming with 400 mg albendazole.
Subjects and design
: Indonesian children (
n
=131) infected with
Ascaris lumbricoides
and/or
Trichuris trichiura
were enrolled. The children were grouped by length of time since receiving 210 μmol VA through the local health system. Group 1 (VA administered ≥4 month before baseline) included 51 children with
Ascaris
and 29 children with
Trichuris
. Group 2 had received VA ≤1 month of baseline from the local health post and included 51 children.
Intervention and methods
: Immediately following baseline Hb and VA status assessment (modified relative dose response (MRDR) test), Group 1 children were given 210 μmol VA and 400 mg albendazole. Group 2 were randomized to be dewormed either 1 week before, at the same time or 1 week after baseline MRDR and Hb measures. Follow-up assessment was 3–4 weeks after baseline.
Results
: VA status in Group 1 significantly improved in children with either
Ascaris
(
P |
| doi_str_mv | 10.1038/sj.ejcn.1601953 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_66819892</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A195751841</galeid><sourcerecordid>A195751841</sourcerecordid><originalsourceid>FETCH-LOGICAL-c590t-acc9e8123e3295c905f5c5ce47c9d03d92a9cad01c636b631133d3f81b4485f53</originalsourceid><addsrcrecordid>eNp1ks1v1DAUxCMEokvhzAkUUdFbtnb8kfi4qgpUqsQFuEZe-2XXq8QudrIVB_533jYRW1CrHKx4fm_ijCfL3lKypITVF2m3hJ3xSyoJVYI9yxaUV7IQkpPn2YIowQtGSHWSvUppRwiKVfkyO6GCCM5Ztch-_3CD7p3PV3ka9DCmXHubb6EPmy6scd8Eb8APUQ8ueFQj5K6_jWEPNkf52tvgITmN5NZ1NoLP79ywzfd_fQ-GFu5CxNcNzgwQ9-h4sHudvWh1l-DNvJ5m3z9dfbv8Utx8_Xx9ubopjFBkKLQxCmpaMmClEkYR0QojDPDKKEuYVaVWRltCjWRyLRmljFnW1nTNeY0sO83OJ188-M8R0tD0LhnoOu0hjKmRsqaqViWCZ_-BuzBGj2drSsnLijMqaqQ-PElRJSUVJUeomKCN7qBxvg0YotmAh6g7zKx1uL3CW6sErTlFfvkIj4-F3plHB84fDGxBd8M2hW68T_Zf8GICTQwpRWib2-h6HX81lDSHGjVp1xxq1Mw1won38w-O6x7skZ97g8DHGdDJ6K6N2huXjpwkvJxCIBOXUPIbiMeknv72u2nEYx0jPPS81_8AcjvqJg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219661524</pqid></control><display><type>article</type><title>Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions</title><source>EZB Electronic Journals Library</source><creator>Tanumihardjo, S A ; Permaesih, D ; Muhilal</creator><creatorcontrib>Tanumihardjo, S A ; Permaesih, D ; Muhilal</creatorcontrib><description>Objective
: Anemia is a major public health problem caused by multiple factors. Vitamin A (VA) depletion can affect hemoglobin concentration (Hb). This study investigated the improvement in Hb and VA status in preschool Indonesian children following supplementation with 210 μmol VA and deworming with 400 mg albendazole.
Subjects and design
: Indonesian children (
n
=131) infected with
Ascaris lumbricoides
and/or
Trichuris trichiura
were enrolled. The children were grouped by length of time since receiving 210 μmol VA through the local health system. Group 1 (VA administered ≥4 month before baseline) included 51 children with
Ascaris
and 29 children with
Trichuris
. Group 2 had received VA ≤1 month of baseline from the local health post and included 51 children.
Intervention and methods
: Immediately following baseline Hb and VA status assessment (modified relative dose response (MRDR) test), Group 1 children were given 210 μmol VA and 400 mg albendazole. Group 2 were randomized to be dewormed either 1 week before, at the same time or 1 week after baseline MRDR and Hb measures. Follow-up assessment was 3–4 weeks after baseline.
Results
: VA status in Group 1 significantly improved in children with either
Ascaris
(
P
<0.0001) or
Trichuris
(
P
=0.028). Although the prevalence of anemia declined, the improvement in Hb was not significant (
P
=0.08). In Group 2, improvement in VA status from the VA delivered through the public health system was maintained for more than 1 month. Hb improved (
P
=0.0037) and this improvement appeared to be associated with the length of time between deworming and follow-up assessments.
Conclusion
: Public health supplementation programs to improve VA status may also increase Hb concentrations and decrease anemia prevalence, especially when linked to deworming.
Sponsorship
: These studies were supported by the Thrasher Research Fund, SmithKline Beecham and Hatch-Wisconsin Agricultural Experiment Station number WIS04533.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/sj.ejcn.1601953</identifier><identifier>PMID: 15054437</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Albendazole ; Albendazole - therapeutic use ; Anemia ; Anemia - drug therapy ; Anemia - epidemiology ; Anemia - prevention & control ; Animals ; Anthelmintics - therapeutic use ; Ascariasis - drug therapy ; Ascaris ; Ascaris lumbricoides ; Biological and medical sciences ; Child, Preschool ; Children ; Children & youth ; Clinical Nutrition ; Depletion ; Dietary Supplements ; Epidemiology ; Female ; Hemoglobin ; Hemoglobins - analysis ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Humans ; Indonesia ; Internal Medicine ; Intestinal Diseases, Parasitic - complications ; Intestinal Diseases, Parasitic - drug therapy ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nutrition ; Nutritional Status ; Nutritional survey. Food supply and nutritional requirement ; original-communication ; Public Health ; Retinene ; Supplements ; Trichuriasis - drug therapy ; Vitamin A ; Vitamin A - administration & dosage ; Worms</subject><ispartof>European journal of clinical nutrition, 2004-09, Vol.58 (9), p.1223-1230</ispartof><rights>Springer Nature Limited 2004</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2004 Nature Publishing Group</rights><rights>COPYRIGHT 2004 Nature Publishing Group</rights><rights>Copyright Macmillan Journals Ltd. Sep 2004</rights><rights>Nature Publishing Group 2004.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c590t-acc9e8123e3295c905f5c5ce47c9d03d92a9cad01c636b631133d3f81b4485f53</citedby><cites>FETCH-LOGICAL-c590t-acc9e8123e3295c905f5c5ce47c9d03d92a9cad01c636b631133d3f81b4485f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16042524$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15054437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanumihardjo, S A</creatorcontrib><creatorcontrib>Permaesih, D</creatorcontrib><creatorcontrib>Muhilal</creatorcontrib><title>Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Objective
: Anemia is a major public health problem caused by multiple factors. Vitamin A (VA) depletion can affect hemoglobin concentration (Hb). This study investigated the improvement in Hb and VA status in preschool Indonesian children following supplementation with 210 μmol VA and deworming with 400 mg albendazole.
Subjects and design
: Indonesian children (
n
=131) infected with
Ascaris lumbricoides
and/or
Trichuris trichiura
were enrolled. The children were grouped by length of time since receiving 210 μmol VA through the local health system. Group 1 (VA administered ≥4 month before baseline) included 51 children with
Ascaris
and 29 children with
Trichuris
. Group 2 had received VA ≤1 month of baseline from the local health post and included 51 children.
Intervention and methods
: Immediately following baseline Hb and VA status assessment (modified relative dose response (MRDR) test), Group 1 children were given 210 μmol VA and 400 mg albendazole. Group 2 were randomized to be dewormed either 1 week before, at the same time or 1 week after baseline MRDR and Hb measures. Follow-up assessment was 3–4 weeks after baseline.
Results
: VA status in Group 1 significantly improved in children with either
Ascaris
(
P
<0.0001) or
Trichuris
(
P
=0.028). Although the prevalence of anemia declined, the improvement in Hb was not significant (
P
=0.08). In Group 2, improvement in VA status from the VA delivered through the public health system was maintained for more than 1 month. Hb improved (
P
=0.0037) and this improvement appeared to be associated with the length of time between deworming and follow-up assessments.
Conclusion
: Public health supplementation programs to improve VA status may also increase Hb concentrations and decrease anemia prevalence, especially when linked to deworming.
Sponsorship
: These studies were supported by the Thrasher Research Fund, SmithKline Beecham and Hatch-Wisconsin Agricultural Experiment Station number WIS04533.</description><subject>Albendazole</subject><subject>Albendazole - therapeutic use</subject><subject>Anemia</subject><subject>Anemia - drug therapy</subject><subject>Anemia - epidemiology</subject><subject>Anemia - prevention & control</subject><subject>Animals</subject><subject>Anthelmintics - therapeutic use</subject><subject>Ascariasis - drug therapy</subject><subject>Ascaris</subject><subject>Ascaris lumbricoides</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical Nutrition</subject><subject>Depletion</subject><subject>Dietary Supplements</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Hemoglobin</subject><subject>Hemoglobins - analysis</subject><subject>Human physiology applied to population studies and life conditions. Human ecophysiology</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Internal Medicine</subject><subject>Intestinal Diseases, Parasitic - complications</subject><subject>Intestinal Diseases, Parasitic - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Nutritional survey. Food supply and nutritional requirement</subject><subject>original-communication</subject><subject>Public Health</subject><subject>Retinene</subject><subject>Supplements</subject><subject>Trichuriasis - drug therapy</subject><subject>Vitamin A</subject><subject>Vitamin A - administration & dosage</subject><subject>Worms</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp1ks1v1DAUxCMEokvhzAkUUdFbtnb8kfi4qgpUqsQFuEZe-2XXq8QudrIVB_533jYRW1CrHKx4fm_ijCfL3lKypITVF2m3hJ3xSyoJVYI9yxaUV7IQkpPn2YIowQtGSHWSvUppRwiKVfkyO6GCCM5Ztch-_3CD7p3PV3ka9DCmXHubb6EPmy6scd8Eb8APUQ8ueFQj5K6_jWEPNkf52tvgITmN5NZ1NoLP79ywzfd_fQ-GFu5CxNcNzgwQ9-h4sHudvWh1l-DNvJ5m3z9dfbv8Utx8_Xx9ubopjFBkKLQxCmpaMmClEkYR0QojDPDKKEuYVaVWRltCjWRyLRmljFnW1nTNeY0sO83OJ188-M8R0tD0LhnoOu0hjKmRsqaqViWCZ_-BuzBGj2drSsnLijMqaqQ-PElRJSUVJUeomKCN7qBxvg0YotmAh6g7zKx1uL3CW6sErTlFfvkIj4-F3plHB84fDGxBd8M2hW68T_Zf8GICTQwpRWib2-h6HX81lDSHGjVp1xxq1Mw1won38w-O6x7skZ97g8DHGdDJ6K6N2huXjpwkvJxCIBOXUPIbiMeknv72u2nEYx0jPPS81_8AcjvqJg</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Tanumihardjo, S A</creator><creator>Permaesih, D</creator><creator>Muhilal</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions</title><author>Tanumihardjo, S A ; Permaesih, D ; Muhilal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c590t-acc9e8123e3295c905f5c5ce47c9d03d92a9cad01c636b631133d3f81b4485f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Albendazole</topic><topic>Albendazole - therapeutic use</topic><topic>Anemia</topic><topic>Anemia - drug therapy</topic><topic>Anemia - epidemiology</topic><topic>Anemia - prevention & control</topic><topic>Animals</topic><topic>Anthelmintics - therapeutic use</topic><topic>Ascariasis - drug therapy</topic><topic>Ascaris</topic><topic>Ascaris lumbricoides</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Clinical Nutrition</topic><topic>Depletion</topic><topic>Dietary Supplements</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Hemoglobin</topic><topic>Hemoglobins - analysis</topic><topic>Human physiology applied to population studies and life conditions. Human ecophysiology</topic><topic>Humans</topic><topic>Indonesia</topic><topic>Internal Medicine</topic><topic>Intestinal Diseases, Parasitic - complications</topic><topic>Intestinal Diseases, Parasitic - drug therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Nutritional survey. Food supply and nutritional requirement</topic><topic>original-communication</topic><topic>Public Health</topic><topic>Retinene</topic><topic>Supplements</topic><topic>Trichuriasis - drug therapy</topic><topic>Vitamin A</topic><topic>Vitamin A - administration & dosage</topic><topic>Worms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanumihardjo, S A</creatorcontrib><creatorcontrib>Permaesih, D</creatorcontrib><creatorcontrib>Muhilal</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>ProQuest Biological Science Journals</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanumihardjo, S A</au><au>Permaesih, D</au><au>Muhilal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>58</volume><issue>9</issue><spage>1223</spage><epage>1230</epage><pages>1223-1230</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Objective
: Anemia is a major public health problem caused by multiple factors. Vitamin A (VA) depletion can affect hemoglobin concentration (Hb). This study investigated the improvement in Hb and VA status in preschool Indonesian children following supplementation with 210 μmol VA and deworming with 400 mg albendazole.
Subjects and design
: Indonesian children (
n
=131) infected with
Ascaris lumbricoides
and/or
Trichuris trichiura
were enrolled. The children were grouped by length of time since receiving 210 μmol VA through the local health system. Group 1 (VA administered ≥4 month before baseline) included 51 children with
Ascaris
and 29 children with
Trichuris
. Group 2 had received VA ≤1 month of baseline from the local health post and included 51 children.
Intervention and methods
: Immediately following baseline Hb and VA status assessment (modified relative dose response (MRDR) test), Group 1 children were given 210 μmol VA and 400 mg albendazole. Group 2 were randomized to be dewormed either 1 week before, at the same time or 1 week after baseline MRDR and Hb measures. Follow-up assessment was 3–4 weeks after baseline.
Results
: VA status in Group 1 significantly improved in children with either
Ascaris
(
P
<0.0001) or
Trichuris
(
P
=0.028). Although the prevalence of anemia declined, the improvement in Hb was not significant (
P
=0.08). In Group 2, improvement in VA status from the VA delivered through the public health system was maintained for more than 1 month. Hb improved (
P
=0.0037) and this improvement appeared to be associated with the length of time between deworming and follow-up assessments.
Conclusion
: Public health supplementation programs to improve VA status may also increase Hb concentrations and decrease anemia prevalence, especially when linked to deworming.
Sponsorship
: These studies were supported by the Thrasher Research Fund, SmithKline Beecham and Hatch-Wisconsin Agricultural Experiment Station number WIS04533.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>15054437</pmid><doi>10.1038/sj.ejcn.1601953</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-3007 |
| ispartof | European journal of clinical nutrition, 2004-09, Vol.58 (9), p.1223-1230 |
| issn | 0954-3007 1476-5640 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66819892 |
| source | EZB Electronic Journals Library |
| subjects | Albendazole Albendazole - therapeutic use Anemia Anemia - drug therapy Anemia - epidemiology Anemia - prevention & control Animals Anthelmintics - therapeutic use Ascariasis - drug therapy Ascaris Ascaris lumbricoides Biological and medical sciences Child, Preschool Children Children & youth Clinical Nutrition Depletion Dietary Supplements Epidemiology Female Hemoglobin Hemoglobins - analysis Human physiology applied to population studies and life conditions. Human ecophysiology Humans Indonesia Internal Medicine Intestinal Diseases, Parasitic - complications Intestinal Diseases, Parasitic - drug therapy Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases Nutrition Nutritional Status Nutritional survey. Food supply and nutritional requirement original-communication Public Health Retinene Supplements Trichuriasis - drug therapy Vitamin A Vitamin A - administration & dosage Worms |
| title | Vitamin A status and hemoglobin concentrations are improved in Indonesian children with vitamin A and deworming interventions |
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