Lancet
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In 1976 a programme which integrated nutritional, health, and educational services for children, mothers, and pregnant women was set up in India, and these services were delivered to the local people mainly through members of their own community. After 21 months the programme achieved improvements in nutritional status of the children that were not attained by decades of many other separate nutritional, health, and educational programmes. ⋯ The programme was first implemented in 33 communities (blocks). Because of its success its gradually being extended to other blocks.
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Letter Case Reports
In vitro radiosensitivity in a patient with dermatomyositis and cancer.
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In the search to reduce the prevalence and severity of handicap in childhood, a high priority should be accorded to identifying and eradicating possible causes of brain damage; to achieving a uniformly high standard of perinatal care; and to eliminating other causes of disability. At he same time attempts must be made to improve attitudes to handicapped children and to support parents in their efforts to minimise the effects of disability. It should be accepted that expectations of perfection in the newborn infant set an impossibly high standard and are likely to create that rejecting environment which itself increases handicap.
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Randomized Controlled Trial Clinical Trial
Failure of targeted mass treatment to control schistosomiasis.
An attempt was made to control schistosomiasis mansoni with mass treatment of all subjects excreting more than 100 eggs/g of faeces. No other means of control to reduce transmission were used. ⋯ However, reappearance of eggs, probably indicating reinfection, was very rapid. One year after treatment the egg counts were at about two-thirds of the original level again.