scholarly journals Evaluation of Cephalic Index in children from the Madheshi community in Sarlahi district, Nepal

2021 ◽  
Vol 12 (10) ◽  
pp. 157-160
Author(s):  
Surendra Kumar Sah ◽  
Man Kumar Tamang ◽  
Om Prakash Yadav ◽  
Amit Kumar Shah
Keyword(s):  
Mode Of Delivery ◽  
Age Groups ◽  
Significant Negative Correlation ◽  
The Body ◽  
P Value ◽  
Cephalic Index ◽  
Cross Sectional ◽  
Chisquare Test ◽  
Low Bmi ◽  
The Mean

Background: Cephalic index is one of the important craniofacial parameters which is commonly used for investigating the length and breadth of the head. Cephalic Index (CI) is defined as the ratio between maximum breadth of the head and the maximum length of the head multiplied by 100. Body mass index (BMI) is a nutritional marker of the body derived from the measurement of height (in m2) and weight (in kg). Aims and Objective: To analyse the effect of BMI on the CI. Materials and Methods: This study was a cross-sectional study conducted from April 2021 to June 2021 with sample size of 200 children of age groups 5-8 years from Ramnagar Gaupalika of Sarlahi, Province 2, of Nepal. We measured the cephalic index of the children and asked a set of structured questionnaire to the guardian or parent of the children. Height and weight of the children were also measured and BMI was determined. Data analysis was completed using SPSS version 16. Results: The mean age of the participants was 6.56 years, BMI of 18.09 and cephalic index (CI) of 81.82. The mean CI in males and females were 82.05 and 81.59 respectively. Our results show significant association between BMI category and CI category (chisquare test, p-value=0.000), mode of delivery and BMI category (chisquare test, p=0.042) and significant negative correlation between BMI and CI (Pearson’s R=-0.591, p=0.037). Conclusion: The most common pattern of CI was hyperbrachycephalic in the children of low BMI whereas the pattern of CI in case of the normal BMI was the mesocephalic type. It also confirmed that the sexual dimorphism exists in both the low BMI and the normal BMI.

scholarly journals Study on morphological changes in the gall bladder mucosa associated with cholelithiasis.

2020 ◽  
Vol 27 (08) ◽  
pp. 1753-1762
Author(s):  
Shamshad Bano ◽  
Lal Bakhsh ◽  
Gulshad Wagan ◽  
Asad Ali Zardari ◽  
Mohammad Anwar Bangulzai ◽  
...  
Keyword(s):  
Gall Bladder ◽  
Histopathological Examination ◽  
Morphological Changes ◽  
Age Groups ◽  
Morphological Type ◽  
The Body ◽  
P Value ◽  
Bladder Mucosa ◽  
Cross Sectional ◽  
Gallbladder Mucosa

Cholelithiasis is known to produce diverse histopathological changes in the gallbladder mucosa. Objectives: To observe the morphological changes in the gall bladder mucosa associated with cholelithiasis. Study Design: Descriptive Cross Sectional study. Setting: Department of Anatomy, Jamshoro with collaboration of Department of Pathology, LUMHS, Jamshoro. Period: April 2016 to October 2016. Material and Methods: All the cases after diagnosis of cholelithiasis with all age groups (20 to 50 years) in male and female were included. Gallstones were assessed for various parameters, i.e., number, size, and morphological type. Gallbladder mucosa was subjected to histopathological examination. Sections of the body, the fundus and the bottom of the gallbladder were drawn. 01 cm of the body, the body, and the bottom of the gallbladder were drawn from the funduse and prepared for histological research. Data was statistically analyzed by SPSS (Statistical Package of Social Sciences) version 22.0. Results: Total 87 cases were selected and average age of 49.95±6.14 years of male was seen in a gall bladder width and length in the gallbladder and gallbladder length in both sex of P-value 0.07 while male of female average were 41.30añ6.62, age range from 30 to 52 years. Sixty-seven (77.0%) cases had multiple stones. 29 (33.3 percent) patients had congested the serological layer, while 58 (66.7 percent) were usually impacted. Mucosa hemorrhagic in 22(25.3%) cases, atrophic in 51(58.6%) cases and nodular in 4(4.6%) cases. 36(41.4%) gall bladders reported normal results, 41(47.1%), 1(1.1%), and 3(3.4%) were identified with Fibrosis, and 2(2.3%) are found with Fibrosis. Many cases were linked to fibrosis, dysplasia, and hyperplasia, compared to single calculus (P value 0.048). There was no substantial difference between normal and thickened gall bladders in the microscopic tests (P value 0.26). Fibrosis, dysprasia and hyperplasia are correlated mainly with internal mucus detections (P value 0.002). Hemorrhagic mucous membranes are found mainly. Conclusion: Hemorrhagic and fibrotic changes were the most common mucosal findings, and significantly associated with multiple cholelithiasis.

PERBANDINGAN RUMUS JOHNSON DAN RUMUS RISANTO DALAM MENENTUKAN TAKSIRAN BERAT JANIN PADA IBU HAMIL DENGAN BERAT BADAN BERLEBIH

2020 ◽  
Vol 5 (2) ◽  
pp. 24-27
Author(s):  
Leo Jumadi Simanjuntak ◽  
Patrick Anando Simanjuntak
Keyword(s):  
Birth Weight ◽  
Mode Of Delivery ◽  
Mean Difference ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Care Workers ◽  
The Mean ◽  
Mean Differences ◽  
Estimated Fetal Weight

Background: Estimated fetal weight (EFW) is important to determine mode of delivery. The use of estimated fetal weight based on fundal height has been widely used, but the use on overweight mothers is still limited. Objectives: This study aimed to compare the Johnson’s and Risanto’s formula in estimating fetal weight on overweight mothers. Method: The design used was cross-sectional, conducted at Mitra Sejati, Herna, and Methodist Sussana Wesley hospital on November 2019 until January 2020. Mann-Whitney test was used to compare EFW mean differences between Johnson’s and Risanto’s to actual birth weight. Paired t-test was used to compare EFW mean differences between Johnson’s and Risanto’s. Results: There were 103 overweight pregnant mothers fulfilling study criteria. The BMI mean was 31,26 ± 5l,54 kg/m2. Both Johnson’s and Risanto’s formula had no significant mean difference compare to actual birth weight, of 332,45 gram on Johnson’s (p value = 0,070) and 298,57 gram on Risanto’s (p value = 0,863). The mean difference between Risanto’s formula and actual birth weight was significantly lower than Johnson’s (mean difference = 33,88 gram, p value = 0,01). Conclusions: EFW measurement using Johnson’s and Risanto’s formula based on fundal height can be applied and used properly by health care workers. Risanto’s formula was more accurate to estimate fetal weight than Johnson’s in overweight mothers.   Latar belakang: Menentukan taksiran berat janin (TBJ) adalah penting bagi penolong persalinan untuk menentukan jenis persalinan. Pengukuran TBJ menggunakan tinggi fundus uterus merupakan metode yang banyak digunakan, namun penggunaan pada ibu hamil dengan berat badan berlebih masih terbatas. Tujuan: Penelitian ini bertujuan membandingkan rumus Johnson dan rumus Risanto dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih. Metode: Desain penelitian adalah potong lintang, data diambil di RSU Mitra Sejati, RSU Herna, dan RSU Methodist Sussana Wesley pada November 2019 – Januari 2020. Dilakukan uji Mann-Whitney untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto dengan berat badan lahir. Uji-t berpasangan digunakan untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto. Hasil: Didapatkan 103 ibu hamil yang memenuhi kriteria penelitian dengan rerata IMT 31,26 ± 5l,54 kg/m2. Terdapat perbedaan rerata TBJ rumus Johnson dan rumus Risanto dibandingkan berat badan lahir sebesar 332,45 gram dan 298,57 gram. Tidak terdapat perbedaan rerata bermakna antara penghitungan TBJ menggunakan rumus Johnson dengan berat badan lahir (p = 0,070) dan rumus Risanto dengan berat badan lahir (p = 0,863). Perbedaan selisih TBJ Risanto dengan berat badan lahir lebih rendah dibandingkan selisih TBJ Johnson dengan berat badan lahir, yaitu sebesar 33,88 gram dan bermakna secara statistik (p = 0,01). Kesimpulan: Pengukuran TBJ menggunakan rumus Johnson dan rumus Risanto dapat diterapkan dan digunakan dengan baik oleh tenaga medis. Rumus Risanto memiliki tingkat ketepatan yang lebih baik dibandingkan rumus Johnson dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih.

scholarly journals Knowledge, attitude and practice of the Sudanese people towards COVID-19: an online survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amal Abdelrahim Osman Mohamed ◽  
Eilaf Ali Mohamed Elhassan ◽  
Abdelrahim Osman Mohamed ◽  
Awab Aldow Mohammed ◽  
Hassan Alshaikh edris ◽  
...  
Keyword(s):  
Online Survey ◽  
Preventive Measures ◽  
Age Groups ◽  
P Value ◽  
Attitude Score ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Significant Difference ◽  
The Mean ◽  
Knowledge Attitude And Practice

Abstract Background The Novel Corona virus SARS-CoV-2 emerged to affect the human population in 2019 causing COVID-19 pandemic. The only preventive measures available are social distancing, hand washing and face masks. This study aims to assess the knowledge, attitude and practice of the Sudanese people towards COVID-19. Methods An online cross-sectional study targeting adult Sudanese people was conducted in April 2020. The study used a self-administered questionnaire containing 18 knowledge questions, 5 questions for attitude and six questions for practices. Social media such as Facebook and WhatsApp were utilized to disseminate the questionnaire. The total number of eligible questionnaires available for analysis by the end of the period was 987. Results The mean (±SD) age of respondents was 30.13 (±9.84) years with males representing 55.4%. The majority were university and higher education levels (95.2%), residing in Khartoum (71.7%). The mean (±SD) knowledge score of the participants was 15.33 (± 2.24) and was found to be associated with education level and age groups (p-value = 0.022, P value =0.010) respectively. The mean (±SD) attitude score was 04.15 (± 0.97) and was significantly associated with older groups and better-educated participants (p-value =0.001, p-value = 0.048) respectively. The practices related to COVID-19 preventive measures mean (±SD) was 02.58 (± 1.73) with a significant difference between age groups and area of residence. Conclusions This study showed that the participants had good knowledge and satisfactory attitude that was not similarly expressed into practice. Efforts are needed in health education and law enforcement to improve the practices among all groups with special emphasis on younger and less educated males.

scholarly journals Knowledge, attitude and practice of the Sudanese people towards COVID-19: An online survey

2020 ◽  
Author(s):  
Amal Mohamed ◽  
Eilaf Elhassan ◽  
Abdelrahim O. Mohamed ◽  
Awab Aldow Mohammed ◽  
Hassan Alshaikh edris ◽  
...  
Keyword(s):  
Online Survey ◽  
Preventive Measures ◽  
Age Groups ◽  
P Value ◽  
Attitude Score ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Significant Difference ◽  
The Mean ◽  
Knowledge Attitude And Practice

Abstract Background: The Novel Corona Virus (SARS-CoV-2) had emerged to affect the human population in 2019 causing COVID-19 pandemic. The only preventive measures available are social distancing, hand washing and face masks. This study aims to assess the knowledge, attitude and practice of the Sudanese people towards COVID-19.Methods: An online cross-sectional study targeting adult Sudanese people was conducted in April 2020. The study used a self-administered questionnaire containing 18 knowledge questions, 5 questions for attitude and six questions for practices. Social media such as Facebook and WhatsApp were utilized to disseminate the questionnaire. The total number of eligible questionnaires available for analysis by the end of the period was 987.Results: The mean (±SD) age of respondents was 30.13 (±9.84) years with males representing 55.4%. The majority were university and higher education levels (95.2%), residing in Khartoum (71.7%). The mean (±SD) knowledge score of the participants was 15.33 (± 2.24) and was found to be associated with education level and age groups (p-value = 0.022, P value =0.010) respectively. The mean (±SD) attitude score was 04.15 (± 0.97) and was significantly associated with older groups and better-educated participants (p-value =0.001, p-value= 0.048) respectively. The practices related to COVID-19 preventive measures mean (±SD) was 02.58 (± 1.73) with a significant difference between age groups and area of residence. Conclusions: This study showed that the participants had good knowledge and satisfactory attitude that was not similarly expressed into practice. Efforts are needed in health education and law enforcement to improve the practices among all groups with special emphasis on younger and less educated males.

scholarly journals Fractional urinary fluoride excretion of 6–7-year-old children attending schools in low-fluoride and naturally fluoridated areas in the UK

2012 ◽  
Vol 109 (10) ◽  
pp. 1903-1909 ◽  
Author(s):  
F. V. Zohoori ◽  
R. Walls ◽  
L. Teasdale ◽  
D. Landes ◽  
I. N. Steen ◽  
...  
Keyword(s):  
Age Groups ◽  
Significant Negative Correlation ◽  
The Body ◽  
Pearson’S Correlation ◽  
North East ◽  
Important Trace Element ◽  
Pearson's Correlation ◽  
The Mean ◽  
The Uk ◽  
The Relationship

F is an important trace element for bones and teeth. The protective effect of F against dental caries is well established. Urine is the prime vehicle for the excretion of F from the body; however, the relationship between F intake and excretion is complex: the derived fractional urinary F excretion (FUFE) aids understanding of this in different age groups. The present study aimed to investigate the relationships between (1) total daily F intake (TDFI) and daily urinary F excretion (DUFE), and (2) TDFI and FUFE in 6–7-year-olds, recruited in low-F and naturally fluoridated (natural-F) areas in north-east England. TDFI from diet and toothbrushing and DUFE were assessed through F analysis of duplicate dietary plate, toothbrushing expectorate and urine samples using a F-ion-selective electrode. FUFE was calculated as the ratio between DUFE and TDFI. Pearson's correlation and regression analysis were used to investigate the relationship between TDFI and FUFE. A group of thirty-three children completed the study; twenty-one receiving low-F water (0·30 mg F/l) and twelve receiving natural-F water (1·06 mg F/l) at school. The mean TDFI was 0·076 (sd0·038) and 0·038 (sd0·027) mg/kg per d for the natural-F and low-F groups, respectively. The mean DUFE was 0·017 (sd0·007) and 0·012 (sd0·006) mg/kg per d for the natural-F and low-F groups, respectively. FUFE was lower in the natural-F group (30 %) compared with the low-F group (40 %). Pearson's correlation coefficient for (1) TDFI and DUFE was +0·22 (P= 0·22) and for (2) TDFI and FUFE was − 0·63 (P< 0·001). In conclusion, there was no correlation between TDFI and DUFE. However, there was a statistically significant negative correlation between FUFE and TDFI.

scholarly journals DERMAL PAPILLAE;

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Ayesha Baqar
Keyword(s):  
Age Groups ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Dermal Papillae

Introduction: To study and compare the changes in the height of dermal papillae in the skin of different age groups in a segment of Pakistani population. Study Design: Cross sectional study. Period: Five months, from July 2010 to November 2010. Setting: Anatomy Department, Army Medical College, Rawalpindi. Materials & Method: Sixty volunteers of both sexes, after fulfilling the inclusion criteria, participated in this cross sectional study. They all gave written informed consent. They were divided into three equal groups according to their ages, Group A ranged in age from 18 – 29 years, Group B from 30 – 49 years, and Group C > 50 years. Punch biopsies were taken from the sun protected upper arm skin, from all volunteers, after giving local anaesthesia. Samples were stained with Hematoxylin and Eosin. They were observed under light microscope. Height of dermal papillae was measured at three random sites in each sample and mean was taken.The mean of all three groups was compared with each other and data was analyzed. Results: The mean of each sample was taken and then final mean of each group was calculated. They were then compared with each other. The mean height of dermal papillae of group A was 98.667µm, that of group B was 83.333µm and the mean height of dermal papillae in group C was 47.33µm. There was significant difference between the three groups and ‘p’-value was less than 0.5. Conclusion: At the end of this study, it was concluded that, the height of dermal papillae reduces significantly with age.

scholarly journals The Correlation between Body Mass Index with the Occurrence of Skin Tag

2017 ◽  
Vol 5 (3) ◽  
pp. 271-274 ◽  
Author(s):  
Nelva K. Jusuf ◽  
Imam B. Putra ◽  
Johan Kartayana
Keyword(s):  
Body Mass Index ◽  
Statistical Analysis ◽  
Physical Examination ◽  
Body Mass ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Cross Sectional ◽  
Skin Tag ◽  
The Mean

BACKGROUND: Skin tag is a benign tumour of the skin with a soft consistency which commonly occurs in the flexure area. Skin tag often found in individuals with middle and old age. Until now, there are many of theories have been proposed to explain the mechanism of the skin tag, one of the theory is obesity.AIM: To determine the body mass index (BMI) in patients with skin tag.METHODS: This study is an analytic study with cross-sectional designs involving 32 subjects with skin tag and 32 controls. Diagnosis of skin tag was made based on anamnesis and clinical examination. All subjects underwent a physical examination (height and weight) to determine BMI (weight in kilogrammes divided by the square of height in meters). To analyse association between higher BMI with the occurrence of skin tag we use student t-test.RESULTS: The mean BMI in the skin tag group (28.1+ 3.9 kg/m^2) was higher compared with the control group (24.1 + 2.3 kg/m^2). Statistical analysis by Student t-test found the p-value < 0.05.CONCLUSION: We found a correlation between increased BMI with the occurrence of the skin tag.

scholarly journals Comparison of body mass index and intraocular pressure

2019 ◽  
Vol 7 (2) ◽  
pp. 367
Author(s):  
Ajay Kumar ◽  
Nikhil Sharma ◽  
Anjani Rathee ◽  
Nitesh Pradhan
Keyword(s):  
Body Mass Index ◽  
Intraocular Pressure ◽  
Body Mass ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
The Body ◽  
Body Type ◽  
Cross Sectional ◽  
The Mean

Background: Raised intaocular pressure is considered as a major risk factor for developing optic neuropathy. Intraocular pressure (IOP) depends on various systemic and local factors and it has been postulated that IOP increases proportionately with increase in systolic blood pressure and increase in degree of obesity. The aim of this study was to compare the Body Mass Index (BMI) and Intraocular Pressure (IOP) in adult population.Methods: Four hundred ninety nine participants (284 male, 215 female) aged between 20 to 70 years were included in the cross-sectional study. On the basis of BMI subjects were divided into four categories i.e. underweight, normal weight, overweight and obese as per revised body type classification for Indian population recommended by Ministry of Health and Diabetes foundation of India. The mean IOP difference was 14.6±1.8 as compared amongst the four categories.Results: The participants were divided into six categories according to age and the mean IOP of different age groups was calculated. The changes in the mean IOP of males was 15.8±2.5 mm of Hg and the mean IOP of females was 14.7±2.2 mm of Hg. The results of the current study were statistically significant p<0.01.Conclusions: By concluding the current study as well as in the previous published literature, the findings of the current study were statistically significant. IOP was positively correlated with BMI. However, the clinical significance cannot be confirmed by the minor deviation in the IOP as well as BMI of the participants.

scholarly journals Attitude, Awareness, and Knowledge of Saudi Citizens towards COVID-19 Vaccination in Qassim Region – Saudi Arabia

2021 ◽  
pp. 53-67
Author(s):  
Sharifa Ezat Wan Puteh ◽  
Azimatun Noor Aizuddin ◽  
Abdulaziz Abdullah Al-Salem ◽  
Khalid Abdulrahman Al-shetaily ◽  
Fawziah Hassan Al-Owayyid
Keyword(s):  
Saudi Arabia ◽  
Age Groups ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Healthcare Sector ◽  
P Value ◽  
Attitude Score ◽  
Cross Sectional ◽  
Vaccination Decision ◽  
The Mean

Cross sectional study was conducted to evaluate the Attitudes and awareness level of Citizens towards COVID-19 vaccination in Qassim region.  The present study’s results showed that awareness of COVID-19 Vaccination in Qassim region- Saudi Arabia shows that the mean score of awareness was 3.49 (SD 0.864) out of 5.   Regarding vaccination decision among Saudi citizens in Qassim region, (22.7%) of the participants were undecided, (14.7%) refused, and (62.6%) agreed to get a vaccine against COVID-19. Reason for vaccine refusal mainly was they don't believe the vaccine. 96 Participants (32.0%) were working in the healthcare sector, (44.8%) of them had received the COVID-19 Vaccine, and (38.5%) refused. The level of awareness among healthcare participants was (80.2%). The average knowledge score was 3.49 (SD =.864) out of a possible 5. Participants who reported having a graduate level of education had a considerably higher mean knowledge score. The mean score of attitudes was 1.95 (SD=1.176) out of 5, with majority of positive attitude score 62.7%. ((65.7% They received the first dose, and 6.0% they received the first dose and second dose)). Participants with age group 55 years and above years, are more aware towards COVID-19 Vaccination than other age groups. Married persons are more aware towards COVID-19 Vaccination than other categories. Participants with graduate educational level are more aware towards COVID-19 Vaccination than other educational levels. Employed persons are more aware towards COVID-19 Vaccination than other categories. Whereas, there is no relation between age and awareness among Saudi citizens towards COVID-19 (P-value= 0.140). As well, there is no relation between employed citizens and awareness among Saudi citizens towards COVID-19 (P-value =0.136), and there is relation between marital status and awareness among Saudi citizens (P-value = 0.013).

Abstract P361: Racial/Ethnic and Age Differences in Dietary Sources of Protein, NHANES, 2011 - 2016

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Collin J Popp ◽  
Jeannette M Beasley ◽  
Melanie J Firestone ◽  
Rienna Russo ◽  
Stella S Yi
Keyword(s):  
Dietary Protein ◽  
Protein Intake ◽  
Age Groups ◽  
The United States ◽  
The Body ◽  
P Value ◽  
Food Category ◽  
Cross Sectional ◽  
Race Ethnicity ◽  
Functional Components

Background: Dietary protein serves a pivotal role in providing the body with essential amino acids, which are required for the maintenance of body proteins, and the assimilation of structural and functional components required for basic survival. Understanding dietary protein sources can help inform intervention efforts to increase protein intake that will accommodate the growing diversity of the United States. Objective: The purpose of this analysis was to identify the top 10 food category sources of dietary protein by age and race and ethnicity in a nationally representative sample. Methods: Cross-sectional data on adults (18+ years) from the National Health and Nutrition Examination Survey (NHANES) 2011-2016 with one 24-hour dietary recall were analyzed (n=15,697). Population proportions were calculated for What We Eat In America food categories. Results: The analytic sample (n=15,697) was 15.0% Hispanic (95%CI [12.1, 17.9], 65.0% to non-Hispanic White (95%CI [60.8, 69.3]), 11.5% to non-Hispanic Black (95%CI [9.1, 13.9]), 5.4% to non-Hispanic Asian (95%CI [4.3, 6.6]) and 3.1% other (95%CI [2.5, 3.6]). In all racial and ethnic groups, chicken (whole pieces) was the top-ranked source of dietary protein. In addition to chicken (whole pieces), beef (excludes ground), eggs and omelets, and meat mixed dishes food categories ranked in the top ten sources of protein for every race/ethnicity. Conversely, each race/ethnicity group had at least one food category that uniquely ranked as a top ten source (other Mexican mixed dishes, cheese, burger (single code), rice, stir-fry and soy-based dishes, and nuts and seeds). Older adults consumed the least absolute protein (71 gram per day, 95% CI: [69,73]) and energy (1819 calories, 95%CI[1779, 1860] compared to other age groups (p-value for all <0.0001). Conclusion: The top ten sources of protein accounted for over 40% of dietary protein irrespective of race/ethnicity or age category, having major implications for the sustainability of our nation’s food supply. Public health strategies that encourage incorporating higher amounts of protein in food preparation have the potential to shift the overall population protein intake distribution. Funding Source: R01HL141427

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