From 573151203a480a2a9f1dea50bd80104c23f12761 Mon Sep 17 00:00:00 2001 From: Ernest Guevarra Date: Mon, 9 Dec 2024 06:32:34 +0000 Subject: [PATCH] edit MUAC chapter; fix #15; fix #8; fix #9 --- .github/workflows/test_render.yml | 2 -- 04-muac.qmd | 32 ++++++++++++++++++------------- README.md | 2 +- 3 files changed, 20 insertions(+), 16 deletions(-) diff --git a/.github/workflows/test_render.yml b/.github/workflows/test_render.yml index d25c271..26a4700 100644 --- a/.github/workflows/test_render.yml +++ b/.github/workflows/test_render.yml @@ -1,8 +1,6 @@ name: Test render on: - push: - branches: [dev] pull_request: branches: [main, master] workflow_dispatch: diff --git a/04-muac.qmd b/04-muac.qmd index f3a96e4..05147c6 100644 --- a/04-muac.qmd +++ b/04-muac.qmd @@ -1,24 +1,24 @@ +--- +output-file: muac.html +--- + # Measuring mid-upper arm circumference (MUAC) {#sec-measure-muac} -## Equipment +## Equipment {#sec-measure-muac-equipment} -```{r muac1, fig.cap = "MUAC tape with colour cut-offs at 115 mm and 125 mm", echo = FALSE, fig.align = "center", fig.retina = 1} -knitr::include_graphics("images/muac01.png") -``` +![MUAC tape with colour cut-offs at 115 mm and 125 mm](images/muac01.png){#fig-muac-tape fig-align="center"} MUAC is a quick and simple way to determine whether or not a child is malnourished using a simple coloured plastic strip. There are different types of MUAC tape available. All are graduated in millimetres and some are colour coded (red, yellow and green) to indicate the nutritional status of a child or adult. The colour codes and gradations vary depending on the tape type. -The most appropriate MUAC tape to use would be the tapes that use the latest WHO Growth Standards cut-offs for acute malnutrition. These are the tapes that have three colours (red, yellow, green) with colour cut-offs at 115 mm and 125 mm. The MUAC tapes should also be precise up to 1 mm. The material for the MUAC tape needs to be flexible but non-stretchable. An example of this kind of MUAC tape is shown in Figure \@ref(fig:muac1). +The most appropriate MUAC tape to use would be the tapes that use the latest WHO Growth Standards cut-offs for acute malnutrition. These are the tapes that have three colours (red, yellow, green) with colour cut-offs at 115 mm and 125 mm. The MUAC tapes should also be precise up to 1 mm. The material for the MUAC tape needs to be flexible but non-stretchable. An example of this kind of MUAC tape is shown in @fig-muac-tape. -## Personnel +## Personnel {#sec-measure-muac-personnel} Only a single **measurer** is required to measure the MUAC of a child. If with an **assistant** is available, he/she records the MUAC measurement. -## Steps in measuring MUAC +## Steps in measuring MUAC {#sec-measure-muac-steps} -```{r muac2, fig.cap = "Steps in measuring MUAC", echo = FALSE, fig.align = "center", fig.retina = "1"} -knitr::include_graphics("images/muac02.png") -``` +![Steps in measuring MUAC](images/muac02.png){#fig-measure-muac-steps fig-align="center"} 1. When measuring MUAC, ensure work at eye level. Sit down when possible. Very young children can be held by their mother during this procedure. Ask the mother to remove clothing that may cover the child’s left arm. @@ -40,10 +40,16 @@ knitr::include_graphics("images/muac02.png") 10. **Measurer** removes the tape from the child’s arm. -  - ::: {.callout-warning} -Common mistakes when measuring MUAC include **1)** measuring on the right arm; **2)** estimating (rather than measuring) the mid-point of the upper arm; **3)** bending the MUAC tape when measuring the midpoint; **4)** not measuring the midpoint from the tip of the shoulder to the elbow bend; **5)** pulling the MUAC tape too tight; **6)** not pulling the MUAC tape tight enough (too slack); **7)** not reading the tape accurately (to nearest smillimetre). +## Common mistakes when measuring MUAC + +* measuring on the right arm; +* estimating (rather than measuring) the mid-point of the upper arm; +* bending the MUAC tape when measuring the midpoint; +* not measuring the midpoint from the tip of the shoulder to the elbow bend; +* pulling the MUAC tape too tight; +* not pulling the MUAC tape tight enough (too slack); and, +* not reading the tape accurately (to nearest millimetre). ::: diff --git a/README.md b/README.md index 7f3d479..f1e25b7 100644 --- a/README.md +++ b/README.md @@ -1,4 +1,4 @@ -# A Guide to Implementing Nutrition and Food Security Surveys +# A Guide to Implementing Nutrition and Food Security Surveys ![License for code](https://img.shields.io/badge/license_for_code-GPL3.0-blue)