Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and ...Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and morbidity from pregnancy and labour-related causes can be eliminated by a timely caesarean section. The acceptance of the life-saving procedure remains unsatisfactory in most sub-Saharan nations. The study aimed to assess the acceptability of caesarean section and associated factors among pregnant women seeking antenatal care at Women and Newborn Hospital-University Teaching Hospitals in Lusaka Zambia. The study utilised a quantitative cross-sectional analytical study design involving 420 pregnant women selected using systematic random sampling at Women and Newborn Hospital-University Teaching Hospitals Lusaka Zambia. Data was obtained using an Interview schedule and analysed using R software version 4.3.2. Chi-square, Fisher’s exact test, Wilcoxon rank sum test and binary logistic regression for statistical analysis at a 5% level of significance. The study found that the acceptability of Caesarean section as a mode of delivery was low (29%) among respondents at Women and Newborn Hospital-University Teaching Hospitals. This was influenced by marital status (P = 0.002), socioeconomic status (P = 0.050), parity (P = 0.004), gestation age (P = 0.008), previous history of caesarean section (P = 0.003), knowledge (P < 0.001), attitude (P < 0.001), and sociocultural beliefs (P = 0.045). Low acceptability of Caesarean section delivery is common among women at Women and Newborn Hospital-University Teaching Hospitals, despite its potential benefits for maternal and neonatal health. Socio-demographic and maternal characteristics, knowledge, attitude, perception, and socio-cultural beliefs play a major role in determining acceptability. Therefore, efforts to enhance acceptability should focus on improving knowledge, enhancing positive perceptions and attitudes, and allaying negative socio-cultural beliefs towards caesarean section.展开更多
Zambia has the second-highest incidence of HPV-related cervical cancer in sub-Saharan Africa, with a rate of 53.7 per 100,000 women, despite the availability of prophylactic HPV vaccines targeting HPV types 16 and 18....Zambia has the second-highest incidence of HPV-related cervical cancer in sub-Saharan Africa, with a rate of 53.7 per 100,000 women, despite the availability of prophylactic HPV vaccines targeting HPV types 16 and 18. As parental consent is often required for adolescent vaccinations, understanding the factors influencing parental acceptance is essential. This study aimed to assess the acceptability of the human papillomavirus (HPV) vaccine and its associated factors among mothers of female children aged 9 - 14 years in Ndola, Zambia. This cross-sectional survey involved 350 mothers from selected townships in Ndola District and utilized multivariable logistic regression to analyze data. The findings revealed an HPV vaccine acceptability rate of 61.8%. Key factors influencing vaccine acceptance included knowledge of HPV, occupational status, and alcohol consumption. Mothers who had knowledge of HPV were 2.41 times more likely to accept vaccination for their daughters [AOR 2.41 (95% CI: 1.63 - 3.62)]. Employment status also played a significant role, with employed mothers being 1.47 times more likely to accept the vaccine [AOR 1.47 (95% CI: 1.02 - 2.13)]. Additionally, mothers who did not consume alcohol were 1.81 times more likely to accept the vaccine for their daughters [AOR 1.81 (95% CI: 1.22 - 2.66)]. We conclude that the HPV vaccine acceptability rate in Ndola, Zambia, remains suboptimal. This underscores the need for targeted interventions, such as public health campaigns and educational programs, to improve HPV vaccine knowledge and acceptance, particularly among specific demographic groups. Enhancing understanding of the HPV vaccine’s benefits could contribute to reducing the high burden of cervical cancer in Zambia.展开更多
Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, ...Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x<sup>2</sup>) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.展开更多
Cervical cancer is a form of malignant tumor that seriously threatens women’s health. In China,according to the cancer statistics, 98,900 new cervical cancer cases and 30,500 deaths due to cervical cancer were estima...Cervical cancer is a form of malignant tumor that seriously threatens women’s health. In China,according to the cancer statistics, 98,900 new cervical cancer cases and 30,500 deaths due to cervical cancer were estimated to have occurred in2015, and the incidence and mortality rates still exhibited an upward trend[1].展开更多
Pawpaw and lime juices were blended to produce mixed pawpaw/lime juice samples in the ratios of 90:10, 80:20, 70:30, 60:40 and 50:50) v/v giving samples A, B, C, D and E respectively. The moisture, mineral and vitamin...Pawpaw and lime juices were blended to produce mixed pawpaw/lime juice samples in the ratios of 90:10, 80:20, 70:30, 60:40 and 50:50) v/v giving samples A, B, C, D and E respectively. The moisture, mineral and vitamin contents, as well as the physical, microbiological and sensory qualities of the individual juices and blended samples were evaluated. While lime juice had higher moisture, calcium and vitamin C with values of 97.90%, 2.21 mg/100 g and 67.47 mg/100 g as compared to pawpaw juice with 92.96%, 1.53 mg/100 g and 35.49 mg/100 g respectively;the pawpaw juice had higher ash, phosphorus and vitamin A contents, with values of 3.12%, 54.97 mg/100 g and 5.90 IU/100 g as against 2.84%, 29.53% and 0.16% for lime juice respectively. While there was a general increase in moisture, calcium and vitamin C contents with blending, ash, phosphorus and vitamin A contents increased with increase in lime. The total solids content and specific gravity of pawpaw juice were remarkably higher at 7.04% and 1.15 g/m3 compared to 2.09% and 1.09 g/m3 respectively for lime juice. However, lime juice had a higher titratable acidity, while recording a lower pH of 2.89 as compared to 5.36 for pawpaw juice. The Total Viable Count (TVC) of lime juice was much lower (2.33 × 105 CFU/ml) than that of pawpaw juice (5.33 × 106 CFU/ml). There was significant difference (p < 0.05) in all the sensory parameters evaluated. Generally, there was an increase in the scores of each parameter from sample A to B and then a decline through to sample E. Sample B (80:20) mixed pawpaw/lime juice was most preferred, while sample E (50:50) was least preferred.展开更多
The aim of the study was to consider the suitability of a mixture of juices from jicama, winter melon, and carrot as a raw medium for producing probiotic juice by Lactobacillus strains (Lactobacillus plantarum CICC226...The aim of the study was to consider the suitability of a mixture of juices from jicama, winter melon, and carrot as a raw medium for producing probiotic juice by Lactobacillus strains (Lactobacillus plantarum CICC22696 and Lactobacillus acidophilus CICC20710), as well as evaluate changes of physicochemical and microbiological characteristics during fermentation and cold storage (4°C, 28 days). Both strains grew well in juice mixtures after 24 h of fermentation at 37°C, reaching nearly 9 and 8 log CFU/mL when inoculated with L. plantarum and L. acidophilus respectively. The viability of L. plantarum was near 8 log CFU/mL at the end of storage whereas viability of L. acidophilus only remained 4.57 log CFU/mL. Degradation of total carotenoids was in the range of 12% - 23% in fermentation periods and 16% - 23% during cold storage depending on the strain used. The values of lightness, redness, and yellowness increased during fermentation. However, this tendency was variable during cold storage when the values of redness and yellowness decreased. Sensory acceptability of the products was enhanced by adding sucrose or multi fruit juice (containing mainly tropical fruit juices). The fermented juice with L. plantarum is efficient to produce a functional probiotic beverage.展开更多
Vitamin A deficiency (VAD) is the world’s commonest cause of childhood blindness. More than half of these cases occur in developing countries. Animal sourced foods though good sources of vitamin A are too expensive f...Vitamin A deficiency (VAD) is the world’s commonest cause of childhood blindness. More than half of these cases occur in developing countries. Animal sourced foods though good sources of vitamin A are too expensive for poor rural people. Crops biofortified with provitamin A offer a convenient and accessible source of vitamin A. The other micro-nutrient programs of fortification and supplementation require more expensive inputs. Biofortification programs have developed crops that are rich in provitamin A. These crops include: maize, golden rice, cassava and orange fleshed sweetpotato (OFSP). With exception of golden rice, the rest of the biofortified crops have received considerable acceptance among the communities. Both animal and human studies have shown that provitamin A from biofortified crops is highly bioavailable and have capacity to improve vitamin A status. After several years of research and promotion, it is time to fully commercialize provitamin A crops by encouraging farmers to start their large scale production and consumption.展开更多
Objective:This study aims to evaluate the feasibility,acceptability,and efficacy of StomieCare for rectal cancer patients undergoing surgery with a temporary stoma.StomieCare(three individual sessions)comprises themat...Objective:This study aims to evaluate the feasibility,acceptability,and efficacy of StomieCare for rectal cancer patients undergoing surgery with a temporary stoma.StomieCare(three individual sessions)comprises thematic discussions,information and education,and teaching problem-solving and cognitive restructuring.Methods:Thirty-seven rectal cancer participants treated by surgery and temporary stoma were recruited and randomized to control(routine care approach,n=20)and intervention(routine care and StomieCare,n=17)groups.Outcomes were psychological distress(anxiety and depression,HADS),body image(BIS,ESS),and quality of life(FACT-C),at one week before surgery(T1)and 3 months after stoma closure(T2).Interand intragroup statistical analyses were performed.Results:This study demonstrated that StomieCare is feasible and acceptable.At T2,depression scores were higher for controls than for the intervention group.The mean scores for quality of life,depression,and body image decreased in the control group but remained stable in the intervention group.Anxiety scores significantly decreased between T1 and T2 only for the control group.Conclusion:StomieCare is a feasible and acceptable intervention for the prevention of depressive symptomatology.展开更多
We hypothesised that the promotion of blister packs of zinc may be carried out by health personnel in health care facilities to the mothers of children suffering from diarrhea. We predicted that good acceptability and...We hypothesised that the promotion of blister packs of zinc may be carried out by health personnel in health care facilities to the mothers of children suffering from diarrhea. We predicted that good acceptability and good compliance to zinc treatment in rural Bangladesh would be over 75% and at least 60%, respectively. Between January and December 2011, six hundred and thirty five children aged 6 - 59 months who presented with acute diarrhea received a 10-day zinc regimen. Determination of acceptability and compliance of a dispersible zinc tablet in children 6 - 59 months old was main point of the study. In-home follow-ups started within 2 - 3 weeks after the regimen began. Seventy seven percent of the mothers/caretakers perceived that the taste of the zinc tablets was the same or better than that of other medicines given to their children and expressed willingness to use zinc in the future (good acceptability). Sixty-two percent of the children completed full 10-day course of zinc treatment by taking one tablet a day that had been completely dissolved in a small amount of water (good compliance). There was 63% excess risk for poor compliance to zinc if father stays at home with the family [OR = 1.63 (95%CI;1.09, 2.46) p = 0.019]. Despite vomiting, 33% children continued to receive zinc tablet [OR = 0.67 (95%CI;(0.47, 0.97, 0.032)] after adjusting for co-variates. Both acceptability and compliance to dispersible zinc tablets in childhood diarrheal illnesses are still not at the expected level in rural Bangladesh.展开更多
In this study,we conducted an investigation among medical workers,patients and college students concerning their acceptability of breast palpation performed by male doctors(hereinafter referred to as “acceptability...In this study,we conducted an investigation among medical workers,patients and college students concerning their acceptability of breast palpation performed by male doctors(hereinafter referred to as “acceptability”,or “the examination”,respectively,if not otherwise indicated),to get the information about their acceptability and reasons for accepting or declining the examination among the three population. A questionnaire investigation was conducted in 500 patients with breast diseases,700 students of medical colleges,and 280 medical workers working in hospitals. The subjects were asked to choose between two options: accept or do not accept(the examination). The subjects were asked to fill out the questionnaire forms on free and anonymous basis and the questionnaire forms were collected on spot,immediately after completion. The questionnaires collected were coded,sorted out and checked. Data of the eligible questionnaires were input into Epidata software and analyzed by SPSS. Upon the establishment of the database,the intra-group data were tested by utilizing χ2 test. Among 1480 questionnaires,1293(90.41%) questionnaires were retrieved. Our results showed that 56.78% of patients reported that they could accept breast palpation by male doctors. About 59.66% of medical staff expressed their acceptance of the examination,but only 35.03% of students said the examination. On the basis of this study,we were led to conclude that the examination is not well accepted by different populations,and therefore,(1) medical professionals and administrators should pay attention to the gender-related ethics in their practice and the feeling of patients should be respected when medical examinations involve private or sensitive body parts;(2) to this end,related departments should be properly staffed with doctors of both sexes,and this is especially true of the departments involving the examination or treatment of private or sensitive body parts;(3) health education should,among other things,include helping female patients to overcome the fear and anxiety in such examinations. This is of great importance since some women may miss the opportunity to get timely diagnosis.展开更多
The study examined the acceptability ofhnsh meat to Deltans. The specific objectives were to ascertain the consumption pattern of bush meat; identify the major types of bush meat consumed in the area; determine the li...The study examined the acceptability ofhnsh meat to Deltans. The specific objectives were to ascertain the consumption pattern of bush meat; identify the major types of bush meat consumed in the area; determine the likely constraints to bush meat consumption; and stipulate the extension implication of the findings. A systematic sampling technique was used to compose a sample size of 410 respondents. Data used for this study were collected using well structured interview schedule and data were analyzed using descriptive statistical techniques such as tables, percentages, means and standard deviation, and inferential statistics (linear regression model). The result of the study indicated that almost all the respondents (402) representing about 98% was formally consuming bush meat. The findings also revealed that as many as 323 individuals, representing 78.8% of the respondents did not consume bush meat currently. Only about 12.7% and 8.5% occasionally and regularly consumed bush meat respectively. It was therefore very obvious that people no longer consumed bush meat in Delta state as before. The results further indicated that the predominant bush meat consumed in the area were cane rat (97.70%) and the African giant snails (Achatina and Archachatina) (94.25%). The result of the multiple regression analyses indicated that the coefficient for education (X3), income (Xs), Ebola (X6) and availability of game (XT) were significant at 5%, indicating that these variables were important factors influencing the consumption of bush meat in the study area. However, the coefficients of education level and Ebola factor were negative and significant, suggesting respondents with higher education and aware of Ebola disease were not likely to consume bush meat. As the result, it was concluded that bush meat was now almost unacceptable due to several factors like dread of Ebola disease, unavailability of game, educational level and income, which significantly affected the consumption of bush meat. It was therefore recommended among others that extension delivery services on how to domesticate game species should be available to farmers.展开更多
Micronutrient deficiency (MD) is a problem among schoolchildren which, in addition to other effects, also affects their intellectual abilities. Inclusion of vegetables to food formulations can help to reduce MD becaus...Micronutrient deficiency (MD) is a problem among schoolchildren which, in addition to other effects, also affects their intellectual abilities. Inclusion of vegetables to food formulations can help to reduce MD because they contain vital micronutrients which are required for improved school performance. This study aimed at evaluating acceptability, determining the nutritional quality and estimating the contribution of vegetable enriched products to the Recommended Dietary Allowance (RDA) of schoolchildren (5 to 13 years). The vegetables used were red and green amaranth leaves, orange fleshed sweet potato and pumpkin. Selection of vegetables was based on richness in micronutrients;local availability and consumption levels in Uganda;and their underutilization status particularly in processed form. Each of the vegetables was preprocessed and incorporated separately into soybean and grain amaranth in the ratio of 10:40:50, respectively, to improve the nutrient and energy density of the formulations. Sensory screening of formulations in a range of products (porridges, soups and snacks) revealed that orange fleshed sweet potato formulation was most preferred for porridge as well as for snacks (at 30:70 ratio of orange fleshed sweet potato composite to wheat flour);while red amaranth leaves composite was most preferred for soup. When tested for acceptability, nutritional quality, as well as contribution to the RDA (for vitamin A, iron, zinc, protein and energy) for schoolchildren 5 to 13 years, acceptability tests and nutritional quality of food products from the formulations were highly rated compared to commercial products (pure maize porridge, wheat based soup and 100% refined wheat flour snacks). All products from the two formulations contributed favourably to vitamin A, iron, zinc and protein requirements of children (5 to 13 years). Based on these findings, orange fleshed sweet potato composite flour can be recommended for making porridge, and can substitute (30%) for wheat flour in making snacks;while red amaranth leaf composite flour can be recommended for making soups.展开更多
The acceptability properties, total phenolic content, and antioxidant potential of four (red, green, brown, cream) desi chickpea (Cicer arietinum L.) cultivars from the World Germplasm Bank were evaluated. Protein con...The acceptability properties, total phenolic content, and antioxidant potential of four (red, green, brown, cream) desi chickpea (Cicer arietinum L.) cultivars from the World Germplasm Bank were evaluated. Protein content of the grains varied from 20.12% to 28.85% (dw), highest for Cream ICC3421. The water absorption capacity (WAC) and cooking time (CT) of the whole grains ranged from 97.7 to 117.5 g water/100 g seeds (ww) and from 109.5 to 193.5 min, respectively;the highest WAC and lowest CT corresponded to Cream ICC3421 cultivar. The total phenolic content (TPC) and total hydrophilic antioxidant activity (AoxA) [oxygen radical absorbance capacity (ORAC) value] of desi chickpea cultivars varied from 746 to 1.286 μg gallic acid equivalents (GAE)/g sample (dw) and from 43.9 to 53.9 μmol Trolox equivalents (TE)/g sample (dw);Brown ICC3512 showed the highest ORAC value. Chickpea cultivars could contribute significantly to the management and/or prevention of degenerative diseases associated with free radical damage.展开更多
文摘Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and morbidity from pregnancy and labour-related causes can be eliminated by a timely caesarean section. The acceptance of the life-saving procedure remains unsatisfactory in most sub-Saharan nations. The study aimed to assess the acceptability of caesarean section and associated factors among pregnant women seeking antenatal care at Women and Newborn Hospital-University Teaching Hospitals in Lusaka Zambia. The study utilised a quantitative cross-sectional analytical study design involving 420 pregnant women selected using systematic random sampling at Women and Newborn Hospital-University Teaching Hospitals Lusaka Zambia. Data was obtained using an Interview schedule and analysed using R software version 4.3.2. Chi-square, Fisher’s exact test, Wilcoxon rank sum test and binary logistic regression for statistical analysis at a 5% level of significance. The study found that the acceptability of Caesarean section as a mode of delivery was low (29%) among respondents at Women and Newborn Hospital-University Teaching Hospitals. This was influenced by marital status (P = 0.002), socioeconomic status (P = 0.050), parity (P = 0.004), gestation age (P = 0.008), previous history of caesarean section (P = 0.003), knowledge (P < 0.001), attitude (P < 0.001), and sociocultural beliefs (P = 0.045). Low acceptability of Caesarean section delivery is common among women at Women and Newborn Hospital-University Teaching Hospitals, despite its potential benefits for maternal and neonatal health. Socio-demographic and maternal characteristics, knowledge, attitude, perception, and socio-cultural beliefs play a major role in determining acceptability. Therefore, efforts to enhance acceptability should focus on improving knowledge, enhancing positive perceptions and attitudes, and allaying negative socio-cultural beliefs towards caesarean section.
文摘Zambia has the second-highest incidence of HPV-related cervical cancer in sub-Saharan Africa, with a rate of 53.7 per 100,000 women, despite the availability of prophylactic HPV vaccines targeting HPV types 16 and 18. As parental consent is often required for adolescent vaccinations, understanding the factors influencing parental acceptance is essential. This study aimed to assess the acceptability of the human papillomavirus (HPV) vaccine and its associated factors among mothers of female children aged 9 - 14 years in Ndola, Zambia. This cross-sectional survey involved 350 mothers from selected townships in Ndola District and utilized multivariable logistic regression to analyze data. The findings revealed an HPV vaccine acceptability rate of 61.8%. Key factors influencing vaccine acceptance included knowledge of HPV, occupational status, and alcohol consumption. Mothers who had knowledge of HPV were 2.41 times more likely to accept vaccination for their daughters [AOR 2.41 (95% CI: 1.63 - 3.62)]. Employment status also played a significant role, with employed mothers being 1.47 times more likely to accept the vaccine [AOR 1.47 (95% CI: 1.02 - 2.13)]. Additionally, mothers who did not consume alcohol were 1.81 times more likely to accept the vaccine for their daughters [AOR 1.81 (95% CI: 1.22 - 2.66)]. We conclude that the HPV vaccine acceptability rate in Ndola, Zambia, remains suboptimal. This underscores the need for targeted interventions, such as public health campaigns and educational programs, to improve HPV vaccine knowledge and acceptance, particularly among specific demographic groups. Enhancing understanding of the HPV vaccine’s benefits could contribute to reducing the high burden of cervical cancer in Zambia.
文摘Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x<sup>2</sup>) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.
基金supported by the Natural Science Foundation of Hubei Province,China [Grant No.2017CKC891]the Health Commission Of Hubei Province,China [Grant No.WJ2019H286]
文摘Cervical cancer is a form of malignant tumor that seriously threatens women’s health. In China,according to the cancer statistics, 98,900 new cervical cancer cases and 30,500 deaths due to cervical cancer were estimated to have occurred in2015, and the incidence and mortality rates still exhibited an upward trend[1].
文摘Pawpaw and lime juices were blended to produce mixed pawpaw/lime juice samples in the ratios of 90:10, 80:20, 70:30, 60:40 and 50:50) v/v giving samples A, B, C, D and E respectively. The moisture, mineral and vitamin contents, as well as the physical, microbiological and sensory qualities of the individual juices and blended samples were evaluated. While lime juice had higher moisture, calcium and vitamin C with values of 97.90%, 2.21 mg/100 g and 67.47 mg/100 g as compared to pawpaw juice with 92.96%, 1.53 mg/100 g and 35.49 mg/100 g respectively;the pawpaw juice had higher ash, phosphorus and vitamin A contents, with values of 3.12%, 54.97 mg/100 g and 5.90 IU/100 g as against 2.84%, 29.53% and 0.16% for lime juice respectively. While there was a general increase in moisture, calcium and vitamin C contents with blending, ash, phosphorus and vitamin A contents increased with increase in lime. The total solids content and specific gravity of pawpaw juice were remarkably higher at 7.04% and 1.15 g/m3 compared to 2.09% and 1.09 g/m3 respectively for lime juice. However, lime juice had a higher titratable acidity, while recording a lower pH of 2.89 as compared to 5.36 for pawpaw juice. The Total Viable Count (TVC) of lime juice was much lower (2.33 × 105 CFU/ml) than that of pawpaw juice (5.33 × 106 CFU/ml). There was significant difference (p < 0.05) in all the sensory parameters evaluated. Generally, there was an increase in the scores of each parameter from sample A to B and then a decline through to sample E. Sample B (80:20) mixed pawpaw/lime juice was most preferred, while sample E (50:50) was least preferred.
文摘The aim of the study was to consider the suitability of a mixture of juices from jicama, winter melon, and carrot as a raw medium for producing probiotic juice by Lactobacillus strains (Lactobacillus plantarum CICC22696 and Lactobacillus acidophilus CICC20710), as well as evaluate changes of physicochemical and microbiological characteristics during fermentation and cold storage (4°C, 28 days). Both strains grew well in juice mixtures after 24 h of fermentation at 37°C, reaching nearly 9 and 8 log CFU/mL when inoculated with L. plantarum and L. acidophilus respectively. The viability of L. plantarum was near 8 log CFU/mL at the end of storage whereas viability of L. acidophilus only remained 4.57 log CFU/mL. Degradation of total carotenoids was in the range of 12% - 23% in fermentation periods and 16% - 23% during cold storage depending on the strain used. The values of lightness, redness, and yellowness increased during fermentation. However, this tendency was variable during cold storage when the values of redness and yellowness decreased. Sensory acceptability of the products was enhanced by adding sucrose or multi fruit juice (containing mainly tropical fruit juices). The fermented juice with L. plantarum is efficient to produce a functional probiotic beverage.
文摘Vitamin A deficiency (VAD) is the world’s commonest cause of childhood blindness. More than half of these cases occur in developing countries. Animal sourced foods though good sources of vitamin A are too expensive for poor rural people. Crops biofortified with provitamin A offer a convenient and accessible source of vitamin A. The other micro-nutrient programs of fortification and supplementation require more expensive inputs. Biofortification programs have developed crops that are rich in provitamin A. These crops include: maize, golden rice, cassava and orange fleshed sweetpotato (OFSP). With exception of golden rice, the rest of the biofortified crops have received considerable acceptance among the communities. Both animal and human studies have shown that provitamin A from biofortified crops is highly bioavailable and have capacity to improve vitamin A status. After several years of research and promotion, it is time to fully commercialize provitamin A crops by encouraging farmers to start their large scale production and consumption.
文摘Objective:This study aims to evaluate the feasibility,acceptability,and efficacy of StomieCare for rectal cancer patients undergoing surgery with a temporary stoma.StomieCare(three individual sessions)comprises thematic discussions,information and education,and teaching problem-solving and cognitive restructuring.Methods:Thirty-seven rectal cancer participants treated by surgery and temporary stoma were recruited and randomized to control(routine care approach,n=20)and intervention(routine care and StomieCare,n=17)groups.Outcomes were psychological distress(anxiety and depression,HADS),body image(BIS,ESS),and quality of life(FACT-C),at one week before surgery(T1)and 3 months after stoma closure(T2).Interand intragroup statistical analyses were performed.Results:This study demonstrated that StomieCare is feasible and acceptable.At T2,depression scores were higher for controls than for the intervention group.The mean scores for quality of life,depression,and body image decreased in the control group but remained stable in the intervention group.Anxiety scores significantly decreased between T1 and T2 only for the control group.Conclusion:StomieCare is a feasible and acceptable intervention for the prevention of depressive symptomatology.
文摘We hypothesised that the promotion of blister packs of zinc may be carried out by health personnel in health care facilities to the mothers of children suffering from diarrhea. We predicted that good acceptability and good compliance to zinc treatment in rural Bangladesh would be over 75% and at least 60%, respectively. Between January and December 2011, six hundred and thirty five children aged 6 - 59 months who presented with acute diarrhea received a 10-day zinc regimen. Determination of acceptability and compliance of a dispersible zinc tablet in children 6 - 59 months old was main point of the study. In-home follow-ups started within 2 - 3 weeks after the regimen began. Seventy seven percent of the mothers/caretakers perceived that the taste of the zinc tablets was the same or better than that of other medicines given to their children and expressed willingness to use zinc in the future (good acceptability). Sixty-two percent of the children completed full 10-day course of zinc treatment by taking one tablet a day that had been completely dissolved in a small amount of water (good compliance). There was 63% excess risk for poor compliance to zinc if father stays at home with the family [OR = 1.63 (95%CI;1.09, 2.46) p = 0.019]. Despite vomiting, 33% children continued to receive zinc tablet [OR = 0.67 (95%CI;(0.47, 0.97, 0.032)] after adjusting for co-variates. Both acceptability and compliance to dispersible zinc tablets in childhood diarrheal illnesses are still not at the expected level in rural Bangladesh.
基金This study was partially supported by the Industrial Innovation Center(IIC),Atyab Food Tech LLC and Sultan Qaboos University–College of Agricultural and Marine Sciences Dean’s Seed Grant.
基金supported by a grant from the National High-tech R&D Program(Program 863)(No.2011AA030101)
文摘In this study,we conducted an investigation among medical workers,patients and college students concerning their acceptability of breast palpation performed by male doctors(hereinafter referred to as “acceptability”,or “the examination”,respectively,if not otherwise indicated),to get the information about their acceptability and reasons for accepting or declining the examination among the three population. A questionnaire investigation was conducted in 500 patients with breast diseases,700 students of medical colleges,and 280 medical workers working in hospitals. The subjects were asked to choose between two options: accept or do not accept(the examination). The subjects were asked to fill out the questionnaire forms on free and anonymous basis and the questionnaire forms were collected on spot,immediately after completion. The questionnaires collected were coded,sorted out and checked. Data of the eligible questionnaires were input into Epidata software and analyzed by SPSS. Upon the establishment of the database,the intra-group data were tested by utilizing χ2 test. Among 1480 questionnaires,1293(90.41%) questionnaires were retrieved. Our results showed that 56.78% of patients reported that they could accept breast palpation by male doctors. About 59.66% of medical staff expressed their acceptance of the examination,but only 35.03% of students said the examination. On the basis of this study,we were led to conclude that the examination is not well accepted by different populations,and therefore,(1) medical professionals and administrators should pay attention to the gender-related ethics in their practice and the feeling of patients should be respected when medical examinations involve private or sensitive body parts;(2) to this end,related departments should be properly staffed with doctors of both sexes,and this is especially true of the departments involving the examination or treatment of private or sensitive body parts;(3) health education should,among other things,include helping female patients to overcome the fear and anxiety in such examinations. This is of great importance since some women may miss the opportunity to get timely diagnosis.
文摘The study examined the acceptability ofhnsh meat to Deltans. The specific objectives were to ascertain the consumption pattern of bush meat; identify the major types of bush meat consumed in the area; determine the likely constraints to bush meat consumption; and stipulate the extension implication of the findings. A systematic sampling technique was used to compose a sample size of 410 respondents. Data used for this study were collected using well structured interview schedule and data were analyzed using descriptive statistical techniques such as tables, percentages, means and standard deviation, and inferential statistics (linear regression model). The result of the study indicated that almost all the respondents (402) representing about 98% was formally consuming bush meat. The findings also revealed that as many as 323 individuals, representing 78.8% of the respondents did not consume bush meat currently. Only about 12.7% and 8.5% occasionally and regularly consumed bush meat respectively. It was therefore very obvious that people no longer consumed bush meat in Delta state as before. The results further indicated that the predominant bush meat consumed in the area were cane rat (97.70%) and the African giant snails (Achatina and Archachatina) (94.25%). The result of the multiple regression analyses indicated that the coefficient for education (X3), income (Xs), Ebola (X6) and availability of game (XT) were significant at 5%, indicating that these variables were important factors influencing the consumption of bush meat in the study area. However, the coefficients of education level and Ebola factor were negative and significant, suggesting respondents with higher education and aware of Ebola disease were not likely to consume bush meat. As the result, it was concluded that bush meat was now almost unacceptable due to several factors like dread of Ebola disease, unavailability of game, educational level and income, which significantly affected the consumption of bush meat. It was therefore recommended among others that extension delivery services on how to domesticate game species should be available to farmers.
文摘Micronutrient deficiency (MD) is a problem among schoolchildren which, in addition to other effects, also affects their intellectual abilities. Inclusion of vegetables to food formulations can help to reduce MD because they contain vital micronutrients which are required for improved school performance. This study aimed at evaluating acceptability, determining the nutritional quality and estimating the contribution of vegetable enriched products to the Recommended Dietary Allowance (RDA) of schoolchildren (5 to 13 years). The vegetables used were red and green amaranth leaves, orange fleshed sweet potato and pumpkin. Selection of vegetables was based on richness in micronutrients;local availability and consumption levels in Uganda;and their underutilization status particularly in processed form. Each of the vegetables was preprocessed and incorporated separately into soybean and grain amaranth in the ratio of 10:40:50, respectively, to improve the nutrient and energy density of the formulations. Sensory screening of formulations in a range of products (porridges, soups and snacks) revealed that orange fleshed sweet potato formulation was most preferred for porridge as well as for snacks (at 30:70 ratio of orange fleshed sweet potato composite to wheat flour);while red amaranth leaves composite was most preferred for soup. When tested for acceptability, nutritional quality, as well as contribution to the RDA (for vitamin A, iron, zinc, protein and energy) for schoolchildren 5 to 13 years, acceptability tests and nutritional quality of food products from the formulations were highly rated compared to commercial products (pure maize porridge, wheat based soup and 100% refined wheat flour snacks). All products from the two formulations contributed favourably to vitamin A, iron, zinc and protein requirements of children (5 to 13 years). Based on these findings, orange fleshed sweet potato composite flour can be recommended for making porridge, and can substitute (30%) for wheat flour in making snacks;while red amaranth leaf composite flour can be recommended for making soups.
文摘The acceptability properties, total phenolic content, and antioxidant potential of four (red, green, brown, cream) desi chickpea (Cicer arietinum L.) cultivars from the World Germplasm Bank were evaluated. Protein content of the grains varied from 20.12% to 28.85% (dw), highest for Cream ICC3421. The water absorption capacity (WAC) and cooking time (CT) of the whole grains ranged from 97.7 to 117.5 g water/100 g seeds (ww) and from 109.5 to 193.5 min, respectively;the highest WAC and lowest CT corresponded to Cream ICC3421 cultivar. The total phenolic content (TPC) and total hydrophilic antioxidant activity (AoxA) [oxygen radical absorbance capacity (ORAC) value] of desi chickpea cultivars varied from 746 to 1.286 μg gallic acid equivalents (GAE)/g sample (dw) and from 43.9 to 53.9 μmol Trolox equivalents (TE)/g sample (dw);Brown ICC3512 showed the highest ORAC value. Chickpea cultivars could contribute significantly to the management and/or prevention of degenerative diseases associated with free radical damage.