Complementary feeding: a Global Network cluster randomized controlled trial

Background: Inadequate and inappropriate complementary feeding are major factors contributing to excess morbidity and mortality in young children in low resource settings. Animal source foods in particular are cited as essential to achieve micronutrient requirements. The efficacy of the recommendation for regular meat consumption, however, has not been systematically evaluated. Methods/Design: A cluster randomized efficacy trial was designed to test the hypothesis that 12 months of daily intake of beef added as a complementary food would result in greater linear growth velocity than a micronutrient fortified equi-caloric rice-soy cereal supplement. The study is being conducted in 4 sites of the Global Network for Women\u27s and Children\u27s Health Research located in Guatemala, Pakistan, Democratic Republic of the Congo (DRC) and Zambia in communities with toddler stunting rates of at least 20%. Five clusters per country were randomized to each of the food arms, with 30 infants in each cluster. The daily meat or cereal supplement was delivered to the home by community coordinators, starting when the infants were 6 months of age and continuing through 18 months. All participating mothers received nutrition education messages to enhance complementary feeding practices delivered by study coordinators and through posters at the local health center. Outcome measures, obtained at 6, 9, 12, and 18 months by a separate assessment team, included anthropometry, dietary variety and diversity scores, biomarkers of iron, zinc and Vitamin B(12) status (18 months), neurocognitive development (12 and 18 months), and incidence of infectious morbidity throughout the trial. The trial was supervised by a trial steering committee, and an independent data monitoring committee provided oversight for the safety and conduct of the trial. Discussion: Findings from this trial will test the efficacy of daily intake of meat commencing at age 6 months and, if beneficial, will provide a strong rationale for global efforts to enhance local supplies of meat as a complementary food for young children

Improvement of mechanical strength of iron ore pellets using raw and activated bentonites as binders

In this study, sodium, calcium, and mixed bentonite samples were used as binders in the pelletizing fine iron ore concentrate obtained from the Divrigi Iron Ore Concentration Plant in Turkey. In the pelletizing tests, sodium bentonite sample was used as received and after upgrading process. Additionally, the calcium bentonite sample required activation by sodium bicarbonate while the mixed bentonites sample was used untreated and as well as activated. The pellets produced were tested for compressive strengths, drop number, and porosity in order to characterize the pellets. The results showed that untreated and upgraded sodium bentonite samples provided relatively stronger pellets compared to calcium and the mixed type bentonite samples needed activation with sodium bicarbonate to increase the strength of the pellets. Based on the results of the drop number, compressive strengths, and porosity, it is possible to make pellets which meet the standards by adequate addition of type and amount of bentonite

Maternal education and child feeding practices in rural Bangladesh

This study in rural lowland Bangladesh used spot and event observations from 185 children aged 4-27 months in order to examine whether child feeding practices differed with mother's education and with household education. Each child and his/her caretakers were observed for a mean of 20 hr over 6 months from February to July 1986. Only 25% of mothers and 51% of fathers had had any formal education. Exploratory partial correlations and stepwise multiple regression analyses revealed significant behavioral differences with both maternal and household measures of education while controlling for wealth. Caretakers in families with education were found to feed the children more frequently, with fresher food, and in cleaner, more protected places. They did not allow their children to eat food intended for someone else as often, and were more observant when their children's food dropped during the feeding. These caretakers also used more cups and bottles for feedings, breastfed their children less frequently, and their mothers terminated the breastfeedings more often. These behaviors suggested a shift from less attentive feeding practices and less frequent feedings to more frequent feedings in which the caretaker took more control of the child's feeding sessions. They also suggest a commitment to more labor-intensive child care. These associations between education and child feeding practices are mechanisms through which maternal education may improve child health and growth. They suggest the need for promoting more formal and nonformal education.Bangladesh behavior change infant feeding malnutrition maternal education weaning practices

A Planar Linear Arboricity Conjecture

The linear arboricity la(G) of a graph G is the minimum number of linear forests (graphs where every connected component is a path) that partition the edges of G. In 1984, Akiyama et al. [1] stated the Linear Arboricity Conjecture (LAC), that the linear arboricity of any simple graph of maximum degree ∆ is either ⌈ ⌉ ⌈ ⌉ ∆ ∆+1