Acceptability of different lipid-based nutrient supplements for adults with HIV

Despite the increased access to antiretroviral therapy, undernutrition is associated with an increased risk of early mortality among HIV-infected adults living in resource-limited settings. Lipid-based Nutrient Supplements (LNS) can provide nutritional support and can be adapted to the needs of adults infected with HIV. However, consumption of these products may be limited by monotony or by an unacceptably strong taste of highly concentrated micronutrients. This study investigated the acceptability of several new flavours of LNS for HIV-infected adults on antiretroviral therapy (ART). Forty HIV-infected adults on ART completed acceptability tests with one of four sets of LNS products: LNS-30 g sweet, LNS-30 g non-sweet, LNS-250 g sweet and LNS-250 g non-sweet. Each set was composed ofthree flavours and was tasted with and without food during a single session of sensory evaluation. The supplements were block-randomised and the patients were blinded to the type of product. LNS acceptability was assessed based on descriptive, hedonic and food-action rating tests using 5-point rating scales as well as preference tests. All the flavours got a median rate of 3-Just about right for the intensity of sugar, salt, oil,thickness and 4-Good for the taste. Regarding the overall liking, the supplements were positively evaluated with median of 4-I like a little or 5-I like a lot. The LNS-30 g non-sweet formulation was significantly less appreciated when tasted without food compared to all the other sets of LNS (P = 0.0005). Mixing LNS with local food had no effect on the acceptability. In terms of consumption pattern, all the products got a median rate of 1-Will eat it at all opportunity or 2-Will eat it very often. Finally, in terms of preference there was no significant difference between the flavours. In LNS-30 g the overall liking was positively correlated with the taste and the intensity of sugar but the prospective consumption factor was negatively correlated with thickness. In LNS-250 g, only the intensity of salty taste was correlated with the overall liking. As the flavours were well accepted, all of them can be used, providing choice and variety to HIV-infected adults consuming them for prolonged periods. There is no need to modify the products’ formulation. Further research on the acceptability of these supplements over the longer term and in settings where food insecurity and dietary patterns are different is warranted

Correlation of pre-operative cancer imaging techniques with post-operative gross and microscopic pathology images

In this paper, different algorithms for volume reconstruction from tomographic cross-sectional pathology slices are described and tested. A tissue-mimicking phantom made with a mixture of agar and aluminium oxide was sliced at different thickness as per pathological standard guidelines. Phantom model was also virtually sliced and reconstructed in software. Results showed that shape-based spline interpolation method was the most precise, but generated a volume underestimation of 0.5%

Machine-learning-driven advanced characterization of battery electrodes

Materials characterization is fundamental to our understanding of lithium ion battery electrodes and their performance limitations. Advances in laboratory-based characterization techniques have yielded powerful insights into the structure–function relationship of electrodes, yet there is still far to go. Further improvements rely, in part, on gaining a deeper understanding of complex physical heterogeneities in the materials. However, practical limitations in characterization techniques inhibit our ability to combine data directly. For example, some characterization techniques are destructive, thus preventing additional analyses on the same region. Fortunately, artificial intelligence (AI) has shown great potential for achieving representative, 3D, multi-modal datasets by leveraging data collected from a range of techniques. In this Perspective, we give an overview of recent advances in lab-based characterization techniques for Li-ion electrodes. We then discuss how AI methods can combine and enhance these techniques, leading to substantial acceleration in our understanding of electrodes

Catalysing sustainable fuel and chemical synthesis

Concerns over the economics of proven fossil fuel reserves, in concert with government and public acceptance of the anthropogenic origin of rising CO2 emissions and associated climate change from such combustible carbon, are driving academic and commercial research into new sustainable routes to fuel and chemicals. The quest for such sustainable resources to meet the demands of a rapidly rising global population represents one of this century’s grand challenges. Here, we discuss catalytic solutions to the clean synthesis of biodiesel, the most readily implemented and low cost, alternative source of transportation fuels, and oxygenated organic molecules for the manufacture of fine and speciality chemicals to meet future societal demands

Effects of curriculum-based measurement (CBM) for progess monitoring in reading and an additive reading in second classes

In this study, poor readers in second school year were selected from three schools (n = 32). Their reading skills were surveyed weekly using a CBM instrument over one school semester. Furthermore, they were supported by a five-week reading fluency instruction. The majority of students increased their weekly learning growth in regular teaching and in the phase with the additive instruction. The weekly learning growth was higher in the phase with the additive instruction in reading syllables (b = 0.69), reading words (b = 0.44) and reading comprehension at sentence level (b = 0.45) than without (reading syllables: b = 0.49; reading words: b = 0.18; reading comprehension: b = 0.30). Based on the results of this study, the benefit of CBM for adaptive reading instruction will be discussed. In dieser Studie wurden leseschwache Schülerinnen und Schüler (n = 32) ausgewählt. Deren Lesekompetenzen wurden wöchentlich mit einem CBM-Instrument über ein Schulhalbjahr erhoben. Zusätzlich nahmen sie an einer fünfwöchigen Leseflüssigkeitsförderung teil. Die Mehrheit der Schülerinnen und Schüler konnte ihre Lesekompetenzen in der Phase ohne und mit der zusätzlichen Leseinstruktion steigern. Der wöchentliche Lernzuwachs war in der Phase mit der zusätzlichen Förderung im Silbenlesen (b = 0,69), im Wörterlesen (b = 0,44) und im sinnentnehmenden Lesen auf Satzebene (b = 0,45) höher als ohne die Förderung (Silbenlesen: b = 0,49; Wörterlesen b = 0,18; Leseverständnis: b = 0,30). Auf der Grundlage der Ergebnisse dieser Studie wird der Nutzen von CBM für den adaptiven Leseunterricht diskutiert

Acceptability Of Different Lipid-Based Nutrient Supplements For Adults With Hiv

Despite the increased access to antiretroviral therapy, undernutrition is associated with an increased risk of early mortality among HIV-infected adults living in resource-limited settings. Lipid-based Nutrient Supplements (LNS) can provide nutritional support and can be adapted to the needs of adults infected with HIV. However, consumption of these products may be limited by monotony or by an unacceptably strong taste of highly concentrated micronutrients. This study investigated the acceptability of several new flavours of LNS for HIV-infected adults on antiretroviral therapy (ART). Forty HIV-infected adults on ART completed acceptability tests with one of four sets of LNS products: LNS-30 g sweet, LNS-30 g non-sweet, LNS-250 g sweet and LNS-250 g non-sweet. Each set was composed of three flavours and was tasted with and without food during a single session of sensory evaluation. The supplements were block-randomised and the patients were blinded to the type of product. LNS acceptability was assessed based on descriptive, hedonic and food-action rating tests using 5-point rating scales as well as preference tests. All the flavours got a median rate of 3-Just about right for the intensity of sugar, salt, oil, thickness and 4-Good for the taste. Regarding the overall liking, the supplements were positively evaluated with median of 4-I like a little or 5-I like a lot. The LNS-30 g non-sweet formulation was significantly less appreciated when tasted without food compared to all the other sets of LNS (P = 0.0005). Mixing LNS with local food had no effect on the acceptability. In terms of consumption pattern, all the products got a median rate of 1-Will eat it at all opportunity or 2-Will eat it very often. Finally, in terms of preference there was no significant difference between the flavours. In LNS- 30 g the overall liking was positively correlated with the taste and the intensity of sugar but the prospective consumption factor was negatively correlated with thickness. In LNS-250 g, only the intensity of salty taste was correlated with the overall liking. As the flavours were well accepted, all of them can be used, providing choice and variety to HIV-infected adults consuming them for prolonged periods. There is no need to modify the products’ formulation. Further research on the acceptability of these supplements over the longer term and in settings where food insecurity and dietary patterns are different is warranted