New sustainable approach to reduce cassava borne environmental waste and develop biodegradable materials for food packaging applications

This is a research article on transforming waste cassava into a sustainable resource that requires a new approach and redesign of the current processing methodologies.Transforming waste cassava into a sustainable resource requires a new approach and redesign of the current processing methodologies. Bitter cassava cultivars have been employed mainly as an emergency famine food, but could also be used as a value-added material for packaging. Processing of intact bitter cassava can minimize waste, and produce low-cost added value biopolymer packaging films for targeted applications. This study developed an improved simultaneous release, recovery and cyanogenesis (SRRC) downstream processing methodology for sustainable reduction of waste and development of film packaging material using intact bitter cassava. SRRC approach produced peeled (BP) and intact (BI) bitter cassava biopolymer derivatives. BI showed significantly higher yields ensuring 16% waste decrease with no environmental impact caused by discard residues. SRRC was very effective in reducing the total cyanogen content to within Codex minimum safety limits, demonstrating that the peeling of bitter cassava process can be avoided. Transparent films were produced using the casting method from both BP and BI derivatives. BI films were more transparent and homogeneous, less soluble, less permeable to moisture, less hydrophilic, more permeable to oxygen and carbon-dioxide, sealable, lower cost, than the BP. Hence, intact bitter cassava and SRRC can be used as sustainable, safe, integrative process solution for high value-added product (e.g., packaging film) production from low-cost biobased materials

Cassava Biomaterial Innovations for Industry Applications

Breakthrough innovations can spur growth in the modern era industry to realise sustainability and high returns on investments. Nowadays, biobased innovations for application in diverse industry sectors are considered as future pillars to counter resource depletion and ensure positive environmental impacts. Cassava is a strong flagship biomaterial promoting solution for resource-efficient use and green environment. Innovative industrial application of cassava biomaterials enriches literature, presenting cassava as a versatile and unrivalled crop that is cardinal for more sustainable environment and biodegradable industrial products. Work on novel cassava biomaterials, which are low-cost, unexploited and with zero competition for food supply, are included. Using an integrated sustainable process, it shows how to indirectly reduce waste streams, through their effective use, guaranteeing zero carbon footprints and acting as a non-traditional strategy for equilibrium atmosphere and active packaging systems. Applications of Cassava biomaterial in food, as food supplements and in packaging systems are also covered in this chapter

Novel Intact Bitter Cassava: Sustainable Development and Desirability Optimisation of Packaging Films

This is a research article on novel biomaterials and optimal processing conditions are fundamental in low-cost packaging material production.Novel biomaterials and optimal processing conditions are fundamental in low-cost packaging material production. Recently, a novel biobased intact bitter cassava derivative was developed using an intrinsic, high-throughput downstream processing methodology (simultaneous release recovery cyanogenesis). Processing of intact bitter cassava can minimise waste and produce low-cost added value biopolymer packaging films. The objective of this study was to (i) develop and characterise intact bitter cassava biobased films and (ii) determine the optimal processing conditions, which define the most desirable film properties. Films were developed following a Box-Behnken design considering cassava (2, 3, 4 % w/v), glycerol (20, 30, 40 % w/w) and drying temperature (30, 40, 50 °C) and optimized using multi-response desirability. Processing conditions produced films with highly significant (p < 0.05) differences. Developed models predicted impact of processing conditions on film properties. Desirable film properties for food packaging were produced using the optimised processing conditions, 2 % w/v cassava, 40.0%w/w glycerol and 50 °C drying temperature. These processing conditions produced films with 0.3 %; transparency, 3.4 %; solubility, 21.8 %; water-vapour-permeability, 4.2 gmm/m2/day/kPa; glass transition, 56 °C; melting temperature, 212.6 °C; tensile strength, 16.3 MPa; elongation, 133.3 %; elastic modulus, 5.1MPa and puncture resistance, 57.9 J, which are adequate for packaging applications. Therefore, intact bitter cassava is a viable material to produce packaging films that can be tailored for specific sustainable, low-cost applications

Engineered food supplement excipients from bitter cassava for minimisation of cassava processing waste in environment

This is a research paper unchecked large-scale rudimentary upstream (submerged and solid-state fermentation processes of bitter cassava roots into alcohol have often contributed significantly to agricultural wastes in the environment.Unchecked large-scale rudimentary upstream (sub-merged and solid state) fermentation processes of bitter cas- sava roots into alcohol have often contributed significantly to agricultural wastes into environment. Thus, the study explored a proven valorisation methodology, Simultaneous Release Recovery Cyanogenesis (SRRC) along with intact bitter cassava polysaccharide-rich derivatives (CWF), as an apt to find alternative materials for food supplement excipients. Triplicate CWF powder, peeled or intact bitter cassava roots, were produced and analysed to determine crit- ical properties suitable in tablet making. Exclusion approach, using SRRC and compaction, was performed to select desired powder properties for tablet formulation. Microcrystalline cellulose, with known properties for developing drug excipients, was used as a validation reference material. Tablets, for disintegration time and in- vitro dissolution rates studies were produced using wet-granulation, and their potential to release and bio-avail Iron-Zinc investigated in-vitro (pHs 1.2 and 6.8 solutions, 37 0 C). Morphology and Iron-Zinc dissolution-release mechanisms were examined. Kinetic models were used to describe matrix dissolution and Iron-Zinc release mech- anisms. Intact root powder compaction capacity, depicted by hardness, was 4.3, 4.4 and 4.6 KG at 200, 500 and 700 MPa respectively. Scanning Electron Microscopy (SEM) showed Iron-Zinc inclusion altered tablet morphol- ogy. Efficient matrix dissolution and Iron and Zinc release were achieved, showing apex recovery efficiency (98%, 30–45 min). Fitted models well-explained dissolution and release mechanisms (mean R 2 = 0.95), demonstrating adequacy. SRRC-improved intact bitter cassava was confirmed as potential alternative excipient’s matrix for Iron and Zinc release and bioavailability. Thus, this approach is practical for indirect waste elimination, and can promote strategy for sustainable valorisation of agricultural wastes and alternative functional food supplements delivery system

Integrated process standardisation as a zero-based approach to bitter cassava waste elimination and widely-applicable industrial biomaterial derivatives

This is a research article on Integrated standardised methodology for biopolymer derivatives (BPD) production from novel intact bitter cassava was demonstrated by desirability optimisation of simultaneous release, recovery, cyanogenesis (SRRC) processIntegrated standardised methodology for biopolymer derivatives (BPD) production from novel intact bitter cassava was demonstrated by desirability optimisation of simultaneous release, recovery, cyanogenesis (SRRC) process. BPD were evaluated for yield and colour using buffer (0,2,4 % v/v), cassava waste solids (15,23,30 % w/w), and extraction time (4,7,10 minutes). Nearly all the root was transformed into BPD, with higher yield and colour in comparison to starch extrinsically processed. Maximum global desirability, predicted efficient material balance, buffer 4.0 %w/v, cassava waste solids 23 %w/w and extraction time, 10 minutes, producing BPD yield, 38.8 % wb Validation using buffer, 3.3% w/v, cassava waste solids, 30 % w/w and extraction time, 10 minutes, produced 40.7 % wb BPD. SEM, DSC, TGA, FTIR and moisture barrier analyses revealed a uniform microstructure and high thermal stability of BPD and film, thus demonstrating efficient performance of the standardised integrated methodology. Hence, processing intact cassava root as a standardised integrated methodology could be used to produce sustainable low cost BPD for a broad range of applications. Methodologies designed around standard integrated procedures, matching zero-based approach to contamination, are novel strategies, and if used effectively can eliminate cassava wastes and recover BPD resources as sustainable biomaterials

Use of galactomannan edible coating application and storage temperature for prolonging shelf-life of “regional” cheese

The objectives of this work were to determine the influence of the application of two different coatings (galactomannan and chitosan) and of storage temperature on the gas exchange rate of “Regional” cheese; subsequently, the coating that showed the greatest influence on the cheese gas exchange and simultaneously decreased the O2 consumption (RO2) and the CO2 production (RCO2) rates was applied on cheese, being the shelf-life parameters monitorized through the performance of chemical and microbiological analyses. Both coatings caused a reduction of RO2 and RCO2 of the cheese (between 0.19- and 1.30-fold for RO2 and between 0.19- and 1.50-fold for RCO2, depending on the temperatures). The cheese coated with the galactomannan coating was the one with the lower values of RO2 (between 0.195 and 0.635 mL kg−1 h−1) and RCO2 (between 0.125 and 0.900 mL kg−1 h−1). Temperature was also found to have an important effect on RO2 and RCO2, its influence being well described by an Arrhenius equation with coefficients of determination, R2, of 0.85 and above. The chemical and microbiological analyses showed that the application of the coating in cheese samples can be used to decrease the water loss and the colour changes during the storage time. The presence of the coating decreased the moisture loss of the cheese in 2.5% and 1.9%, and the weight loss in 3.8% and 3.1% at 4 °C and 20 °C, respectively. Also, the hardness of the cheese can be decreased as a result of the interaction of the presence of the coating with changes in the storing temperature. In the studied range (4–20 °C) temperature has a statistically significant effect in moisture loss, colour change, hardness and total mesophilic bacterial growth. Overall, galactomannan coating can be used to improve “Regional” cheese shelf-life as it decreases RO2 and RCO2, improves its weight and appearance and can be used to incorporate natural preservatives to reduce post contamination.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brazil (Capes, Brazil)Queijo Saloio S.A.Fundação para a Ciência e a Tecnologia (FCT

Ohmic heating in a food application: quality evaluation of cloudberry jam

New techniques for food processing are areas of interest for the food industry and ohmic heating is an example of a new technique where there are many possible applications in the food area. The aim of this work was to characterize and compare quality aspects of high quality cloudberry jam with 70 weight-% berries produced on one hand by traditional batch processing technique and on the other hand by ohmic heating in a continuous process. Sensory analysis was performed on the two jams by a trained panel. In order to investigate the consumer opinions in different countries a consumer study was performed including 402 consumers from the four countries Sweden, Portugal, Ireland and Slovakia. Rheological properties of the jam were also measured. The results showed that there were no significant differences for any of the sensory attributes between the jam produced by traditional technique and the jam produced by ohmic heating. The results from the consumer study showed that in all four countries, the appearance, odour, flavour, texture, aftertaste and overall quality of both jams were liked to the same extent. However, differences in liking cloudberry jam differed between the participating countries. The Swedish and the Portuguese consumers were in general giving higher scores on the liking of the cloudberry jams than the Slovakian and Irish consumers. There were no differences found between the two jams according to the rheological properties of the samples. The results indicated that it was possible to maintain the same quality of cloudberry jam produced by ohmic heating as of cloudberry jam produced in a traditional way

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P &lt; 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries