Production and use of a shelf-stable bovine blood powder for food fortification as a food-based strategy to combat iron deficiency anaemia in subsaharan Africa

Iron deficiency anaemia (IDA) is the most widespread micro-nutrient deficiency  disease world-wide, particularly in developing countries. Although there are several strategies to combat IDA, food-based strategies are the most sustainable and yet little research has been carried out in this area. The study aimed at developing a technology for processing and preserving bovine blood into a shelf-stable powder, which would easily be utilised in fortifying commonly consumed food items, as a food-based strategy in the fight against iron deficiency anaemia. A shelf-stable  powder was processed from fresh bovine blood and the physical, chemical,  microbiological and shelf-life characteristics assessed using conventional methods. The results of the chemical analysis showed that bovine blood powder has a very high concentration of haeme iron at 195.46 mg/100g of powder. This is more than ten times the level of iron in bovine liver, one of the most commonly used food source of haeme iron whose iron content is only 17 mg/100gm of liver. Although microbiological tests carried out on the freshly processed blood powder and on the same powder after one and three months of storage at room temperature found a significant rise in yeast, mould and total plate counts, these values were low and within safe limits. The blood powder was used to fortify a bean sauce. Sensory analysis panellists considered the fortified bean sauce moderately acceptable with a mean score of 4.667 (like slightly) compared to a mean score of 2.333 (like very much) for the non-fortified sauce, on a nine point Hedonic scale. These findings show that processed bovine blood powder has very high levels of haeme iron and  thus has great potential as a food-based strategy to combat iron-deficiency  anaemia in resource-poor developing countries, particularly those in sub-Saharan Africa. However, more research is needed to improve the microbiological and  sensory characteristics of the blood powder.Key Words: Bovine blood, Iron  deficiency anaemia, Sub-saharan Afric

Evaluation of early-generation tropical maize testcrosses for grain-yield potential and weevil (Sitophilus zeamais Motschulsky) resistance

Smallholder maize farmers in Africa experience pre- and post-harvest production stresses either individually or in combination at different stages of the crop cycle. The maize weevil is among the major post-harvest storage pests. A strategy to address this problem is to develop and promote high yielding maize germplasm with resistance to multiple stresses. A study was conducted to: 1) assess yield and agronomic performance of testcross hybrids developed from early generation lines; and 2) assess the response of the testcross hybrids to infestation with Sitophilus zeamais. Fifty-eight drought-tolerant testcross hybrids were evaluated for agronomic performance and weevil resistance at four environments in Uganda in 2016. Hybrid G39 (L2/T2) had the best grain yield performance; it significantly out-performed the best check by 11.4% in all environments. Hybrid grain from field trials was subjected to Sitophilus zeamais infestation in a choice and no choice test under laboratory conditions. Hybrids G56 (L49/T2) and G58 (L51/T2) had the least weevil damage and were rated as resistant to Sitophilus zeamais. The numbers of damaged kernels, number of exit holes and ear aspect were positively correlated with the grain weight loss. The results suggest possibilities for simultaneous selection for high grain yield and storage insect pest resistance among drought-tolerant genotypes. Use of high-yielding and resistant maize hybrids to storage insect pest should be promoted for increased maize production and managing post-harvest losses due to the maize weevil in smallholder farming communities in Africa

Molecular characterization of tropical maize inbred lines using microsatellite DNA markers

An insight on diversity and relationships among germplasm is important in any breeding program for crop improve¬ment. The main objectives of our study were to: (i) determine the level of genetic diversity within mid altitude maize inbred lines resistant to weevils, aflatoxin accumulation and drought, (ii) to suggest potential heterotic groups using their genetic structures and distance based on cluster analysis with the aim to generate broad based source germ¬plasm for mid altitude maize breeding program with combined traits of importance against Aflatoxin accumulation. In this study, 25 SSR markers were used to finger print forty two maize inbred lines to assess the genetic diversity, genetic relationships, and their population structure. A total of 184 alleles were identified at all the loci with an aver¬age of 7.36 and a range between two and 19 alleles per locus. The major allele frequency varied from 0.17 to 0.90 with an average of 0.49 while the minor allele frequency varied from 0.10 to 0.83 with an average of 0.51. The gene diversity values varied from 0.18 to 0.92 with an average of 0.65. Average heterozygosity percentage of the inbred lines was 4%, ranging from 0% to 2%, indicating the low level of heterozygosity within the inbred lines. The aver¬age polymorphism information content (PIC) was 0.61. A dendrogram constructed using unweighted Neighbour Joining algorithm suggested three heterotic groups among the inbred lines. The three heterotic patterns based on the SSR markers need to be verified by field testing to confirm what appears to be promising alternative heterotic patterns. The fixed pattern detected using SSR markers could potentially contribute towards effective utilization of the inbred lines for the exploitation of heterosis and formation of genetically diverse sources population

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Production and use of a shelf-stable bovine blood powder for food fortification as a food-based strategy to combat iron deficiency anaemia in sub-Saharan Africa

Iron deficiency anaemia (IDA) is the most widespread micro-nutrient deficiency disease world-wide, particularly in developing countries. Although there are several strategies to combat IDA, food-based strategies are the most sustainable and yet little research has been carried out in this area. The study aimed at developing a technology for processing and preserving bovine blood into a shelf-stable powder, which would easily be utilised in fortifying commonly consumed food items, as a food-based strategy in the fight against iron deficiency anaemia. A shelf-stable powder was processed from fresh bovine blood and the physical, chemical, microbiological and shelf-life characteristics assessed using conventional methods. The results of the chemical analysis showed that bovine blood powder has a very high concentration of haeme iron at 195.46 mg/100g of powder. This is more than ten times the level of iron in bovine liver, one of the most commonly used food source of haeme iron whose iron content is only 17 mg/100gm of liver. Although microbiological tests carried out on the freshly processed blood powder and on the same powder after one and three months of storage at room temperature found a significant rise in yeast, mould and total plate counts, these values were low and within safe limits. The blood powder was used to fortify a bean sauce. Sensory analysis panellists considered the fortified bean sauce moderately acceptable with a mean score of 4.667 (like slightly) compared to a mean score of 2.333 (like very much) for the non-fortified sauce, on a nine point Hedonic scale. These findings show that processed bovine blood powder has very high levels of haeme iron and thus has great potential as a food-based strategy to combat iron-deficiency anaemia in resource-poor developing countries, particularly those in sub-Saharan Africa. However, more research is needed to improve the microbiological and sensory characteristics of the blood powder