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      Lactating mothers' perceptions and sensory acceptability of a provitamin A carotenoid–iron‐rich composite dish prepared from iron‐biofortified common bean and orange‐fleshed sweet potato in rural western Uganda

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          Abstract

          Uganda's lactating mothers are vulnerable to deficiencies of vitamin A and iron because they consume plant‐based conventional foods such as white‐fleshed sweet potato (WFSP) and non‐iron biofortified common bean (NIBCB) that are low in provitamin A (PVA) and iron, respectively. A PVA carotenoid–iron‐rich dish was prepared from a combination of orange‐fleshed sweet potato (OFSP) and iron‐biofortified common bean (IBCB). This study evaluated the perceptions and sensory acceptability of OFSP+IBCB (test food) against WFSP+NIBCB (control food) among lactating mothers in rural Uganda. A total of 94 lactating mothers participated in the study. The sensory attributes (taste, color, aroma, texture, and general acceptability) of test and control foods were rated using a five‐point facial hedonic scale (1 = dislike very much, 2 = dislike, 3 = neutral, 4 = like 5 = like very much). An attribute was acceptable if the participant scored from like to like very much. Focus group discussions (FGDs) were conducted to assess participant perceptions about their future consumption of OFSP+IBCB. The chi‐square test was used to detect the proportion difference for each sensory attribute between OFSP+IBCB and WFSP+NIBCB, while FGD data were analyzed by thematic analysis. Taste, color, and aroma were acceptable to the mothers and not significantly different between OFSP+IBCB and WFSP+NIBCB ( p > .05). Participants had positive perceptions of the taste, aroma, and color of the OFSP+IBCB and negative perceptions about the soft texture of OFSP. The lactating mothers had positive perceptions of consuming OFSP+IBCB provided they were accessible, affordable, and feasible to prepare.

          Abstract

          A provitamin A carotenoid–iron‐rich composite dish prepared from iron‐biofortified common bean and orange‐fleshed sweet potato is acceptable among lactating mothers in rural Uganda. A figure that best represents the scope of the paper. The image supplied should fit within the dimensions of 50 mm x 60 mm, and be fully legible at this size.

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          Using thematic analysis in psychology

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            Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

            Summary Background In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and development investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding Bill & Melinda Gates Foundation.
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              Sample sizes for saturation in qualitative research: A systematic review of empirical tests

              To review empirical studies that assess saturation in qualitative research in order to identify sample sizes for saturation, strategies used to assess saturation, and guidance we can draw from these studies.
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                Author and article information

                Contributors
                ebuzigi@musph.ac.ug
                Journal
                Food Sci Nutr
                Food Sci Nutr
                10.1002/(ISSN)2048-7177
                FSN3
                Food Science & Nutrition
                John Wiley and Sons Inc. (Hoboken )
                2048-7177
                08 March 2024
                June 2024
                : 12
                : 6 ( doiID: 10.1002/fsn3.v12.6 )
                : 3949-3963
                Affiliations
                [ 1 ] Department of Community Health & Behavioural Sciences School of Public Health, College of Health Sciences, Makerere University Kampala Uganda
                [ 2 ] Department of Dietetics and Human Nutrition School of Agricultural, Earth and Environmental Sciences, University of KwaZulu‐Natal Pietermaritzburg South Africa
                [ 3 ] Department of Public Health & Nutrition Faculty of Health Sciences Victoria University Kampala Uganda
                [ 4 ] School of Vocational Studies, Kyambogo University Kampala Uganda
                Author notes
                [*] [* ] Correspondence

                Edward Buzigi, Department of Community Health & Behavioural Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala 7062, Uganda.

                Email: ebuzigi@ 123456musph.ac.ug

                Author information
                https://orcid.org/0000-0002-3605-8111
                https://orcid.org/0000-0003-3161-1050
                Article
                FSN34053 FSN3-2023-10-2264.R1
                10.1002/fsn3.4053
                11167192
                ec4968d0-1d80-4350-b886-778f51d14239
                © 2024 The Authors. Food Science & Nutrition published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 February 2024
                : 20 October 2023
                : 14 February 2024
                Page count
                Figures: 3, Tables: 4, Pages: 15, Words: 11713
                Funding
                Funded by: Post Doctoral Fellowship awarded to Edward Buzigi by the School of Agricultural, Earth, and Environmental Science, University of kwa‐Zulu Natal, South Africa
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                June 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.4 mode:remove_FC converted:12.06.2024

                iron‐biofortified common bean,lactating mothers,non‐iron‐biofortified common bean,orange‐fleshed sweet potato,perceptions,sensory acceptability,white‐fleshed sweet potato

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