Nature's "Free Lunch": The Contribution of Edible Insects to Food and Nutrition Security in the Central Highlands of Madagascar.

Edible insects are a healthy, sustainable, and environmentally friendly protein alternative. Thanks to their quantitative and qualitative protein composition, they can contribute to food security, especially in Africa, where insects have been consumed for centuries. Most insects are still harvested in the wild and used for household consumption. So far, however, little attention has been paid to insects' real contribution to food security in low-income countries. Entomophagy, the human consumption of insects, is widespread in many rural areas of Madagascar, a country, at the same time, severely affected by chronic malnutrition. This case study was carried out in a region where entomophagy based on wild harvesting is a common practice and malnutrition is pervasive. The data were obtained in 2020 from a survey among 216 households in the rural commune of Sandrandahy in the central highlands of Madagascar. Descriptive statistics, correlation, and regression analysis were used to show the relative importance of insects for the local diet and to test various hypotheses related to food security. Results show that insects contribute significantly to animal protein consumption, especially in the humid season, when other protein sources are scarce. They are a cheap protein source, as much esteemed as meat by the rural population. There are no significant differences in the quantities of insects consumed by poorer versus richer households, nor between rural and urban households. Insect consumption amounts are strongly related to the time spent on wild harvesting. The importance of edible insects for poor, food-insecure rural areas and how entomophagy can be promoted for better food and nutrition security are discussed.

Delivery of molecular versus particulate water in spontaneously breathing tracheotomized patients.

BACKGROUND: Adequate humidification of inspired gas with active or passive humidifiers is a standard of care for tracheotomized patients. In this study, a comparison is made between the tracheal climate after tracheobronchial humidification either with molecular water (via a vaporizing humidifier) or particulate water (via spray) in spontaneously breathing tracheotomized patients. METHODS: We performed a randomized, 2-way crossover study on 10 tracheotomized patients. Tracheal humidity and temperature were measured prior to and after use of a vaporizing humidifier and aerosol spray, respectively. RESULTS: After use of both the vaporizing humidifier and the aerosol spray, the end-inspiratory total water content and water gradient in the upper trachea increased significantly, compared with baseline values before application. After end of use of the vaporizing humidifier, the total water content and the water gradient decreased significantly faster than after application of the aerosol spray. CONCLUSIONS: Delivery of both molecular and particulate water significantly increases the tracheal climate and conditioning in the tracheal airways. Because the tracheal humidity remained on a higher level after aerosol spray, we speculate that particulate water may be efficient on tracheal humidification for longer. However, the positive effect on tracheal humidity after prolonged application of the aerosol spray remains to be proven.

Influence of passive humidification on nasal conditioning.

BACKGROUND: Passive humidifiers (PH) have been beneficial to upper and lower airway humidity, especially in patients who are in a long-time ventilated intensive care unit. The goal of this pilot study was to provide nasal conditioning data and measure the benefit of a nasal PH to spontaneously breathing, conscious subjects. METHODS: Eleven healthy volunteers had to wear a PH for 1 hour, which was introduced into both nasal vestibules. The PH had a heat and moisture restoring body of polyurethane foam with an open-pore structure. Before and after application of the nasal PH, nasal conditioning was measured and nasal symptoms were assessed by the participants. RESULTS: Ten minutes after removal of the PH a significant increase was observed for the scores for nasal patency and nasal humidity. CONCLUSION: We hypothesize that the nasal PH could provide a valuable contribution to the supportive therapy of diseases that accompany nasal mucosal dryness.

Measurement of tracheal humidity and temperature.

BACKGROUND: After tracheostomy, patients often present with chest complaints. Measurement of objective parameters of the tracheal climate is important to evaluate 'artificial noses' or humidifying devices. OBJECTIVES: The purpose of this study was to present an experimental setup for measurement of tracheal temperature and humidity for possible use in clinical studies in tracheotomized patients. METHODS: The study design was a prospective study. Patients with tracheal stoma were chosen as study participants. Tracheal temperature and humidity during the respiratory cycle were measured using a miniaturized thermocouple and a humidity sensor connected to a suction system. RESULTS: Accurate measurement of tracheal temperature and humidity was feasible in patients with tracheal stoma. Tracheal humidity and temperature values measured in this study were similar to values reported earlier by other working groups. CONCLUSIONS: The experimental setup presented may reliably be used in the evaluation of 'artificial noses' or other passive humidifiers in tracheotomized patients.

Tracheal climate in laryngectomees after use of a heat and moisture exchanger.

OBJECTIVE/HYPOTHESIS: Heat and moisture exchangers (HME) are frequently used in the treatment and prevention of tracheobronchial dryness and infections. In this study, the short-term influence of the HME Prim-Air System (Heimomed, Kerpen, Germany) in laryngectomized patients was tested. STUDY DESIGN: Prospective study. METHODS: After adaptation to the laboratory environment, tracheal humidity and temperature were measured before HME application, 1 minute after HME application, 10 minutes after HME application, 1 minute after removal of the HME, and 10 minutes after removal of the HME. RESULTS: When the HME was placed on the tracheal stoma, the end-inspiratory humidity and temperature increased significantly. Ten minutes after commencement of use of the HME, tracheal humidity further increased significantly. Ten minutes after removal of the HME, tracheal humidity and temperature decreased to values as before start of use of HME. CONCLUSIONS: The results indicate that short-term use of the HME Prim-Air system rapidly changes the tracheal climate. The significant increase in tracheal temperature and humidity may have beneficial effects on tracheal dryness in laryngectomized patients.