Zinc utilization and associated factors among under-five children with diarrhea in East Africa: A generalized linear mixed modeling

Introduction Diarrhea is the leading cause of illness and death among under-five children in low and middle income countries. Through the provision of zinc supplements has been shown to reduce the severity and duration of diarrhea, as well as the risk of mortality, the use of zinc for the treatment of diarrhea is still very low in low-income countries. Therefore, this study was conducted to determine the prevalence and associated factors of zinc utilization among under-five children with diarrhea in East Africa. Methods A secondary data analysis of the recent Demographic and Health Surveys (DHS) of East African countries were used to determine the prevalence and associated factors of zinc utilization among under-five children with diarrhea in East Africa. A total weighted samples of 16,875 under-five children with diarrhea were included in the study. A generalized linear mixed model (using Poisson regression with robust error variance) was used. Prevalence Ratios (PR) with their 95% confidence interval (CI) were calculated for those variables included in the final model. Results The overall prevalence of zinc utilization among under-five children with diarrhea in this study was 21.54% (95% CI = 20.92–22.16). Of East African countries, Uganda had the highest prevalence of zinc utilization (40.51%) whereas Comoros had the lowest (0.44%). Maternal primary education (Adjusted Prevalence Ratio(aPR) = 1.29, 95% CI: 1.16–1.44), secondary education (aPR = 1.36, 95% CI = 1.19–1.55) and higher education (aPR = 1.91, 95% CI = 1.52–2.40), high community women education (aPR = 1.12, 95% CI = 1.02–1.24), high wealth index (aPR = 1.12, 95% CI = 1.01–1.24), high community media exposure (aPR = 1.17, 95% CI = 1.06–1.29) were associated with a higher prevalence of zinc utilization. Conclusion The prevalence of zinc utilization among under-five children was found to be low in East Africa. Maternal education, wealth index, community women education, and community media exposure were significantly associated with zinc utilization. Increased mass media exposure, maternal education and wealth index is recommended to improve zinc utilization among under-five children with diarrhea.

Factors associated with zinc utilization for the management of diarrhea in under-five children in Ethiopia

Background Zinc has a tremendous advantage to save the life of children. It reduces the mean duration of diarrhea and mortality due to diarrhea. Besides, it reduces the severity of the initial episode, and also it prevents future diarrhea episodes. But there is low utilization of zinc for the management of diarrhea in under-five children in Ethiopia and there is a paucity of literature regarding the factors associated with the utilization. Method The 2016 Ethiopian demographic and health survey data were used as a data source. A total weighted sample of 1228 under-five children with diarrhea within 2 weeks preceding the survey were used. A mixed-effects logistic regression analysis was done to account for the complex sample design of the data. Variables with p-value < 0.20 in the bivariable analysis were eligible for multivariable analysis and those variables with p value< 0.05 in the multivariable analysis were declared to be determinants of zinc utilization for the management of diarrhea in under-five children. Result In this study, we found multiple determinants of zinc utilization. Mothers with formal education (adjusted odds ratio (AOR) = 1.83;95% CI; 1.30–2.58) and media exposure (AOR = 1.46;95% CI; 1.04–2.04) had higher odds of zinc utilization. But mothers from five and above household size (AOR = 0.57;95% CI; 0.39–0.82) had lower odds of zinc utilization for the management of diarrhea in under-five children. Conclusion In our study maternal education, media exposure, and household size were determinants of zinc utilization for the management of diarrhea in under-five children. Being having a formal education and being exposed to all or either of the three media (radio, TV, and newspaper) increases the likelihood of zinc utilization while being mothers from large household size decreases the likelihood of zinc utilization. Therefore, giving special attention to those mothers with no formal education, and mothers from high family size could increase the utilization of zinc for the management of diarrhea in under-five children. Also, media campaigns regarding diarrhea management could be scaled up to potentially achieve the desired impact.

Improved Discharge Capacity of Zinc Particles by Applying Bismuth-Doped Silica Coating for Zinc-Based Batteries

Corrosion and discharge behavior of battery-grade zinc particles coated with a silica layer doped with bismuth was investigated and compared with untreated zinc powder. Electrochemical investigations were carried out in half-cell configuration. The electrolyte was 6 M KOH in excess. Coated zinc particles provided a discharge capacity of 737 mAh g−1 (89.9% DoD) versus 633 mAh g−1 (77.2% DoD) of untreated zinc particles after a dwell time of 1 h in KOH. The silica coating reduced the direct contact of the zinc surface with the electrolyte and thus minimized the hydrogen evolution reaction, which led to an increased discharge capacity. Additionally, bismuth doping enhanced conductivity within the silica coating and increased zinc utilization. Those coated zinc particles inhibited corrosion, i.e., corrosion efficiency reached 87.9% compared to uncoated zinc. Additionally, the coating achieved a capacity retention of 90.9% (670 mAh g−1) after 48 h dwell time in 6 M KOH. The coatings were prepared by sol-gel technology and characterized by Fourier transform infrared spectroscopy (FTIR), X-ray diffractometry (XRD), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), and Brunauer-Emmett-Teller (BET) surface determination.

Zinc–bromine hybrid flow battery: effect of zinc utilization and performance characteristics

The effect of zinc utilization and the performance characteristics in a zinc–bromine redox flow cell is reported. Simultaneously changing the quality of the electrolyte and the electrode substrate material resulted in an increase in the surface coverage with randomly oriented crystallographic (101) planes and, as a result, the cell exhibited higher Faradaic efficiency.