15 (95% CI 55.12-77.18). Mbeya Regional Referral Hospital obtained the lowest mean sustainability score of 52.49 (95% CI 42.96-62.01). The process domain had the highest proportionate mean sustainability score of 22.46 (95% CI 20.58-24.33) across four hospitals.  https://www.selleckchem.com/products/glutathione.html  The staff domain recorded the lowest proportionate sustainability score of 27.28 (95% CI 24.76-29.80). CONCLUSIONS Perceived less involvement of senior leadership (hospital management teams) and clinical leadership (heads of clinical departments) and infrastructure limitation appeared to negatively affect the sustainability of the hospital quality improvement teams. Our study underscores the importance of establishing a permanent and fully resourced Quality Improvement Unit-with team members employed as full-time staff. © The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care.BACKGROUND In countries with out-of-pocket (OOP) payment systems for healthcare, the combination of chronic disease and poverty can have damaging socio-economic and health impacts for affected households. Using a life course perspective, this article aims to explore how Nepalese people struggle with, experience and adapt to chronic disease, poverty and their consequences, and how chronic diseases and poverty reinforce each other. METHODS In-depth semi-structured interviews were conducted with 21 chronically ill Nepalese people with one or more chronic diseases and/or their caretakers. Data were transcribed and analysed thematically. RESULTS The adaptation strategies for the consequences of the huge OOP costs make patients and their households financially disadvantaged. The impoverishment has major social impacts and often persists across generations. The situation forces people to choose between avoiding medical treatment or further impoverishing their families. CONCLUSIONS This study explored how chronically ill Nepalese people struggle with socio-economic and health consequences of OOP payments for their disease. The article sheds light on circumstances and adaptation strategies that obstruct every attempt to escape from the vicious cycle of the poverty trap. Hence poverty and health adversities accumulate across generations and contribute to greater health expenditures, worse health outcomes and severely compromised social life. © The Author(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.Since 1997, the Resource Centers for Minority Aging Research Program at the National Institute on Aging has been the model for training social and behavioral scientists in minority aging and health disparities research. The latest cycle of these Centers implemented a new structure for the analytic training of junior investigators and for advancing methodologic work relevant to improving the rigor of minority aging research. In this article, we describe the conceptual framework, logistical approaches, challenges, and lessons learned from our experience training junior investigators in methodology through the Michigan Center for Urban African American Aging Research over the past 20 years, with the goal of informing future analytic training efforts for the next generation of scholars focused on minority aging issues. © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.Iron deficiency anemia (IDA) is the most common nutrient-dependent health problem in the world and could be reversed by commercially available iron supplementation. The form of iron supplement is important due to its toxicity on the gastrointestinal system (GI), so the development of new dietary strategies might be important for the prevention of IDA. It has been shown that plant-based proteins bind to iron and might decrease the free form of iron before absorption and increase iron bioavailability. Thus, we aimed to form lentil derived protein-iron complexes and to test the functional properties of hydrolysed protein-iron complexes in anemic Caco-2 cell line. Our main findings were that (i) lentil derived proteins had the capacity to chelate iron minerals and (ii) hydrolysed protein-iron complexes significantly reduced the mRNA levels of iron regulated divalent metal transporter-1 (DMT1), transferrin receptor (TFR), and ankyrin repeat domain 37 (ANKRD37) marker genes that were induced by iron deficiency anemia. The current findings suggest that hydrolysed protein-iron complexes might have functional properties in iron deficiency anemia in vitro. Further in vivo studies are necessary to show lentil derived proteins and iron might be used as supplements or food additives to reduce the risk of iron deficiency anemia.We present a curious effect observed during the dissolution process of water-immersed long-chain alcohol drops with an entrapped air bubble. These droplets dissolve while entrapping an air bubble pinned at the substrate. We qualitatively describe and explain four different phases that are found during the dissolution of this kind of system. The dissolution rate in the four phases differ dramatically. When the drop-water interface and the air bubble contact each other, rapid cyclic changes of the morphology are found The breakage of the thin alcohol layer in between the bubble and the water leads to the formation of a three phase contact line. If the surface tension of the water-air interface supersedes those of the alcohol-water and alcohol-air interfaces, alcohol from the droplet is pulled upwards, leading to a closure of the air-water interface and the formation of a new thin alcohol film, which then dissolves again, leading to a repetition of the series of events. We call this sequence of events Marangoni puffing. This only happen for alcohols of appropriate surface tension. The Marangoni puffing is an intermediate state. In the final dissolution phases the Marangoni forces dramatically accelerate the dissolution rate, which then becomes one order of magnitude faster than the purely buoyancy-convective driven dissolution. Our results have bearing on various dissolution processes in multicomponent droplet systems.