Malnutrition and tuberculosis are both problems of considerable magnitude in most of the underdeveloped regions of the world. These two problems tend to interact with each other. Tuberculosis mortality rates in different economic groups in a community tend to vary inversely with their economic levels. Similarly, nutritional status is significantly lower in patients with active tuberculosis compared with healthy controls. Malnutrition can lead to secondary immunodeficiency that increases the host's susceptibility to infection. In patients with tuberculosis, it leads to reduction in appetite, nutrient malabsorption, micronutrient malabsorption, and altered metabolism leading to wasting. Both, protein-energy malnutrition and micronutrients deficiencies increase the risk of tuberculosis. It has been found that malnourished tuberculosis patients have delayed recovery and higher mortality rates than well-nourished patients. Nutritional status of patients improves during tuberculosis chemotherapy. High prevalence of human immunodeficiency (HIV) infection in the underdeveloped countries further aggravates the problem of malnutrition and tuberculosis. Effect of malnutrition on childhood tuberculosis and tuberculin skin test are other important considerations. Nutritional supplementation may represent a novel approach for fast recovery in tuberculosis patients. In addition, raising nutritional status of population may prove to be an effective measure to control tuberculosis in underdeveloped areas of world.
A non-perturbative nonlinear theory for moderately dense gas–solid suspensions is outlined within the framework of the Boltzmann–Enskog equation by extending the work of Saha & Alam (J. Fluid Mech., vol. 833, 2017, pp. 206–246). A linear Stokes’ drag law is adopted for gas–particle interactions, and the viscous dissipation due to hydrodynamic interactions is incorporated in the second-moment equation via a density-corrected Stokes number. For the homogeneous shear flow, the present theory provides a unified treatment of dilute to dense suspensions of highly inelastic particles, encompassing the high-Stokes-number rapid granular regime ($St\rightarrow \infty$) and its small-Stokes-number counterpart, with quantitative agreement for all transport coefficients. It is shown that the predictions of the shear viscosity and normal-stress differences based on existing theories deteriorate markedly with increasing density as well as with decreasing Stokes number and restitution coefficient.
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