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Topic Review
Road Safety Near a Landfill Assessment in Europe
In Europe, many governments are struggling with the ambitious target of zero road deaths by 2050. On the other hand, they are facing remediation of illegal waste dumps, subject to European infringement procedures and involving a lot of workers and heavy materials transportation. In Italy, a specific department was started in 2017 to carry out the remediation of 200 illegal landfills of urban/industrial solid waste. According to the Italian legislative framework on construction site management, risk assessment should also include risks for the external context caused by the working site.
  • 800
  • 26 May 2023
Topic Review
Concussion Guidelines in Amateur Sports
It is widely recognised in sports medicine that sports-related concussion (SRC) is one of the most difficult injuries to detect, with more needed to be done to recognise, remove and treat athletes with the condition
  • 799
  • 29 Mar 2022
Topic Review
Air Pollution on Chronic Rhinosinusitis and Asthma
Redox regulation participates in the control of various aspects of metabolism. Reactive oxygen and nitrogen species participate in many reactions under physiological conditions. When these species overcome the antioxidant defense system, a distressed status emerges, increasing biomolecular damage and leading to functional alterations. Air pollution is one of the exogenous sources of reactive oxygen and nitrogen species. Ambient airborne particulate matter (PM) is important because of its complex composition, which includes transition metals and organic compounds. Once in contact with the lungs’ epithelium, PM components initiate the synthesis of inflammatory mediators, macrophage activation, modulation of gene expression, and the activation of transcription factors, which are all related to the physiopathology of chronic respiratory diseases, including cancer. 
  • 797
  • 08 Feb 2023
Topic Review
COVID-19's Mortality for Elderly People
A prevalência da pandemia COVID-19 (SARS-CoV-2) na população idosa, principalmente institucionalizada, ocorre por ser este o cenário em que o isolamento social é difícil em uma situação como a de uma pandemia. A vulnerabilidade dessa população está ligada aos aspectos fisiológicos do envelhecimento, que impactam na eficácia do sistema imunológico, desencadeando morbimortalidade por doenças infecciosas.
  • 794
  • 04 Aug 2021
Topic Review
Mercury and Prenatal Growth
The intrauterine environment is critical for healthy prenatal growth and affects neonatal survival and later health. Mercury is a toxic metal which can freely cross the placenta and disrupt a wide range of cellular processes. Many observational studies have investigated mercury exposure and prenatal growth, but no prior review has synthesised this evidence. Four relevant publication databases (Embase, MEDLINE/PubMed, PsycINFO, and Scopus) were systematically searched to identify studies of prenatal mercury exposure and birth weight, birth length, or head circumference. Study quality was assessed using the NIH Quality Assessment Tool, and results synthesised in a narrative review. Twenty-seven studies met the review criteria, these were in 17 countries and used 8 types of mercury biomarker. Studies of birth weight (total = 27) involving populations with high levels of mercury exposure, non-linear methods, or identified as high quality were more likely to report an association with mercury, but overall results were inconsistent. Most studies reported no strong evidence of association between mercury and birth length (n = 14) or head circumference (n = 14). 
  • 791
  • 07 Jul 2021
Topic Review
Racial Disparities and Respiratory Infectious Diseases in USA
In the U.S., racial disparities are present among children, with Hispanic and Black children carrying the burden of infectious respiratory disease occurrence. Several factors are contributory to these outcomes among Hispanic and Black children, including higher rates of poverty; higher rates of chronic conditions, such as asthma and obesity; and seeking care outside of the home. However, vaccinations can be used to reduce the risk of infection among Black and Hispanic children. Whether a child is very young or a teen, racial disparities are present in occurrence rates of infectious respiratory diseases, with the burden resting among minorities. Therefore, it is important for parents to be aware of the risk of infectious diseases and to be aware of resources, such as vaccines.
  • 791
  • 07 Feb 2023
Topic Review
Heatwaves on Human Morbidity in Primary Care Settings
Heatwaves are expected to be more intense, occur more often, and last longer. There is a need to study the effects of heatwaves in primary care settings. Heatwaves are associated with increased heat-related morbidities and decreased respiratory infection risk. The study of heatwaves’ effects in primary care settings helps evaluate the impact of heatwaves on the general population. Primary care settings might be not suitable to study acute life-threatening morbidities. 
  • 787
  • 20 Jan 2022
Biography
Chidiebere Emmanuel Okechukwu
Chidiebere Emmanuel Okechukwu is a healthcare scientist recognized for his significant contributions to the understanding of the relationship between circadian rhythms and mental health, particularly among nurses working night shifts during the COVID-19 pandemic. His research has underscored the challenges faced by healthcare professionals in maintaining mental health amid demanding work schedul
  • 784
  • 16 Dec 2024
Topic Review
Diet Quality Index and Obesity among Chinese Adults
Obesity, or excess adiposity, is a leading public health problem worldwide that results in significant medical burdens. Diet quality scores designed based on Western-style dietary patterns were demonstrated to be good indicators of obesity in developed but not developing countries. This entry shows that diet quality scores tailored to the Chinese diet demonstrate a strong relationship with both undernutrition and overnutrition, as well as being underweight and obese in Chinese adults. 
  • 774
  • 28 Oct 2021
Topic Review
Pioglitazone Use and Sepsis Mortality
The pioglitazone use via the PPARγ agonist in sepsis patients is inconclusive. It was based on a great number of animal studies. However, except for information from animal studies, there are merely no data of human for reference. This study was conducted by a unique database including 1.6 million of diabetic patients. From 1999 to 2013, a total of 145,327 type 2 diabetic patients, first admitted for sepsis, were enrolled. Propensity score matching was conducted in a 1:5 ratio between pioglitazone users and nonusers. Multivariate logistic regression was conducted to evaluate the adjusted odds ratios (aORs) of hospital mortality in pioglitazone users. Further stratification analysis and Kaplan-Meier plot were utilized. A total of 9,310 sepsis pioglitazone users (defined as "ever" use pioglitazone in any dose within 3 months prior to the first admission for sepsis) and 46,550 matched nonusers were retrieved, respectively. In the multivariate logistic regression model, the cohort of pioglitazone users (9,310) had a decreased aOR = 0.95 (95% CI, 0.89-1.02) of sepsis mortality. Further stratification analysis demonstrated that "chronic pioglitazone users" (defined as "at least" 4 weeks drug use within 3 months) (3,399) was much associated with significant aOR = 0.80 (95% CI, 0.72-0.89) in reducing sepsis mortality. This first human cohort study demonstrated the potential protective effect of chronic pioglitazone use in type 2 diabetic sepsis patients.
  • 771
  • 16 Mar 2021
Topic Review
Cystic Echinococcosis in the Early 2020s
Cystic echinococcosis (CE) is a zoonosis caused by metacestodes, the larval stage of Echinococcus granulosus. Although the World Health Organization (WHO) has defined CE as a neglected disease, it is the second most important foodborne parasitic disease, and it remains an important public health issue, considering its zonal endemicity and potential morbidity. The control and prevention of CE is a relevant WHO target, especially from a One Health perspective, as the disease affects not only animals and humans but also the food chain. Since not all countries have a CE surveillance strategy or reporting system and specific management guidelines, recent epidemiological data are relatively scarce, and research concerning the specific geographical distribution of the disease is ongoing. 
  • 771
  • 11 Feb 2024
Topic Review
Marine Cyanobacterial Peptides in Neuroblastoma
Neuroblastoma is the most prevalent extracranial solid tumor in pediatric patients, originating from sympathetic nervous system cells. Metastasis can be observed in approximately 70% of individuals after diagnosis, and the prognosis is poor. The current care methods used, which include surgical removal as well as radio and chemotherapy, are largely unsuccessful, with high mortality and relapse rates. Marine cyanobacteria are a key source of physiologically active metabolites, which have recently received attention owing to their anticancer potential. Marine peptides possess several advantages over proteins or antibodies, including small size, simple manufacturing, cell membrane crossing capabilities, minimal drug–drug interactions, minimal changes in blood–brain barrier (BBB) integrity, selective targeting, chemical and biological diversities, and effects on liver and kidney functions.
  • 769
  • 05 Jun 2023
Topic Review
Occupational Exposure to Halogenated Anaesthetic Gases in Hospitals
Objective During the induction of gaseous anaesthesia, waste anaesthetic gases (WAGs) can be released into workplace air. Occupational exposure to high levels of halogenated WAGs may lead to adverse health effects; hence, it is important to measure WAGs concentration levels to perform risk assessment and for health protection purposes.
  • 768
  • 13 Mar 2023
Topic Review
Erosive Tooth Wear among Preschool Children
Erosive tooth wear is understood as a common problem to many adults, but it also affects many children. The findings suggested that the prevalence of erosive tooth wear among preschool children was over one-third (39.64%), with low-quality evidence suggesting boys and children with digestive disorders being more significantly affected.
  • 765
  • 13 Apr 2022
Topic Review
Trends in Pollutant Accumulations in Energy-Efficient Residential Buildings
Improving the energy efficiency of buildings is a major target in developed countries toward decreasing their energy consumption and CO2 emissions. To meet this target, a large number of countries have established energy codes that require buildings to be airtight. While such a retrofitting approach has improved health outcomes in areas with heavy traffic, it has worsened the health outcomes in Nordic countries and increased the risk of lung cancer in areas with high levels of radon emissions. The implementation of mechanical ventilation in new energy-efficient buildings has solved some of these problems; however, for others, a decrease in the level of outdoor pollutants was still required in order to achieve a good indoor air quality. A good balance between the air exchange rate and the air humidity level (adapted to the location) is key to ensuring that exposure to the various pollutants that accumulate inside energy-efficient buildings is low enough to avoid affecting inhabitants′ health. Evidence of the protective effect of mechanical ventilation should be sought in dwellings where natural ventilation allows pollutants to accumulate to threatening levels. 
  • 763
  • 25 Mar 2022
Topic Review
Detraining in Athletes and COVID-19
The COVID-19 pandemic has affected many people in general and athletes in particular. This has led to a series of restrictions, which from a pathophysiological point of view, may affect the athlete’s performance in the short and long term. The restrictions basically affect training and eating habits, disturbing physical condition, as well as psychological behavior and general health status. Several aspects of systemic alterations caused by the SARS-CoV-2 virus and the resultant COVID-19 disease have been currently explored in the general population. Researchers believe that the most important element to take into account is the neuromuscular aspect, due to the implications that this system entails in motion execution and coordination. In this context, deficient neuromuscular control when performing dynamic actions can be an important risk factor for injury. 
  • 762
  • 11 May 2022
Topic Review
Child-Friendly Streetscape in Migrant Workers’ Communities in China
Designing child-friendly streetscapes is a pragmatic and effective approach to addressing the limited outdoor play spaces and social exclusion experienced by migrant children living in vulnerable residential areas. Addressing the development and well-being of all children in urban communities is important for the sustainable development of cities and society. A growing body of research emphasizes the need for urban planning strategies and community initiatives that promote safe and accessible play spaces for children, as well as social integration policies and support networks, thereby fostering children’s overall well-being.
  • 762
  • 12 Oct 2023
Topic Review
Spectrum of Bisphenols and Phthalates as Endocrine Disruptors
Excess body weight constitutes one of the major health challenges for societies and healthcare systems worldwide. Besides the type of diet, calorie intake and the lack of physical exercise, data have highlighted a possible association between endocrine-disrupting chemicals (EDCs), such as bisphenol A, phthalates and their analogs, and obesity. EDCs represent a heterogeneous group of chemicals that may influence the hormonal regulation of body mass and adipose tissue morphology.
  • 762
  • 10 Jan 2024
Topic Review
Sustainable Diets
A calorie-balanced diet mainly based on food of plant origin that would allow the attainment of 60% of daily caloric requirements and a low protein intake from animal foods (focusing in fish and poultry) could significantly reduce global morbi-mortality and the dietary environmental impact maintaining a framework of sustainability conditioned by the consumption of fresh, seasonal, locally produced and minimally packaged products. The implementation of sustainable diets requires working on the triangulation of concepts of food–health–environment from schools and that is permanently reinforced during all stages of the life by healthcare workers, who should establish the appropriate modifications according to the age, gender and health situation. 
  • 759
  • 23 Mar 2022
Topic Review
Impact of Dietary AGEs on Female Reproduction
Advanced glycation end products (AGEs), a heterogenous group of products formed by the reaction between protein and reducing sugars, can form endogenously due to non-enzymatic reactions or by exogenous sources such as diet where considerable increase in AGEs is observed due to the modification of food mainly by thermal processing. Recent studies have suggested that AGEs could impact, via inducing inflammation and oxidative stress, the reproductive health and fertility in both males and females.
  • 759
  • 22 Apr 2022
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