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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.
  • 590
  • 07 Feb 2023
Topic Review
High-Polyphenol-Content Waters Using Biotechnological Approaches
Polyphenols and their intermediate metabolites are natural compounds that are spread worldwide. Polyphenols are antioxidant agents beneficial for human health, but exposure to some of these compounds can be harmful to humans and the environment. A number of industries produce and discharge polyphenols in water effluents. These emissions pose serious environmental issues, causing the pollution of surface or groundwater (which are used to provide drinking water) or harming wildlife in the receiving ecosystems. The treatment of high-polyphenol-content waters is mandatory for many industries.
  • 589
  • 16 Jan 2023
Topic Review
Effectiveness of Physical-Activity-Based Interventions Targeting Overweight and Obesity
Overweight and obesity, including their prevalence and consequences, reflect a leading public health problem. Studies have already shown that physical activity leads to a reduction in body weight in children and adults. It is already known that physical activity is an essential component of combating overweight and obesity. Being overweight causes cardiovascular diseases, diabetes, musculoskeletal disorders, and different types of cancer. According to the WHO, the prevalence of obesity has almost tripled since 1975. In 2016, 1.9 billion people aged 18 years and older were overweight, of which 650 million individuals were considered obese.
  • 588
  • 01 Sep 2022
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.
  • 588
  • 05 Jun 2023
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. 
  • 587
  • 11 May 2022
Topic Review
Obstructive Sleep Apnea(OSA)
Obstructive sleep apnea (OSA) is a common sleep disorder that affects all age groups and is associated with many co-morbid diseases (especially cardiovascular diseases). Continuous positive airway pressure (CPAP) is the gold standard for treating OSA. However, and with increasing prevalence of CPAP non-adherence, other therapeutic interventions have emerged. Hypoglossal nerve stimulation is a novel modality of treating patients with moderate to severe OSA who are not adherent to CPAP.
  • 586
  • 02 Mar 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.
  • 585
  • 16 Mar 2021
Topic Review
Anticancer Strategies Targeting JWA
JWA is a microtubule-associated protein and an environmental response gene. JWA has been identified as a potential therapeutic target for several cancers. 
  • 583
  • 08 Oct 2022
Topic Review
Benefits of Exercise for Lowering Cardiovascular Stress Reactivity
Exaggerated cardiovascular reactivity to and delayed recovery from stress increase the risk of cardiovascular diseases in the future. It is evident that exercise training and aerobic fitness are associated with reduced cardiovascular reactivity and enhanced recovery from stress, but the effects with acute exercise are less characterized. This research sought to explore the range and variety of available studies using acute exercise to lower stress-induced cardiovascular reactivity and recovery. In general, acute exercise particularly of the moderate-intensity, aerobic type effectively reduced stress-induced Blood pressure (BP) reactivity in the healthy population and in those with high blood pressure. This shows that with just a single bout of exercise can help to lower cardiovascular reactivity in response to stress without having to undergo extensive exercise training. Further research would be recommended to establish if other forms of exercise intensity or type are equally beneficial to lower exaggerated cardiovascular responses to stress.
  • 579
  • 15 Apr 2022
Topic Review
Microbiota in Shaping Women’s Health
A properly colonized human microbiota contributes to the proper functioning of the body. The composition of the natural flora changes depending on age, health, living conditions, and the use of antimicrobial agents: antibiotics, disinfectants, and some cosmetics. The human body is diversely populated with microorganisms and undergoes constant changes under the influence of various factors, and its proper composition is extremely important for the proper functioning of the body.
  • 579
  • 09 Jan 2023
Topic Review
Mucociliary Clearance and SARS-CoV-2 Infection
Ciliary beat frequency (CBF) within the ciliated epithelium of the nasal tract can be stimulated to a higher frequency and provide increased protection against transient exposure to airway irritants. Smokers as well as non-smokers exposed to secondhand tobacco smoke were found to have higher CBFs. However, with extended exposure to irritants, persistent upregulated CBF can damage and remodel the epithelial layer with fewer protective cilia. Additionally, mucociliary clearance (MCC), the innate defense mechanism of the respiratory system, traps particles and pathogens within the mucous layer of the epithelium and propels them out of the airways through ciliary activity. However, this mechanism becomes defective as disease progresses, increasing susceptibility to viral respiratory infections. 
  • 578
  • 14 Mar 2024
Topic Review
Children Health and Air Pollution
The developmental origins of health and disease (DOHaD) hypothesis links adverse fetal exposures with developmental mal-adaptations and morbidity later in life. Short- and long-term exposures to air pollutants are known contributors to health outcomes. Air pollution is an established risk factor for morbidity and mortality that affects the general population. The developmental origins of health and disease (DOHaD) hypothesis states that adverse fetal, infant, and childhood growth patterns are causally linked to disease development in adulthood. The literature on cardiovascular and metabolic, respiratory, allergic, and neuropsychological health outcomes, from prenatal development through early childhood, associated with early-life exposures to outdoor air pollutants, including traffic-related and wildfire-generated air pollutants are summarized.
  • 576
  • 26 Aug 2022
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. 
  • 575
  • 28 Oct 2021
Topic Review
Viral Eco-Genomic Tools for Aquatic Biomonitoring
Enteric viruses (EVs) occurrence within aquatic environments varies and leads to significant risk on public health of humans, animals, and diversity of aquatic taxa. Early and efficacious recognition of cultivable and fastidious EVs in aquatic systems are important to ensure the sanitary level of aquatic water and implement required treatment strategies. In combination with bioinformatics techniques, genetic tools including cloning sequencing analysis, DNA microarray, next-generation sequencing (NGS), and metagenomic sequencing technologies are implemented to make informed decisions about the global burden of waterborne EVs-associated diseases.
  • 566
  • 05 Sep 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. 
  • 565
  • 25 Mar 2022
Topic Review
Pets as Sentinels for Environmental Pollution
Sentinels are organisms whose characteristics (including health status) change due to acute or chronic effects in a given environment that can be evaluated (monitored) through serial surveillance. 
  • 563
  • 26 Sep 2023
Topic Review
Syndromic Surveillance Systems for Mass Gatherings
As defined by the Centers for Disease Control and Prevention (CDC), public health surveillance is the “ongoing systematic collection, analysis, and interpretation of outcome-specific data for use in the planning, implementation, and evaluation of public health practice,” which has been instrumental in the reduction in mortality from exposure to infectious diseases and environmental toxins. The arm of public health surveillance that deals specifically with the early detection of disease outbreaks or clusters of adverse health emergencies is referred to as syndromic surveillance and can be defined as “an investigational approach where health department staff, assisted by automated data acquisition and generation of statistical alerts, monitor disease indicators in real-time or near-real-time to detect outbreaks of disease earlier than would otherwise be possible with traditional public health methods”.
  • 561
  • 22 Apr 2022
Topic Review
Monkeypox in Occupational Settings
With ongoing climate change, which alters the conditions for pathogens and vectors, zoonotic diseases such as monkeypox virus will become a challenge and a great threat impacting global health in future decades. A current outbreak of monkeypox is occurring in over 125 countries, with a report of thousands of cases in countries where this virus has never appeared. Occupational exposure to the monkeypox virus has been identified as an issue of major concern for occupational health, especially in healthcare settings. A research following the PRISMA guidelines was performed, which analyzed the effects that the current monkeypox outbreak has in workplaces, given the potential exposure of healthcare workers to the virus, the possible spread of the virus in occupational settings, and the preventive measures that are necessary to implement. At the end of the selection process, 21 studies were included in the research. Healthcare workers are considered at a high risk, and similar preventive measures to those adopted during the SARS-CoV-2 pandemic must be implemented in all healthcare settings. The main recommendations for preventing and managing monkeypox in occupational settings are the vaccination of exposed workers, the prompt identification and isolation of infected individuals, and good hygiene practices. Education and specific training are necessary in non-endemic countries to make healthcare workers able to recognize the disease and prevent further contagions. Although monkeypox seems unlikely to reach the pandemic spread of COVID-19, an approach to global health even to avoid future zoonotic epidemics is required by all stakeholders. 
  • 560
  • 07 Nov 2022
Topic Review
Holistic Conceptual Framework for Dietary Quality Assessment
Numerous dietary quality indices exist to help quantify overall dietary intake and behaviors associated with positive health outcomes. Most indices focus solely on biomedical factors and nutrient or food intake, and exclude the influence of important social and environmental factors associated with dietary intake. Using the Diet Quality Index- International as one sample index to illustrate the proposed holistic conceptual framework, this entry seeks to elucidate potential adaptations to dietary quality assessment by considering—in parallel—biomedical, environmental, and social factors. Considering these factors would add context to dietary quality assessment, influencing post-assessment recommendations for use across various populations and circumstances. Additionally, individual and population-level evidence-based practices could be informed by contextual social and environmental factors that influence dietary quality to provide more relevant, reasonable, and beneficial nutritional recommendations.
  • 558
  • 22 Mar 2023
Topic Review
Phenolic Compounds in Medicinal Plants
Unlike other secondary metabolites, phenolic compounds are found in almost all plant cells. They hold functional significance not at the cell level, but at the level of the whole plant. The central enzyme of phenylpropanoid metabolism (phenylalanine ammonia-lyase) is inducible: due to the induction of the expression of coding genes, its activity increases sharply under the influence of stress factors. 
  • 557
  • 12 Sep 2023
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