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All Topic Review Biography Peer Reviewed Entry Video Entry
Topic Review
International Retirement Migration
Retirement, which marks the end of one’s working career, is an important phase in an individual’s life.
  • 1.9K
  • 30 Nov 2021
Topic Review
Pet Ownership and Quality of Life
Pet ownership is the most common form of human–animal interaction, and anecdotally, pet ownership can lead to improved physical and mental health for owners. The entry summarizes the literature to determine the evidence for the role pets play in quality of life for their owners. 
  • 1.8K
  • 21 Jan 2022
Topic Review
Trauma-Related Internalizing and Externalizing Behaviors in Adolescence
The adolescent brain is an open window on the environment, which is vulnerable to perturbations and the traumatic experiences occurring before or during this period have an increased saliency in affecting cognitive, emotional, and social levels. During adolescence, trauma-related effects causing significant impairment or suffering could be manifest in internalizing and externalizing behaviors. 
  • 1.8K
  • 29 Sep 2022
Topic Review
Basic Components of Osmotic Pump Systems
Novel drug delivery systems (NDDS) is a broad term that encompasses many dosage forms, one of which is osmotic pumps. Osmotic pumps are considered to be the most reliable source of controlled drug delivery, both in humans and in animals. These pumps are osmotically controlled and release active agents through osmotic pressure. To a large extent, drug release from such a system is independent of gastric fluids. Based on such unique properties and advantages, osmotic pumps have made their mark on the pharmaceutical industry. 
  • 1.8K
  • 07 Dec 2022
Topic Review
A Systematic Approach to Healthcare Knowledge Management Systems
Big data in healthcare contain a huge amount of tacit knowledge that brings great value to healthcare activities such as diagnosis, decision support, and treatment. However, effectively exploring and exploiting knowledge on such big data sources exposes many challenges for both managers and technologists. A healthcare knowledge management system that ensures the systematic knowledge development process on various data in hospitals was proposed. It leverages big data technologies to capture, organize, transfer, and manage large volumes of medical knowledge, which cannot be handled with traditional data-processing technologies. In addition, machine-learning algorithms are used to derive knowledge at a higher level in supporting diagnosis and treatment.
  • 1.8K
  • 13 May 2022
Topic Review
Effects of Alcohol Withdrawal in Hypertension
Alcoholic beverages are common components of diets worldwide and understanding their effects on humans’ health is crucial. Because hypertension is the leading risk factor for cardiovascular diseases and all-cause mortality. Two different clinical conditions can result from the interruption of alcohol consumption. In heavy alcohol drinkers, abrupt interruption of alcohol intake might result in an alcohol withdrawal syndrome (AWS), with a critical condition that might require hospitalization. Alternatively, chronic reduction/interruption of alcohol intake could be part of the lifestyle changes that are recommended for the achievement of better blood pressure control in hypertensive patients.
  • 1.8K
  • 24 Feb 2023
Topic Review
Hospital Foodservice to Improve Inpatients' Food Intakes
Reduced food intake among hospitalized patients or inpatients is often associated with adverse health consequences such as malnutrition. To improve patients’ food intake, satisfaction, nutritional status, and quality of life, five intervention strategies were identified: implementing a new food service system, menu modification, multidisciplinary approaches in nutrition care, protected mealtime intervention programs, and attractive meal presentation.
  • 1.8K
  • 22 Nov 2021
Biography
Vulstan James Shedura
Vulstan James Shedura is a Field Epidemiologist holding a Master’s degree in Epidemiology and Laboratory Management at the Muhimbili University of Health and Allied Sciences (MUHAS), and  a Medical Laboratory Scientist holding a Bachelor’s degree from International Medical and Technological University (IMTU). He studied a total of three online diplomas in Leadership and Management, Water Sa
  • 1.7K
  • 22 Mar 2025
Topic Review
Recurrent and Residual Caries with Resin Composite Restorations
Caries is the most widely prevailing noncommunicable disease, and is a multifactorial process presently considered as biofilm-mediated rather than an infectious disease. According to the ecological plaque hypothesis, caries occurs as a result of an imbalance of oral microflora—normally more than 700 species—leading to an increase in cariogenic bacteria such as Streptococcus mutans and Lactobacilli types. The accumulating cariogenic bacteria produce acids such as lactic acid that reduce the local pH, leading first to demineralization and later to the destruction of the organic matrix. Caries progresses when demineralization cycles prevail and remineralization cycles cease. Classically, bacterial proteases are blamed for the proteolytic process taking place because of dental caries. Recently, it has become increasingly evident that activated endogenous matrix metalloproteinases (MMPs) and cystine cathepsins of salivary, gingival crevicular fluid and dentinal origin, together with bacterial proteases, share in degrading the dentin matrix of demineralized dentin. This takes place at neutralized pH levels where the buffering effect of saliva takes place, since MMPs operate only in neutral pH values.
  • 1.7K
  • 24 Nov 2022
Topic Review Peer Reviewed
Adverse Events Profile of COVID-19 Preventative Strategies
The COVID-19 pandemic has caused millions of deaths and has affected most people across the world, either directly or indirectly. Many preventative and therapeutic strategies have been employed since the beginning of the pandemic. With the development of the mRNA vaccine within a year of the start of the pandemic, we are entering a new era of vaccinology, and the adverse event profile of the COVID-19 vaccine is also becoming more apparent with time. While the benefits of the vaccines and other preventative strategies certainly outweigh the risk of adverse events, prospective clinical trials are urgently needed to determine whether specific populations, including those with a personal or family history of autoimmune disease, are at higher risk of developing certain adverse events, in order to minimize risk further.
  • 1.7K
  • 13 Apr 2022
Topic Review
Patient-Centered Care for Depression Patients
People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, and participatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care.
  • 1.7K
  • 18 Aug 2021
Topic Review
L-Citrulline
L-citrulline (CIT) is an organic compound and a non-essential amino acid, and the body can synthesize it endogenously. Diet is a poor source of CIT and endogenous synthesis the its main source in the body. Watermelon is the principal source of that amino acid in the diet; the name citrulline comes from Citrullus lanatus (Thunb.), the scientific name for watermelon. CIT concentration in watermelon depends on the type of cultivir and usually ranges between 0.7 and 3.6 g/kg of fresh weight. CIT is present in both the flesh and in the ring.
  • 1.7K
  • 06 May 2021
Topic Review
BioFilms
Biofilms are aggregates formed as a protective survival state by microorganisms to adapt to the environment and can be resistant to antimicrobial agents and host immune responses due to chemical or physical diffusion barriers, modified nutrient environments, suppression of the growth rate within biofilms, and the genetic adaptation of cells within biofilms. With the widespread use of medical devices, medical device-associated biofilms continue to pose a serious threat to human health, and these biofilms have become the most important source of nosocomial infections. However, traditional antimicrobial agents cannot completely eliminate medical device-associated biofilms. New strategies for the treatment of these biofilms and targeting biofilm infections are urgently required. Several novel approaches have been developed and identified as effective and promising treatments.
  • 1.7K
  • 13 Apr 2021
Topic Review
Physiotherapy Interventions in the Elderly with Neurological Disorders
Physiotherapy deals with the support and promotion of physical recovery after physical injuries or neurological events and conditions. The degeneration of the neuromuscular system over time is an inevitable part of the aging process, a condition that makes physical therapy necessary in the elderly, especially those with additional neurological disorders (NDs). In this context, physiotherapists often have to evaluate and treat elderly patients with loss of cognitive function from aging as well as balance disorders such as cerebral palsy (and movement disorders), degenerative diseases such as Parkinson’s disease, multiple sclerosis, Alzheimer’s disease, polyneuropathy (e.g., diabetic neuropathy or Guillain–Barré syndrome), peripheral nerve injuries, and acute cases such as patients recovering from stroke and, recently, elders recovering from COVID-19. Most of the therapeutic approaches for neurological rehabilitation include basic elements such as promoting normal movement, controlling abnormal muscle tone, and facilitating function. Furthermore, neurological physiotherapy adopts a problem-based individualized approach, as determined from a thorough evaluation of a patient’s health status. Therefore, the treatment goals for a person recovering from a stroke may be vastly different among patients with similar NDs but different health history. Thus, the treatment approaches used depend on the individual patient and their symptoms and physiotherapy’s rehabilitation goals, so a variety of tools and standard approaches can be applied.
  • 1.7K
  • 10 Aug 2022
Topic Review
Galactomyces Ferment Filtrate
Galactomyces ferment filtrate (GFF) is such a functional ingredient. Its use originated from the empirical observation that the hands of sake brewers who deal with yeast fermentation retain a beautiful and youthful appearance. Consequently, skincare products based on GFF are widely used throughout the world.
  • 1.7K
  • 15 Nov 2022
Topic Review
RAASi Therapy
RAASi therapy (ACEi, ARB, MRA, and ARNi therapy) is the cornerstone therapy for patients with heart failure with reduced ejection fraction (HFrEF).
  • 1.7K
  • 13 Dec 2021
Topic Review
Psychomotor Agitation
The Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) defines agitation as an excessive motor activity associated with a feeling of inner tension. Motor activity is usually non-productive and repetitious and can include behaviors such as pacing, fidgeting, hand wringing, pulling one’s clothes, and an inability to sit still. Even if aggression and violence are not core agitation features, a progression in agitation severity can lead to aggressive and violent behaviors. At the first International Experts’ Meeting on Agitation, agitation was defined as "a state where patients cannot remain still or calm, characterized by internal features such as hyperresponsiveness, racing thoughts, and emotional tension; and external ones, mainly motor and verbal hyperactivity, and communication impairment".
  • 1.6K
  • 13 May 2021
Topic Review
The Related Metabolic Diseases and Treatments of Obesity
Obesity is a chronic disease characterized by the abnormal or excessive accumulation of body fat. Obesity is commonly associated with other metabolic disorders, such as type 2 diabetes, non-alcoholic fatty liver disease, cardiovascular diseases, chronic kidney disease, and cancers. Factors such as a sedentary lifestyle, overnutrition, socioeconomic status, and other environmental and genetic conditions can cause obesity. Many molecules and signaling pathways are involved in the pathogenesis of obesity. 
  • 1.6K
  • 01 Sep 2022
Topic Review
Food Security Interventions among Refugees
There are 26 million refugees globally, with as many as 80% facing food insecurity irrespective of location. Humanitarian agencies continually provide assistance and evaluate their interventions in areas of refugee crisis. Researchers should adopt a standard feasible food security assessment tool which is needed to assess the effectiveness of interventions across locations and countries to develop best practices based on comparative results.
  • 1.6K
  • 24 Mar 2022
Topic Review
Pharmaceutical Care
Pharmaceutical care necessitates significant efforts from patients, informal caregivers, the interprofessional team of health care professionals and health care system administrators. Collaboration, mutual respect and agreement amongst all stakeholders regarding responsibilities throughout the complex process of pharmaceutical care is needed before patients can take full advantage of modern medicine. Based on the literature and policy documents, in this position paper, we reflect on opportunities for integrated evidence-based pharmaceutical care to improve care quality and patient outcomes from a nursing perspective.
  • 1.6K
  • 02 Jul 2021
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