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Topic Review
Visually Impaired Persons’ Assistance
The development of new solutions to assist blind people is a major research domain having great potential to enhance the daily lives of such people. These innovative solutions aim to augment the perception of the surrounding environment for the blind and severely visually impaired. 
  • 689
  • 06 Dec 2023
Topic Review
Eye-Tracking-Based Trail-Making Test to Detect Cognitive Impairment
The growing number of people with cognitive impairment will significantly increase healthcare demand. Screening tools are crucial for detecting cognitive impairment due to a shortage of mental health experts aiming to improve the quality of life for those living with this condition. Eye tracking is a powerful tool that can provide deeper insights into human behavior and inner cognitive processes. The proposed Eye-Tracking-Based Trail-Making Test, ETMT, is a screening tool for monitoring a person’s cognitive function.
  • 689
  • 21 Aug 2023
Topic Review
Could Periodontitis Aggravate Psoriasis
Psoriasis is a chronic and inflammatory systemic disease that has been associated with periodontal pathologies, specifically periodontitis.
  • 688
  • 20 Jun 2023
Topic Review
Epidemiology—TNBC Risk in T2DM Patients
Triple-negative breast cancer (TNBC) is usually the most malignant and aggressive mammary epithelial tumor characterized by the lack of expression for estrogen receptors and progesterone receptors, and the absence of epidermal growth factor receptor (HER)2 amplification. Corresponding to 15–20% of all breast cancers and well-known by its poor clinical outcome, this negative receptor expression deprives TNBC from targeted therapy and makes its management therapeutically challenging. Type 2 diabetes mellitus (T2DM) is the most common ageing metabolic disorder due to insulin deficiency or resistance resulting in hyperglycemia, hyperinsulinemia, and hyperlipidemia. Due to metabolic and hormonal imbalances, there are many interplays between both chronic disorders leading to increased risk of breast cancer, especially TNBC, diagnosed in T2DM patients.
  • 688
  • 27 Jul 2023
Topic Review
Strategies for the Appropriateness of Medication Use
The evidence on the effectiveness of strategies and tools to promote and improve medication appropriateness and their sustainability largely derives from local and heterogeneous experiences with contrasting results. As a general framework, three main steps should be considered in implementing measures to improve the appropriateness of medications: prescription, acceptance by the patient, and continuous monitoring of adherence and the risk-benefit profile. Each step needs efforts from specific actors (physicians, patients, caregivers, healthcare professionals) and dedicated supporting tools. Moreover, how to support the appropriateness also strictly depends on the particular care setting (hospital, ambulatory or primary care, nursing home, long-term care) and available economic resources. 
  • 686
  • 23 Sep 2022
Topic Review
Challenges in Computer Vision and Artificial Intelligence Surgery
It can be said that deep-learning-based methods have significantly advanced research and development in the area of robotic surgery, across various tasks including objects detection and recognition, classification, navigation and construction of 3D representation of the environment. However, one of the key requirements for successfully implementation of DL-based methods is the availability of large volumes of carefully annotated datasets. In the surgical environment, this can be very expensive and labor-intensive tasks. More importantly, in some scenarios, it can be even impossible to acquire such data, for example, when you consider the need for estimating depth information for endoscopic surgery images, which is an important task to facilitate navigation in a surgery setting using a robot or a semi-autonomous device. In the deep learning era, if the researchers can obtain large volumes of good quality videos with the corresponding depth maps, then such a task may be very possible.
  • 684
  • 12 Jul 2022
Topic Review
Pre-Conceptual Guidelines for Male Infertility
Male fertility is declining and affects approximately one in seven couples. Reasons for this are multi-factorial and the subject of on-going research, though environmental contaminants (such xenoestrogens) are believed to be contributory factors. Semen parameters can be improved through a healthy diet and nutritional supplementation has also been shown to improve semen parameters, clinical pregnancy and live birth rates significantly.
  • 684
  • 25 Oct 2022
Topic Review
Effect of Exercise on Brain Health
It has been well established in epidemiological studies and randomized controlled trials that habitual exercise is beneficial for brain health, such as cognition and mental health. Generally, it may be reasonable to say that the physiological benefits of acute exercise can prevent brain disorders in late life if such exercise is habitually/chronically conducted. 
  • 682
  • 29 Mar 2022
Topic Review
Nanotechnologies in Obstetrics and Cancer during Pregnancy
Nanotechnology, the art of engineering structures on a molecular level, offers the opportunity to implement new strategies for the diagnosis and management of pregnancy-related disorders. Although nanotechnology has been on the bench for many years, most of the studies in obstetrics are preclinical. Ongoing research spans from the development of diagnostic tools, including optimized strategies to selectively confine contrast agents in the maternal bloodstream and approaches to improve diagnostics tests to be used in obstetrics, to the synthesis of innovative delivery nanosystems for therapeutic interventions. Using nanotechnology to achieve spatial and temporal control over the delivery of therapeutic agents (e.g., commonly used drugs, more recently defined formulations, or gene therapy-based approaches) offers significant advantages, including the possibility to target specific cells/tissues of interest (e.g., the maternal bloodstream, uterus wall, or fetal compartment). This characteristic of nanotechnology-driven therapy reduces side effects and the amount of therapeutic agent used. However, nanotoxicology appears to be a significant obstacle to adopting these technologies in clinical therapeutic praxis. 
  • 682
  • 30 Oct 2022
Topic Review
Population Immunity
Herd immunity is a population condition where the pathogen dispersion between the community members is difficult or impossible because when an infected individual appears, the individuals surrounding her/him are immune against the pathogen, so they do not get infected and do not transmit the pathogen to other susceptible individuals. 
  • 681
  • 20 Apr 2023
Topic Review
Cancers: Costs in Relation to Disability-Adjusted Life Years
Cancer represents a major health issue, concerning both the clinical burden (in terms of morbidity and mortality) and the consequent economic implications. With regard to the latter, Disability-Adjusted Life Years (DALYs) are often used to measure the burden of disease since they are a compound unit encompassing both disability and mortality, but substantial heterogeneity occurs when they are translated to monetary value. Each DALY due to cancer has shown to cost, on average, around 9000 USD in high- and upper-middle income countries, although this computation can be strongly influenced by fluctuations depending on cancer type and other parameters (e.g., country, prices). Moreover, the cost per cancer-related DALY has been found to be, on average, 32% (95% CI: 24–42%) of the corresponding countries’ gross domestic product (GDP) per capita, which implies that the use of a priori established parameters, such as GDP or the value of a statistical life (VSL), might lead to presenting rough estimates highly different (even threefold) from what emerges a posteriori, after directly retrieving figures and/or building models out of available data.
  • 680
  • 27 May 2022
Topic Review
Health Status of Afghan Refugees in Europe
Four decades of civil war, violence, and destabilisation have forced millions of Afghans to flee their homes and to move to other countries worldwide. This increasing phenomenon may challenge physicians unfamiliar with the health status of this population, which may be markedly different from that of the host country. Moreover, several factors during their migration, such as transport in closed containers, accidental injuries, malnutrition, and accommodation in detention centres and refugee camps have a major influence on the health of refugees.
  • 680
  • 08 Mar 2023
Topic Review
Lasers and Desensitizing Agents in Dentinal Hypersensitivity Therapy
Lasers represent a means of treating dentin hypersensitivity, used alone and/or in conjunction with specific products for the treatment of such a pathology. The selected articles that examined diode lasers were divided according to the wattage (w) used: low-level laser therapy protocols, i.e., those using a wattage of less than 1 W, and high-level laser therapy protocols, i.e., those using a wattage of 1 W or more. Laser therapy was found to be effective in the treatment of dentin hypersensitivity. However, the level of effectiveness depends on the laser used. Both the Nd: YAG laser and the diode laser (high and low power) are effective in the treatment of dentin hypersensitivity. However, the high-power laser appears to be more effective in combination with fluoride varnish and the Nd: YAG laser achieved greater long-term benefits than the diode laser.
  • 680
  • 06 May 2023
Topic Review
Contemporary Aspects of Burn Care
Contemporary burn care consists of multiple basic science and biotechnological components.
  • 672
  • 20 May 2021
Topic Review
Role of ChatGPT in Cardiovascular and Cerebrovascular Disease
Cardiovascular and cerebrovascular disease incidence has risen mainly due to poor control of preventable risk factors and still constitutes a significant financial and health burden worldwide. ChatGPT is an artificial intelligence language-based model developed by OpenAI. Due to the model’s unique cognitive capabilities beyond data processing and the production of high-quality text, there has been a surge of research interest concerning its role in the scientific community and contemporary clinical practice. 
  • 671
  • 08 Dec 2023
Topic Review
Diagnostic Clinical Prediction Algorithm
Researchers aims to develop and validate a diagnostic clinical prediction algorithm for assisting physicians in distinguishing an early stage of Blount’s disease from the physiologic bowlegs to provide an early treatment that could prevent the progressive, irreversible deformity.
  • 670
  • 23 Nov 2021
Topic Review
Isoniazid Preventive Therapy for Tuberculosis among HIV Patients
Tuberculosis (TB) is a major cause of morbidity and mortality in people living with HIV (PLWHIV). Isoniazid preventive therapy (IPT) prevents TB in PLWHIV, but estimates of its effects and actual implementation vary across countries. PLHIV who were on IPT, independently or simultaneously with ART, were less likely to develop TB than those without IPT. IPT interventions had a significant association with improved CD4 count and reduced all-cause mortality. IPT was less effective in people with advanced HIV infection. The major factors influencing IPT implementation and uptake were stock-outs, fear of developing isoniazid-resistant TB, patient’s refusal and non-adherence, and improper counseling and low commitment of HIV clinical care providers. IPT alone or in combination with ART significantly reduces the incidence of TB and mortality in PLHIV in Ethiopia than those without IPT. More research on safety is needed, especially on women with HIV who receive a combination of IPT and ART. 
  • 669
  • 19 Jan 2023
Topic Review
Situational Awareness in the Context of Clinical Practice
In the context of clinical practice, situational awareness refers to conscious awareness (knowledge), which is a mental model of a given clinical situation in terms of its elements and the significance of their interrelation. Situational awareness (SA) facilitates clinical reasoning, diagnostic accuracy, and appropriate goal-directed performance, and it enables clinicians to immediately adapt treatment strategies in response to changes in clinical situational actualities and to modify the course of goal-directed activities accordingly. It also helps clinicians prepare future operational plans and procedures based on the projection of situational developments. SA, therefore, is an important prerequisite for safe clinical procedures. 
  • 665
  • 19 Feb 2024
Topic Review
Symptom Burden in Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD), the sixth leading cause of death in the United States in 2022 and the third leading cause of death in England and Wales in 2022, is associated with high symptom burden, particularly dyspnoea. Frailty is a complex clinical syndrome associated with an increased vulnerability to adverse health outcomes.
  • 664
  • 27 Feb 2024
Topic Review
Metabolic Disease in the Offspring
Obesity incidence is rising worldwide, including women of reproductive age, contributing to increased gestations in which Maternal Obesity (MO) occurs. Offspring born to obese mothers present an increased predisposition to develop metabolic (e.g., obesity, diabetes) and cardiovascular disease (CVD). The developmental programming of the metabolic dysfunction in MO offspring can initiate in utero. The different availability of metabolic substrates, namely glucose, can modulate cellular growth, proliferation, and differentiation, resulting in different levels of tissue maturation and function.
  • 662
  • 14 Sep 2022
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