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Topic Review
Addressing Health Disparities through Community Participation
Multilateral health institutions, public health agencies, and the scientific community agree that the involvement of communities in public health policy, practice, and research is a necessary condition for achieving their goals and reducing social inequalities in health. 
  • 431
  • 18 Apr 2023
Topic Review
No and Low Alcohol Products
Reducing the alcoholic strength in beverages as a strategy to reduce harmful alcohol use has been proposed by multilateral institutions such as the World Health Organization and governments worldwide. Different industrial and artisanal techniques are used to achieve low-alcohol content beverages. Therefore, regulations regarding the content of alcohol in beverages and strategies to monitor compliance are important, because they are the main reason for classification of the beverages and are central to their categorization and market labelling. Furthermore, analytical techniques with adequate sensitivity as low as 0.04% vol are necessary to determine the alcohol ranges necessary for classification. 
  • 429
  • 29 Sep 2022
Topic Review
Cancer Screening and Medicaid Expansion in the USA
Cancer is the third largest source of spending for Medicaid in the United States. Breast and colorectal cancer screening rates improved during very early Medicaid expansion but displayed mixed improvement thereafter. Breast cancer screening rates have remained steady for Latina Medicaid enrollees; colorectal cancer screening rates have improved for African Americans. Urban areas have benefited more than rural. State programs increasingly cover BRCA1/2 and Lynch syndrome genetic testing, though testing remains underutilized in racial and ethnic groups. While increased federal matching could incentivize more states to engage in Medicaid expansion, steps need to be taken to ensure that they have an adequate distribution of resources to increase screening and testing utilization.
  • 425
  • 24 Jun 2022
Topic Review
VitD3 and Autoimmune Thyroiditis
Active 1,25(OH)2 D3 is generated in immune cells via 1-α-hydroxylase, subsequently interacting with the VitD3 receptor to promote transcriptional and epigenomic responses in the same or adjacent cells. Despite considerable progress in deciphering the role of VitD3 in autoimmunity, its exact pathogenetic involvement remains to be elucidated. 
  • 423
  • 09 Dec 2022
Topic Review
Mild Cognitive Impairment in Rural Areas
Mild cognitive or neurocognitive impairment (MCI) may be more prevalent in rural areas. Differences between rural and urban MCI patients in terms of risk factors, course and prognosis are rarely reported. 
  • 400
  • 04 Aug 2022
Topic Review
Heart Health and Mental Wellbeing
Indigenous peoples have thrived since time immemorial across North America; however, over the past three to four generations there has been a marked increase in health disparities amongst Indigenous peoples versus the general population. Heart disease and mental health issues have been well documented and appear to be interrelated within Indigenous peoples across Canada.
  • 400
  • 22 Nov 2022
Topic Review
Service Quality of Healthcare Research Domain
Hospital care and other services have become increasingly important for patient satisfaction. Better hospital care and assistance improve patients’ medical conditions, management trust, and financial success. In this regard, monitoring and measuring hospital service quality is necessary to improve patient satisfaction and wellness. However, the evaluation of healthcare service quality is a complex and critical task due to its intangible nature.
  • 397
  • 06 Nov 2023
Topic Review
Unsilencing the Echoes of Historical Trauma
Indigenous communities in North America have distinct colonial histories with their own story of how their ancestors were able to survive the mass effort to take their land, resources, language, culture, and sometimes even their lives. These stories have been passed down orally and through the DNA of the descendants of survivors via epigenetics. The Historical Loss Scale (HLS) and Historical Loss Associated Symptoms Scale (HLASS) are two validated scales that measure historical trauma among Native Americans.
  • 386
  • 05 Jun 2023
Topic Review
Core Cultural Competencies for Healthcare Professionals
There are many guidelines regarding cultural competencies for healthcare professionals and many instruments aiming to measure cultural competence. However, there is no consensus on which core cultural competencies are necessary for healthcare professionals. A review of 15 Delphi studies showed that the core competencies necessary for healthcare professionals to ensure that they provide culturally congruent care were: Reflect, Educate, Show Interest and Praise, Empathise, and Collaborate for Therapy. These competencies make the abbreviation and word RESPECT, which symbolically places emphasis on respect as the overarching behaviour for working effectively with diversity. 
  • 377
  • 25 May 2023
Topic Review
Use of Patient-Reported Data within Acute Healthcare Context
 Patient-reported outcome measures (PROMs), patient-reported experience measures (PREMs) and patient satisfaction surveys provide important information on how care can be improved. The Hospital Consumer Assessment of Healthcare Providers and Systems tool (HCAHPS) was used most frequently for measuring patient satisfaction. Where reported, data were applied to improve patient-centred care and utilization of health resources. Gaps in the use of patient data within hospital services are noticeable. Engaging management and improving staff capability are needed to overcome barriers to implementation.
  • 376
  • 30 Sep 2022
Topic Review
Digital Health Information Storage
The concept of the health wallet, a digital platform that consolidates health-related information, has garnered significant attention in the past year. Electronic health data storage and transmission have become increasingly prevalent in the healthcare industry, with the potential to revolutionize healthcare delivery.
  • 372
  • 30 May 2023
Topic Review
Importance of Micronutrients in the Older Adults
Aging precipitates significant changes in physical, cognitive, and physiological realms, profoundly impacting nutritional needs. Aging brings declines in muscle mass, immune function, bone density, nutrient absorption, metabolism, and oral health status. Micronutrients (e.g., omega-3 fatty acids, vitamins, and minerals—selenium, fluoride, zinc, iron, and manganese), are of particular importance and are fundamental in terms of human metabolism, physiology, and general and oral health.
  • 369
  • 04 Dec 2023
Topic Review
Clinical Management of Multidrug-Resistant Sepsis
Sepsis is a critical medical condition associated with significant biological and chemical abnormalities that pose a high death rate. Unlike superficial and confined infections, sepsis is a complex disturbance of the delicate immunologic equilibrium between inflammatory and anti-inflammatory responses. This interaction demonstrates the fragile connection between the immune system and the clinical signs of sepsis. Sepsis globally accounts for an alarming annual toll of 48.9 million cases, resulting in 11 million deaths, and inflicts an economic burden of approximately USD 38 billion on the United States healthcare system. The rise of multidrug-resistant organisms (MDROs) has elevated the urgency surrounding the management of multidrug-resistant (MDR) sepsis, evolving into a critical global health concern.
  • 368
  • 18 Jan 2024
Topic Review
Reasons for Delayed Diagnosis of Pediatric Acute Appendicitis
Reasons delaying the diagnosis of pediatric appendicitis were discerned. Each cause will be discussed separately although it must be noted that there is a significant overlap between them. Time to hospital admission, duration of symptoms and hospitalization time until surgery will be discussed further as indicative measures of delayed diagnosis. Patient outcomes as conveyed by selected studies will be cited in relation to time to hospital admission so that the reader can appraise their potential importance.
  • 360
  • 16 Aug 2023
Topic Review
Universal Privacy Model for Electronic Health Record Systems
High-profile data breaches in systems such as Australia’s My Health Record (MHR) and the UK’s National Health Service (NHS) have exposed millions of records, resulting in substantial financial losses for the healthcare industry.
  • 354
  • 21 Jul 2023
Topic Review
Immune Checkpoint Inhibitor-Induced Hypophysitis
Immune checkpoint inhibitors (ICIs) are a new type of antitumor drug which can achieve antitumor goals by blocking the binding of immune checkpoints to their ligands, thereby enhancing the activity of T cells. Meanwhile, ICIs block the binding of immune checkpoints to their ligands, disrupting the immune tolerance of T cells to self-antigens, which may lead to a series of immune-related adverse events (irAEs). Immune checkpoint inhibitor-induced hypophysitis (IH) is a relatively rare irAE. Due to the lack of specificity in clinical manifestations, it is difficult to accurately diagnose IH in a timely manner in clinical practice. However, the risk of adverse events, especially IH, for patients receiving ICIs has not been adequately investigated. Missed or delayed diagnosis may lead to poor prognosis or even adverse clinical outcomes.
  • 344
  • 05 Jul 2023
Topic Review
Caring for Migrant Populations in Italy
The foreign population living in Italy, on 1 January 2021, was about 5.2 million, plus about 500,000 irregular foreigners, according to the ISMU Foundation. It is a “young” population, with a high rate of unaccompanied foreign minors, and the male: female ratio is about 1:1, with wide differences depending on the citizenship of origin.
  • 326
  • 06 Feb 2024
Topic Review
Post-Traumatic Stress Disorder in Adolescents
Trauma in childhood and adolescence has long-term negative consequences in brain development and behavior and increases the risk for psychiatric disorders. Among them, post-traumatic stress disorder (PTSD) during adolescence illustrates the connection between trauma and substance misuse, as adolescents may utilize substances to cope with PTSD.
  • 316
  • 04 Dec 2023
Topic Review
Disparities in Breast Cancer Diagnostics
Access to medical imaging is pivotal in healthcare, playing a crucial role in the prevention, diagnosis, and management of diseases. However, disparities persist in this scenario, disproportionately affecting marginalized communities, racial and ethnic minorities, and individuals facing linguistic or cultural barriers.
  • 313
  • 03 Jan 2024
Topic Review
Palestinian Citizens of Israel's Compliance with COVID-19 Regulations
With the continuing surge of COVID-19 waves well into 2022, it has become increasingly clear that vaccination alone, which many expected would make the need for behavioral changes redundant, is not sufficient to restrain the spread of the virus and that the adoption of the behavioral changes recommended by public health services worldwide, in particular social distancing and mask wearing, will still be in the future an indispensable part of the strategy to restrict the contagion. 
  • 308
  • 08 Aug 2023
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