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Topic Review
Fetal Alcohol Spectrum Disorders and Inadequacy of Care
Prenatal alcohol exposure is one of the major avoidable causes of developmental disruption and health abnormalities in children. Fetal alcohol spectrum disorders (FASDs), a significant consequence of prenatal alcohol exposure, have gained more attention. Fetal alcohol spectrum disorders are an umbrella term used to describe a pattern of disabilities and abnormalities that result from fetal exposure to ethanol during pregnancy and are the most common non-heritable causes of intellectual disability. The effects on the fetus may include physical, mental, behavioral, and/or learning disabilities, with possible lifelong implications, and encompass a phenotypic range that can greatly vary between individuals but reliably include one or more of the following: facial dysmorphism, fetal growth deficiency, central nervous system dysfunction, and neurobehavioral impairment. 
  • 412
  • 03 Jan 2024
Topic Review
Bone Mass and Mineral Metabolism in Celiac Disease
Osteoporosis affects many patients with celiac disease (CD), representing the consequence of calcium malabsorption and persistent activation of mucosal inflammation. A slight increase of fracture risk is evident in this condition, particularly in those with overt malabsorption and in postmenopausal state. The adoption of a correct gluten-free diet (GFD) improves bone derangement, but is not able to normalize bone mass in all the patients. Biomarkers effective in the prediction of bone response to gluten-free diet are not available and the indications of guidelines are still imperfect and debated.
  • 412
  • 16 Mar 2023
Topic Review
Digital Therapeutics (DTx) for Egocentric and Allocentric Neglect
Neglect is a clinical feature observed in cases of brain injury, particularly those affecting the right hemisphere, in which individuals have difficulty recognizing the contralesional side of space. Various therapeutic approaches have been developed for neglect. Many studies have demonstrated the effect of digital therapeutics (DTx) on neglect. Digital therapeutics (DTx) is a newly emerging concept of therapeutic approach in the healthcare system. It is a subdivision of digital health, which is defined as a healthcare system driven by any form of digital technology. The components of digital therapeutics include smartphones, personal digital assistants, virtual reality (VR), and tablet computers that converge with software algorithms. DTx can help reduce healthcare costs and improve availability to patients. However, few studies have reported the effects of DTx on egocentric and allocentric neglect. The differentiation of types of neglect and separate interventions is crucial in the rehabilitation process.
  • 411
  • 08 Aug 2023
Topic Review
Intradural Pediatric Spinal Tumors
Pediatric spinal tumors are rare and account for 10% of all central nervous system tumors in children. Onset usually occurs with chronic nonspecific symptoms and may depend on the intra- or extradural neoplastic location. Meningiomas, schwannomas, and neurofibromas are the most common intradural-extramedullary lesions, while astrocytomas and ependymomas represent the majority of intramedullary tumors.
  • 411
  • 08 Oct 2021
Topic Review
Outpatient Antibiotic Use in Canadian Provinces
Antimicrobials are among the most prescribed medications in Canada, with over 90% of antibiotics prescribed in outpatient settings. Seniors prescribed antimicrobials are particularly vulnerable to adverse drug events and antimicrobial resistance. The extent of inappropriate antibiotic prescribing in outpatient Canadian medical practice, and the potential long-term trends in this practice, are unknown.
  • 411
  • 23 Dec 2021
Topic Review
Prevention of Alzheimer’s Disease in Daily Life
The ageing of the population is resulting in neurodegenerative diseases, including Alzheimer’s disease (AD), which are an increasing social, economic and medical problem. Diet and physical activity are now considered as important modifiable factors that help prevent or delay the development of AD and other dementia-related diseases. The pyramid of healthy nutrition and lifestyle is a way of presenting the principles, the implementation of which gives a chance for proper development and a long healthy life.
  • 411
  • 16 May 2022
Topic Review
The Exposome Approach in Allergies and Lung Diseases
Emerging research suggests environmental exposures before conception may adversely affect allergies and lung diseases in future generations. Most studies are limited as they have focused on single exposures, not considering that these diseases have a multifactorial origin in which environmental and lifestyle factors are likely to interact. Traditional exposure assessment methods fail to capture the interactions among environmental exposures and their impact on fundamental biological processes, as well as individual and temporal factors. A valid estimation of exposure preconception is difficult since the human reproductive cycle spans decades and the access to germ cells is limited. The exposome is defined as the cumulative measure of external exposures on an organism (external exposome), and the associated biological responses (endogenous exposome) throughout the lifespan, from conception and onwards. An exposome approach implies a targeted or agnostic analysis of the concurrent and temporal multiple exposures, and may, together with recent technological advances, improve the assessment of the environmental contributors to health and disease. This review describes the current knowledge on preconception environmental exposures as related to respiratory health outcomes in offspring. We discuss the usefulness and feasibility of using an exposome approach in this research, advocating for the preconception exposure window to become included in the exposome concept.
  • 410
  • 17 Dec 2021
Topic Review
Toxic Effects of Poly-Fluoroalkyl Substances in Organisms
More than 7000 synthetic compounds known as per- and poly-fluoroalkyl substances (PFAS) are applied to food packaging and other materials to provide fat, fire, and/or water resistance properties. These compounds have exceptional environmental stability and persistence due to the strong C-F chemical bond, earning them the moniker “forever chemicals”. Emission of PFAS from industrial waste leads to water, air, and soil contamination. Due to this ubiquitous nature, combined with the fact that PFAS in humans are known to have carcinogenic and reprotoxic effects and to cause vaccine resistance and depression of the immunity system, PFAS may constitute a major threat to human health. For this reason, the attention of the scientific community and of control bodies is increasing and as a consequence legislation and the scientific literature on PFAS are constantly evolving.
  • 410
  • 19 Jun 2023
Topic Review
Intricate Web of Fatigue in Women
The modern woman has taken her rightful place in society as a worker, a caregiver, a mother, and a world citizen. However, along with the privileges of these roles comes the great cost of stress and resultant exhaustion and fatigue. Psychosocial, physical, cultural, and disease-related realms of stress act as strands of a web that serve to bind and hinder women with chronic stress.
  • 410
  • 09 Dec 2021
Topic Review
Fatty Acid-Binding Protein 4
Type 2 diabetes mellitus (T2DM) represents a common metabolic disorder that is characterized by chronic hyperglycemia. For more than half a century, the link between insulin resistance and T2DM has been well recognized. Insulin resistance is not only the most powerful predictor of future development of T2DM, but it is also a therapeutic target. On the other hand, gestational diabetes mellitus (GDM) is one of the most common metabolic disorders of pregnancy and its incidence has considerably increased by 10–100% in the last 20 years. There is ample scientific evidence to suggest a link between the fatty acid-binding protein 4 (FABP4) and insulin resistance, gestational (GDM), and type 2 (T2DM) diabetes mellitus. 
  • 410
  • 16 Aug 2023
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