Topic Review
Prescription Opioid Misuse
Prescription opioids are used for some chronic pain conditions. However, generally, long-term therapy has unwanted side effects which may trigger addiction, overdose, and eventually cause deaths. Opioid addiction and chronic pain conditions have both been associated with evidence of genetic and epigenetic alterations. Despite intense research interest, many questions about the contribution of epigenetic changes to this typology of addiction vulnerability and development remain unanswered.
  • 524
  • 06 Sep 2021
Topic Review
Sleep Apnea Detection Systems
Sleep apnea detection can be performed with externally mounted devices or ambient sensors, other than biomedical sensors. One such technique for sleep apnea detection is based on smartphones.
  • 1.1K
  • 06 Sep 2021
Topic Review
Thermal Comfort and Sleep Quality
Human comfort is determined based on their comfort level and overall satisfaction with the thermal environments. A stable core body temperature at about 37°C and maintained through a process that called Thermoregulation. In the process, the body would adjust to the thermal surrounding through efferent responses such as sweating or triggering adaptive action to be taken by each individual such as drinking water, having bath or etc. This is done so that are a certain level of comfort is reached in the cognitive process of a human that is called thermal comfort where comfort with surrounding temperature is archived physically, physiologically and psychologically.  Sleep is one of the most important aspects in daily life of a human being. It is classified into a few different stages, mainly Stage N1, N2, N3 and REM. This cycle alternates a few times during the whole sleep. An extreme cold environment would result in disrupted sleep quality as well as extreme hot environment. Thus, evaluating both thermal comfort and sleep quality are equally as important. In investigating thermal comfort with sleep quality, the method of questionnaire evaluation on the comfort of an individual have been the most used, since the thermal comfort considered as an individual perception. However, as the technology advances, other type of assessments are also used in addition to the traditional questionnaire evaluation method.
  • 452
  • 05 Sep 2021
Topic Review
Parent–Child Interactions in Deafness Children
Despite early identification and advancements in cochlear implant and hearing aid technology, delays in language skills in deaf children continue to exist. Good-quality parent–child interaction (PCI) is a key predictor for the successful development of deaf children’s signed and/or spoken language. As good-quality PCI is widely acknowledged to be significant for child language development in deaf children, then we must have the necessary tools to assess it. This review answers three questions: Which parent behaviours are assessed in PCI? How are they assessed? And which parent interaction behaviours are positively correlated with deaf children's language skills?
  • 509
  • 03 Sep 2021
Topic Review
Antineutrophil Cytoplasmatic Antibody-Associated Vasculitis
Antineutrophil cytoplasmatic antibody (ANCA)-associated vasculitis (AAV) is a group of rare autoimmune diseases characterized by inflammation of the vascular wall. The pathogenesis of AAV is strongly associated with B cell-derived ANCAs; thus, Rituximab (RTX) has become a promising drug in the induction and maintenance treatment of AAV.
  • 630
  • 02 Sep 2021
Topic Review
Synthetic mRNAs
The structure of synthetic mRNAs as used in vaccination against cancer and infectious diseases contain specifically designed caps followed by sequences of the 5′ untranslated repeats of β-globin gene. The strategy for successful design of synthetic mRNAs by chemically modifying their caps aims to increase resistance to the enzymatic deccapping complex, offer a higher affinity for binding to the eukaryotic translation initiation factor 4E (elF4E) protein and enforce increased translation of their encoded proteins. However, the cellular homeostasis is finely balanced and obeys to specific laws of thermodynamics conferring balance between complexity and growth rate in evolution. An overwhelming and forced translation even under alarming conditions of the cell during a concurrent viral infection, or when molecular pathways are trying to circumvent precursor events that lead to autoimmunity and cancer, may cause the recipient cells to ignore their differential sensitivities which are essential for keeping normal conditions. The elF4E which is a powerful RNA regulon and a potent oncogene governing cell cycle progression and proliferation at a post-transcriptional level, may then be a great contributor to disease development. This Fact Sheet underscores the basic elements from within the official text of publication to highlight the hallmarks of disease progression due to synthetic mRNAs stability structures (analogue caps, 5’ untranlslated repeats of β-globin gene and poly A tails) fundamentally used in design of all synthetic mRNAs to promote the efficiency of translation of their encoded sequences by the human cell and therefore the organism. Specific bullet points in bold mean for urgency of further toxicity evaluation studies that need to be overtaken in order to ensure for safety of mRNAs in vaccines at current stages of development.
  • 460
  • 01 Sep 2021
Topic Review
Industrial Animal Farming and COVID-19
The threat of zoonoses (i.e., human infectious diseases transmitted from animals) because of industrial animal farming may be receiving less attention in society due to the putative wildlife origin of COVID-19. To identify societal responses to COVID-19 that do address or affect the risk of future zoonoses associated with industrial animal farming, the literature was screened for measures, actions, proposals and attitudes following the guidelines of a scoping review. Forty-one articles with relevant information published between 1 January 2020 and 30 April 2021 were identified directly or indirectly via bibliographies from 138 records retrieved via Google Scholar. Analysis of relevant content revealed ten fields of policy action amongst which biosecurity and change in dietary habits were the dominant topics. Further search for more relevant records within each field of policy action retrieved another 8 articles. Identified responses were furthermore classified and evaluated according to groups of societal actors, implying different modes of regulation and governance. Based on the results, a suggested policy strategy is presented for moving away from food production in factory farms and supporting sustainable farming, involving the introduction of a tax on the demand side and subsidies for the development and production of alternative meat.
  • 914
  • 31 Aug 2021
Topic Review
Non-invasive for Adult Flatfoot
the effect of orthoses on adult flatfoot on reducing pain could not deny, especially at the early stage of deformity [12, 13]. Exercises for flatfoot were widely used and given some benefits in terms of decreased pain [14]. Exercises were also effective at strengthening foot muscles forming an arch. Two primary treatments were designed, which are active and passive intervention. The voluntary muscles produced the active interventions (AI), and in case wearing foot orthoses while doing exercises also considered as active. For example, active interventions were to practice exercises alone or do both exercises and foot orthoses. Passive interventions (PI) did not require body effort and involuntary participants during treatment, such as foot orthoses and stretching at the same procedure.  The two main approaches were active intervention (AI) and passive intervention (PI) with exercise and foot orthoses. At present, the overall effects of the active and passive intervention on adult flatfoot are still unclear because the results depend on skeletal and muscle maturity and the individual’s awareness. Furthermore, flatfoot progresses silently without any acute syndrome of pain or functional impairment. Thus, noninvasive methods that can be used over the long term and are cost-effective could be adopted. 
  • 535
  • 31 Aug 2021
Topic Review
Guiding Nutritious Food Choices
For the food system to become more sustainable and nutritious, the environment in which consumers’ choices are shaped and informed has an important influence on their diet. Health-positive policies and regulations can support investment and increased intake of fruits, vegetables, legumes and whole grains, as well as mandating these foods to form part of institutional feeding programmes such as national school nutrition programs. Efforts to regulate the marketing of commercial products and services can be highly controversial, but they have been shown to be effective in driving food choices.
  • 461
  • 30 Aug 2021
Topic Review
Antibiotics Prescribing during COVID-19 Pandemic
It is axiomatic that hospital admissions increase risks of healthcare-associated infections (HCAIs), leading to a noticeable increase in antibiotic consumption. A recent study conducted on ICU patients in 88 countries highlighted that 70% of hospitalized patients receive at least one antibiotic during acute admission; of this cohort 54% developed a secondary bacterial infection that necessitated antibiotic therapy. In patients with severe disease, the WHO recommends the provision of antimicrobial therapy to prevent furthers infection complications, leading to severe acute respiratory distress syndrome (ARDS) and multi-organ failure.
  • 473
  • 27 Aug 2021
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