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Topic Review
Fresh Produce with Antibiotic-Resistant Bacteria
Fresh produce, when consumed raw, can be a source of exposure to antimicrobial residues, antimicrobial-resistant bacteria (ARB) and antimicrobial resistance genes (ARGs) of clinical importance. The most commonly observed ARB were E. coli (42.5%) followed by Klebsiella spp. (22.5%), and Salmonella spp. (20%), mainly detected on lettuce.
  • 1.0K
  • 22 Feb 2022
Topic Review
The Impact of Endocrine-Disrupting Chemicals in Male Fertility
Any compound or mixture of compounds, which interferes with any aspect of the endocrine system is classified as an endocrine-disrupting chemical (EDC). There is increasing evidence that male infertility is associated with the widespread exposure to EDCs, and in particular to obesogens. These compounds interfere with hormones involved in the regulation of metabolism and are associated with weight gain, being also able to change the functioning of the male reproductive axis and, consequently, the testicular physiology and metabolism that are pivotal for spermatogenesis. The disruption of these tightly regulated metabolic pathways leads to adverse reproductive outcomes. The permanent exposure to obesogens has raised serious health concerns. Evidence suggests that obesogens are one of the leading causes of the marked decline of male fertility and key players in shaping the future health outcomes not only for those who are directly exposed but also for upcoming generations. In addition to the changes that lead to inefficient functioning of the male gametes, obesogens induce alterations that are “imprinted” on the genes of the male gametes, establishing a link between generations and contributing to the transmission of defects.
  • 999
  • 29 Mar 2022
Topic Review
Hypothermia Caused by Earthquakes
Natural disasters can destroy all personal belongings and infrastructure and can deprive humans of the possibility of protecting themselves from harsh environments. One consequence may be death from accidental hypothermia.
  • 997
  • 11 Mar 2022
Topic Review
Sustainable Buildings in Saudi Arabia
Sustainable building practices are a response to environmental issues. Businesses and industries are assessing how their activities affect the environment. The architecture, engineering and construction (AEC) industries have significant impacts on the environment and economy, while the industry is considered one of the largest contributors to greenhouse gas (GHG) emissions and has, therefore, been highlighted by researchers as a key area of intervention with a great potential to reduce environmental impacts. 
  • 995
  • 01 Sep 2022
Topic Review
Immigrant Experiences of Primary Health-Care
Access to primary health care (PHC) services is a right for all individuals and communities. Adequate access to quality care in PHC is crucial to everyone, however, equal and equitable access to healthcare for all individuals in society is still a matter of great concern in many countries across the world. Immigrants in particular face unique challenges in accessibility and usability of basic healthcare services, especially when moving to a more developed nation. These challenges are often driven by factors such as differing culture, language, economy, literacy, social relations, and exposure to a new and unknown healthcare structure. Understanding these social and cultural determinants of health is a necessary foundation for developing an effective and efficient primary healthcare system. This study explores patient experiences in primary care from the perspective of immigrant communities and identifies areas for further research and improvement.
  • 993
  • 12 Dec 2020
Topic Review
Human Thermoregulation
The international community has recognized global warming as an impending catastrophe that poses significant threat to life on earth. In response, the signatories of the Paris Agreement (2015) have committed to limit the increase in global mean temperature to < 1.5 oC, from pre-industry period, which is defined as 1850 - 1890. Considering that the protection of human life is a central focus in the Paris Agreement, the naturally endowed properties of the human body to protect itself from environmental extremes should form the core of an integrated and multifaceted solution against global warming. Scholars believe that heat and thermoregulation play important roles in the evolution of life and continue to be a central mechanism that allow humans to explore, labor and live in extreme conditions. However, the international effort against global warming has focused primarily on protecting the environment and on the reduction of greenhouse gases by changing human behavior, industrial practices, and government policies, with limited consideration given to the nature and design of the human thermoregulatory system. Global warming is projected to challenge the limits of human thermoregulation, which can be enhanced by complementing innate human thermo-plasticity with the appropriate behavioral changes and technological innovations. Therefore, the fundamental concepts and physiology of human thermoregulation should form the underlying bases for human adaptation to global warming and for designing behavioral adaptations and technological innovations to enhance human capacity to function in a warmer environment. A potential behavioral adaptation to global warming is that sleep-wake cycle would gravitate towards a sub-nocturnal pattern, especially for outdoor activities, to avoid the heat of the day. Technologically, the current concept of cooling the space in the room, would likely steer towards targeted body surface cooling. Solar energy is likely to overtake fossil fuel-based energy as the main source of electrical supply globally and more manual labor tasks would need to be replaced by machines and robots to reduce metabolic heat production. There should be more integrated solutions between biologists, behavioral scientists, and technologists, so that man and machine can enhance each other to bring about better solutions against the threat of global warming. 
  • 988
  • 09 Nov 2020
Topic Review
Future of Work and OSH
Rapid and profound changes anticipated in the future of work will have significant implications for the education and training of occupational safety and health (OSH) professionals and the workforce. As the nature of the workplace, work, and the workforce change, the OSH field must expand its focus to include existing and new hazards (some yet unknown), consider how to protect the health and well-being of a diverse workforce, and understand and mitigate the safety implications of new work arrangements. Preparing for these changes is critical to developing proactive systems that can protect workers, prevent injury and illness, and promote worker well-being. An in-person workshop held on February 3–4, 2020 at The University of Texas Health Science Center (UTHealth) School of Public Health in Houston, Texas, USA, examined some of the challenges and opportunities OSH education will face in both academic and industry settings. The onslaught of the COVID-19 global pandemic reached the United States one month after this workshop and greatly accelerated the pace of change.
  • 987
  • 23 Apr 2021
Topic Review
Decision Support for Patient-Centered Care
Care management strategies could be effectively used and augmented by shared decision support systems or artificial intelligence.  Evidence-based approaches to the determinants and consequences of chronic care management  are suggested. The proper utilization of care management strategies will not only enhance better patient care outcomes but also reduce the hospitalization or readmission.
  • 987
  • 02 Nov 2020
Topic Review
Vitamin D—Innate and Acquired Immunity
Globally, vitamin D deficiency is a significant public health problem—a pandemic—that has overtaken iron deficiency as the most common nutritional deficiency in the world. Vitamin D deficiency is associated with many chronic diseases and increases the risk of acute and worsened chronic infections. Both vitamin D and [25(OH]D: calcifediol) and its active form, 1,25-dihydroxyvitamin D [1,25(OH)2D: calcitriol], play critical roles in protecting humans from invasive pathogens, reducing risks of autoimmunity, and maintaining better health. Conversely, low 25(OH)D status increases susceptibility to infections and developing autoimmunity. Individuals obtain optimal results by maintaining serum 25(OH)D concentrations above 50 ng/mL (125 nmol/L) (above 40 ng/mL in the population): this also minimizes community outbreaks and autoimmune disorders. In over 97.5% of people, this can be achieved through daily sun exposure (except in countries far from the equator during winter) or taking between 5,000 and 8,000 IU vitamin D supplements daily (average, ~70 to 90 IU/kg body weight). Only those with gastrointestinal malabsorption, obesity, or on medications that increase catabolism of vitamin D, and a few specific disorders require higher intake.
  • 991
  • 06 Sep 2023
Topic Review
Food Insecurity Is Associated with Cognitive Function
Food insecurity (FI) has negative implications across the life course that include poor health outcomes among both children and adults. However, the behavioral mechanisms by which FI impacts health behaviors are not clear. 
  • 985
  • 25 Nov 2021
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