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Topic Review
Wastewater Based Epidemiology
Wastewater-Based epidemiology (WBE) is spreading of any disease or disorder caused by the chemicals or pathogens that come from waste materials such as urine, fecal materials, medical waste  or any solid or liquid waste product. The extraction, detection, analysis, and interpretation of chemical/biological compounds (biomarkers) excreted in the sewage system can eventually contribute to WBE. So wastewater analysis could be equivalent to community-based urine and fecal analysis that can subsequently give a reflection  of community health. Under pandemic situation with time limitations and restrict access to massive diagnostic, an alternative approach as a complementary tool to investigate virus circulation in the community is essential. In the situation of limited and time-consuming diagnostic tests, monitoring sewage systems could better estimate the spread of the virus and determine whether there are potential cases because wastewater surveillance can also account for those who contract mild or asymptomatic state.
  • 816
  • 06 Sep 2021
Topic Review
Remote Assessment in Multiple Sclerosis
The provision and adoption of technological solutions and the sharing of information globally has the potential to drive knowledge acquisition and positively affect healthcare worldwide. Digital solutions offer great promise in delivering increasingly individualised, easily accessible, and effective healthcare, with the capacity to evolve with time and adapt to the changing needs of people living with MS (PLwMS) and health care providers (HCPs). The impact of the COVID-19 pandemic has given additional proof of such versatility and usefulness, highlighting how barriers can be overcome through the adoption of digital tools, where capturing digital data remotely may mean that symptom tracking can be maintained even when clinic visits are not possible.
  • 813
  • 07 Oct 2021
Topic Review
Avian Orthoavulavirus Type-1
Avian orthoavulaviruses type-1 (AOaV-1) have transitioned from animal vaccine vector to a bona fide vaccine delivery vehicle in human. Owing to induction of robust innate and adaptive immune responses in mucus membranes in both birds and mammals, AOaVs offer an attractive vaccine against respiratory pathogens. The unique features of AOaVs include over 50 years of safety profile, stable expression of foreign genes, high infectivity rates in avian and mammalian hosts, broad host spectrum, limited possibility of recombination and lack of pre-existing immunity in humans. Additionally, AOaVs vectors allow the production of economical and high quantities of vaccine antigen in chicken embryonated eggs and several GMP-grade mammalian cell lines.
  • 812
  • 18 Feb 2022
Topic Review
Amygdalin
Bioactive amygdalin, found in high concentrations in bitter almonds, has been recognized as a symbol of the cyanogenic glycoside chemical organic substance, which was initially developed as a pharmaceutical for treating cancer after being hydrolyzed to hydrogen cyanide (HCN).
  • 812
  • 25 Oct 2022
Topic Review
AI in SARS-CoV-2 outbreak
Artificial Intelligence (AI) and Machine Learning (ML) have expanded their utilization in different fields of medicine. During the SARS-CoV-2 outbreak, AI and ML were also applied for the evaluation and/or implementation of public health interventions aimed to flatten the epidemiological curve. 
  • 810
  • 29 May 2021
Topic Review
History of Rheumatic Fever/ Rheumatic Heart Disease Control
Rheumatic heart disease and rheumatic fever (RHD/RF) contributed to a substantial health burden upon the entire globe in the 19th and 20th centuries. As advances in public health improved throughout regions of the world now considered to be high-income countries (HICs), it was largely eradicated in these settings. Regrettably, RHD/RF remain endemic in low- and middle-income countries (LMICs). The historical context within which RHD/RF control was achieved in HICs may be of interest to researchers and policymakers active in the resurgent interest in RHD/RF seen in the prior two decades.
  • 810
  • 17 May 2022
Topic Review
Women Care with Delusional Disorder
Delusional disorder is a difficult-to-treat clinical condition with health needs that are often undertreated. Although individuals with delusional disorder may be high functioning in daily life, they suffer from serious health complaints that may be sex-specific.
  • 806
  • 27 Jan 2021
Topic Review
E-Cigarette Impact on Reproductive Health
Electronic cigarettes (e-cigarettes) are often considered a “safe substitute” for conventional cigarette cessation. The composition of the fluid is not always clearly defined and shows a large variation within brands and manufacturers. More than 80 compounds were detected in liquids and aerosols. E-cigarettes contain nicotine, and the addition of flavorings increases the toxicity of e-cigarette vapour in a significant manner. The heat generated by the e-cigarette leads to the oxidation and decomposition of its components, eventually forming harmful constituents in the inhaled vapour. The effects of these toxicants on male and female reproduction are well established in conventional cigarette smokers. 
  • 807
  • 27 Mar 2023
Topic Review
Dietary Recommendations for Twin Pregnancy
Recommendations for nutrition and the use of dietary supplements for pregnant women are updated on regular basis but it remains to be seen to what extent they may be applicable in twin pregnancies. Over the past 30 years, there has been a considerable increase in the number of multiple pregnancies worldwide, which mainly applies to dizygotic pregnancies. In the USA, in 2009 compared to the 1980s, the number of twin pregnancies increased by 76%; the situation was similar in Australia (66%). A multiple pregnancy is associated with an increased risk of its abnormal course. This mostly applies to pre-eclampsia, hypertension, diabetes, iron-deficiency anemia and pre-term birth that affects 50–60% of twin pregnancies. 
  • 806
  • 26 Apr 2022
Topic Review
Critical Limb Ischemia
Critical limb ischemia (CLI) constitutes the most severe form of peripheral arterial disease (PAD), a prevalent manifestation of atherosclerosis which involves the blockade of major systemic arteries other than those of the cerebral and coronary circulation, more common in legs than in arms. Overall, CLI patients suffer from chronic ischemic rest pain, ulcers, or gangrene, as well as an increased risk of cardiovascular events. CLI has a huge impact on the patients’ quality of life, being associated with an increased risk of amputations (fingers, toes, or extremities) and, moreover, an increase in mortality rates. Currently, revascularization strategies (bypass grafting, angioplasty) remain the first option for CLI patients, although less than 45% of them are eligible for surgical intervention mainly due to associated comorbidities. Moreover, patients usually require amputation in the short-term. As an alternative to conventional treatments, therapeutic angiogenesis has arisen as a promising treatment for CLI patients, mainly those considered as “no-option”, due to the potential of this strategy to promote revascularization of ischemic tissues. Different approaches including angiogenic gene or cell-based therapies are currently under investigation.
  • 806
  • 22 Sep 2021
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