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Topic Review
Biography
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.
258
25 May 2023
Topic Review
Farm Biosecurity and Antimicrobial Usage in Food Animals
With the limited alternatives for antimicrobials, farm biosecurity (and herd management) is considered a promising tool to mitigate the non-judicious AMU and to maintain animal health, production, and welfare.
308
25 May 2023
Topic Review
Tuberculosis in the Twenty-First Century
With an estimated two billion people being carriers of latent tuberculosis infection (LTBI), the gains achieved by increasing access to diagnostics and treatment, although substantial, have had a modest impact on the global burden of tuberculosis (TB). At the same time, increased access to treatment has had the unintended consequence that drug-resistant TB (DR-TB) has increased dramatically. Earlier TB control strategies strongly emphasizing medical treatment have failed to address these issues effectively.
391
23 May 2023
Topic Review
Techniques of Blood Purification
Even in the absence of strong indications deriving from clinical studies, the removal of mediators is increasingly used in septic shock and in other clinical conditions characterized by a hyperinflammatory response. Despite the different underlying mechanisms of action, they are collectively indicated as blood purification techniques. Their main categories include blood- and plasma processing procedures, which can run in a stand-alone mode or, more commonly, in association with a renal replacement treatment.
244
23 May 2023
Topic Review
BoNT-A Injection for Spinal Cord Injury
Lower urinary tract symptoms (LUTS), such as urgency, urinary incontinence, and/or difficulty voiding, hamper the quality of life (QoL) of patients with spinal cord injury (SCI). If not managed adequately, urological complications, such as urinary tract infection or renal function deterioration, may further deteriorate the patient’s QoL. Botulinum toxin A (BoNT-A) injection within the detrusor muscle or urethral sphincter yields satisfactory therapeutic effects for treating urinary incontinence or facilitating efficient voiding.
213
23 May 2023
Topic Review
Risks of Mobile Phones for Children and Teenagers
Mobile phones have become ubiquitous in modern society, with many children and teenagers using them on a daily basis. However, there are growing concerns about the potential health risks associated with mobile phone use, particularly among young people. The risks of mobile phones for children and teenagers, including the potential for radiation exposure, impact on mental health, and effects on sleep were described. The strategies for reducing these risks and promoting safe mobile phone use among young people, as well as the countries and governments that are taking action to address this issue were discussed.
460
22 May 2023
Topic Review
Displacement-Based Approaches for Protein-Bound Uremic Toxins Removal
End-stage renal disease (ESRD) patients rely on renal replacement therapies to survive. Hemodialysis (HD), the most widely applied treatment, is responsible for the removal of excess fluid and uremic toxins (UTs) from blood, particularly those with low molecular weight (MW < 500 Da). The development of high-flux membranes and more efficient treatment modes, such as hemodiafiltration, have resulted in improved removal rates of UTs in the middle molecular weight range. However, the concentrations of protein-bound uremic toxins (PBUTs) remain essentially untouched. Due to the high binding affinity to large proteins, such as albumin, PBUTs form large complexes (MW > 66 kDa) which are not removed during HD and their accumulation has been strongly associated with the increased morbidity and mortality of patients with ESRD.
252
22 May 2023
Topic Review
Evidence of Disaster Planning by Home Care Providers
The increasing risk of disasters worldwide poses challenges both to health care infrastructures and to home care providers, who must maintain decentralised services for those in need of long-term care for as long as possible, even under adverse circumstances. However, both the kind of organisational precautions that home care providers consider in preparation for disasters and the available evidence on the effectiveness of these precautions remain largely unclear.
282
22 May 2023
Topic Review
Human-Animal Interaction in Animal-Assisted Interventions (AAI)s
Animal-assisted interventions (AAI)s are planned activities carried out in multidisciplinary teams with educational, therapeutic, and ludic-recreational purposes. The multidisciplinary and integrated character identifies AAIs as the expression of one health. While AAIs offer many advantages to subjects, they could be exposed to several zoonotic-pathogens transmissions. Therefore, positive animal welfare, as preventive medicine to avoid accidents or zoonotic transmissions, is a relevant aspect with implications for human and animal health and welfare. The knowledge of several pathogens causing zoonoses in the animal species employed during the AAIs, as well as the preventive measures aimed at reducing and/or preventing the risk, guarantee their safety for patients.
454
18 May 2023
Topic Review
Cancer Stem Cells in Anti-Cancer Therapy
Cancer stem cells (CSCs) have been identified and characterized in both hematopoietic and solid tumors. Many studies showed that CSCs can be identified and isolated by their expression of specific cell markers, such as ALDH, Nanog, Sox2, OCT3/4. The significance of CSCs with respect to tumor biology and anti-cancer treatment lies in their ability to maintain quiescence with very slow proliferation, indefinite self-renewal, differentiation, and trans-differentiation such as epithelial–mesenchymal transition (EMT) and its reverse process mesenchymal–epithelial transition (MET). The ability for detachment, migration, extra- and intravasation, invasion and thereby of completing all necessary steps of the metastatic cascade highlights their significance for metastasis. In addition, CSCs comprise the cancer cell populations responsible for tumor growth and cancer metastasis, resistance to anticancer therapies.
387
17 May 2023
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