Topic Review
The Role of Vitamin K in Humans
As human life expectancy is rising, the incidence of age-associated diseases will also increase. Scientific evidence has revealed that healthy diets, including good fats, vitamins, minerals, or polyphenolics, could have antioxidant and anti-inflammatory activities, with antiaging effects. Recent studies demonstrated that vitamin K is a vital cofactor in activating several proteins, which act against age-related syndromes. Thus, vitamin K can carboxylate osteocalcin (a protein capable of transporting and fixing calcium in bone), activate matrix Gla protein (an inhibitor of vascular calcification and cardiovascular events) and carboxylate Gas6 protein (involved in brain physiology and a cognitive decline and neurodegenerative disease inhibitor). 
  • 636
  • 07 May 2022
Topic Review
General Practitioners and Palliative Care
General practitioners (GPs) are increasingly expected to provide palliative care as ageing populations put pressure on specialist services. Some GPs, however, cite barriers to providing this care including prognostication challenges and lack of confidence. Palliative care content within clinical practice guidelines might serve as an opportunistic source of informational support to GPs.
  • 635
  • 28 Sep 2021
Topic Review
Motor Fitness and Flexibility Tests in Older Adults
Strong evidence indicated that (i) slower gait speed predicts falls and institutionalization/hospitalization in adults over 60 years old, cognitive decline/impairment over 55 years old, mobility disability over 50 years old, disability in instrumental activities of daily living (IADL) over 54 years old, cardiovascular disease risk over 45 years old, and all-cause mortality over 35 years old; (ii) impaired balance predicts falls and disability in IADL/mobility disability in adults over 40 years old and all-cause mortality over 53 years old; (iii) worse timed up&go test (TUG) predicts falls and fear of falling over 40 years old. Evidence supports that slower gait speed, impaired balance, and worse TUG performance are significantly associated with an increased risk of adverse health outcomes in adults. 
  • 635
  • 29 Mar 2022
Topic Review
Shift Work Disorder
Shift work disorder (SWD), which is characterized by insomnia and excessive sleepiness related with shift work, is one of the most common health problems in shift workers. Shift work disorder causes insomnia, fatigue, worse work performance, an increased likelihood of accidents, and a poor quality of life. In addition, SWD is associated with decreased productivity and increased economic costs. The correct management of SWD is important to prevent sleep disturbances and maintain work performance in shift workers. To diagnose and evaluate SWD, it is necessary to take detailed medical histories, assess the severity of sleep disturbances, and evaluate shift workers’ sleep using a sleep diary and actigraphy. The work-fitness evaluation should include recommendations on how shift workers can reduce their sleep disturbances and increase work performance, as well as the assessment of work performance. This paper reviews previous research on the evaluation, diagnosis, and management of SWD and summarizes the work-fitness evaluation of SWD.
  • 634
  • 04 Mar 2021
Topic Review
Vaccine Hesitancy
Vaccination, despite being recognized as one of the most effective primary public health measures, is viewed as unsafe and unnecessary by an increasing number of individuals. Vaccination is one of the most significant public health achievements, having contributed to the eradication of smallpox and the control of many infectious diseases such as rubella, diphtheria, and polio globally.
  • 634
  • 20 Oct 2022
Topic Review
Non-Pharmacological Approaches to Headaches
Non-pharmacological treatments - such as behavioral treatmetns, nutraceuticals and non-invasive neurostimulation - are becoming increasingly used to overcome side effects or drug interactions which can make pharmacological management of headache disorders very difficult. Non-pharmacological treatments are in fact well tolerated and indicated for specific patient categories such as adolescents and pregnant women. 
  • 634
  • 01 Apr 2021
Topic Review
Work Composition after Spine Surgery
Low back pain (LBP) is currently the leading cause of disability worldwide and the most common reason for workers’ compensation (WC) claims. Studies have demonstrated that receiving WC is associated with a negative prognosis following treatment for a vast range of health conditions. However, the impact of WC on outcomes after spine surgery is still controversial.
  • 634
  • 23 Jun 2021
Topic Review
Work-Related Burnout among Corporate Employees
Work is an essential part of our daily life. It has been estimated that on average, full-time workers in OECD countries spend about 37% of their time working in a normal day.  Burnout is classified as an occupational phenomenon, not as a medical condition, in the 11th version of the International Classification of Diseases (ICD-11). It is defined as: ”a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed”.
  • 633
  • 27 Jan 2022
Topic Review
Dry Needling in Chronic Neck Pain
Chronic Neck Pain (CNP) is one of the main causes of disability worldwide, and it is necessary to promote new strategies of therapeutic approach in the treatment of chronic pain. Dry needling (DN) is defined as an invasive physiotherapy technique used in the treatment of neuromusculoskeletal disorders. 
  • 633
  • 11 May 2022
Topic Review
Dietary Anti-Aging Polyphenols
For years, the consumption of a diet rich in fruits and vegetables has been considered healthy, increasing longevity, and decreasing morbidities. With the assistance of basic research investigating the potential mechanisms, it has become clear that the beneficial effects of plant-based foods are mainly due to the large amount of bioactive phenolic compounds contained. Indeed, substantial dietary intervention studies in humans have supported that the supplementation of polyphenols have various health-promoting effects, especially in the elderly population. In vitro examinations on the anti-aging mechanisms of polyphenols have been widely performed, using different types of natural and synthetic phenolic compounds. 
  • 633
  • 14 Mar 2021
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