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Topic Review
Monkeypox in Occupational Settings
With ongoing climate change, which alters the conditions for pathogens and vectors, zoonotic diseases such as monkeypox virus will become a challenge and a great threat impacting global health in future decades. A current outbreak of monkeypox is occurring in over 125 countries, with a report of thousands of cases in countries where this virus has never appeared. Occupational exposure to the monkeypox virus has been identified as an issue of major concern for occupational health, especially in healthcare settings. A research following the PRISMA guidelines was performed, which analyzed the effects that the current monkeypox outbreak has in workplaces, given the potential exposure of healthcare workers to the virus, the possible spread of the virus in occupational settings, and the preventive measures that are necessary to implement. At the end of the selection process, 21 studies were included in the research. Healthcare workers are considered at a high risk, and similar preventive measures to those adopted during the SARS-CoV-2 pandemic must be implemented in all healthcare settings. The main recommendations for preventing and managing monkeypox in occupational settings are the vaccination of exposed workers, the prompt identification and isolation of infected individuals, and good hygiene practices. Education and specific training are necessary in non-endemic countries to make healthcare workers able to recognize the disease and prevent further contagions. Although monkeypox seems unlikely to reach the pandemic spread of COVID-19, an approach to global health even to avoid future zoonotic epidemics is required by all stakeholders. 
  • 379
  • 07 Nov 2022
Topic Review
Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act, also known as the Affordable Care Act (ACA) or colloquially as Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965. PPACA's major provisions came into force in 2014. By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. The law also enacted a host of delivery system reforms intended to constrain healthcare costs and improve quality. After the law went into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was due, roughly equally, to an expansion of Medicaid eligibility and to changes to individual insurance markets. Both received new spending, funded through a combination of new taxes and cuts to Medicare provider rates and Medicare Advantage. Several Congressional Budget Office reports said that overall these provisions reduced the budget deficit, that repealing PPACA would increase the deficit, and that the law reduced income inequality by taxing primarily the top 1% to fund roughly $600 in benefits on average to families in the bottom 40% of the income distribution. The act largely retained the existing structure of Medicare, Medicaid and the employer market, but individual markets were radically overhauled. Insurers were made to accept all applicants without charging based on pre-existing conditions or demographic status (except age). To combat the resultant adverse selection, the act mandated that individuals buy insurance (or pay a fine/tax) and that insurers cover a list of "essential health benefits". Before and after enactment PPACA faced strong political opposition, calls for repeal and legal challenges. In National Federation of Independent Business v. Sebelius, the Supreme Court ruled that states could choose not to participate in PPACA's Medicaid expansion, although it upheld the law as a whole. The federal health exchange, HealthCare.gov, faced major technical problems at the beginning of its rollout in 2013. Polls initially found that a plurality of Americans opposed the act, although its individual provisions were generally more popular and the law gained majority support by 2017.
  • 1.8K
  • 05 Nov 2022
Topic Review
Epidemiology and Classification of Aortic Dissection
The aorta is the largest artery in the body, delivering oxygenated blood from the left ventricle to all organs. Dissection of the aorta is a lethal condition caused by a tear in the intimal layer of the aorta, followed by blood loss within the aortic wall and separation of the layers to full dissection. The aorta can be affected by a wide range of causes including acute conditions such as trauma and mechanical damage; and genetic conditions such as arterial hypertension, dyslipidaemia, and connective tissue disorders; all increasing the risk of dissection. Both rapid diagnostic recognition and advanced multidisciplinary treatment are critical in managing aortic dissection patients.
  • 1.4K
  • 04 Nov 2022
Topic Review
Pharmacist Intervention in Portuguese Older Adult Care
The increase in life expectancy and population ageing are currently significant societal concerns. Pharmacist intervention is a way to ensure the correct use of medicines and adherence to therapy, helping to prevent drug interactions and adverse drug reactions, thus improving health and preventing further medication-related problems in older adults.
  • 442
  • 04 Nov 2022
Topic Review
Diabetes Screening in a Dental Setting
With type 2 diabetes prevalence increasing globally, and the condition associated with many acute and chronic complications, oppurtunistic screening for dysglycaemia in the dental setting has been suggested to identify asymptomatic individuals.  For screening to be effective, individuals at risk of diabetes, need to adhere to their oral health professionals’ (OHP) referral advice and attend medical follow-up for definitive diagnosis of their glycemic status. A scoping research of the literature selecting studies of diabetes screening in a dental setting that recorded compliance to referral to follow-up, and explored any barriers and facilitators to adherence, found referral compliance was low and reported barriers and facilitators to attending medical follow-ups included accessibility, cost, knowledge of the condition, and OHP characteristics.
  • 412
  • 04 Nov 2022
Topic Review
Specialists’ Dual Practice within Public Hospital Setting
In line with the commitment of the Malaysian government and Ministry of Health (MOH) to prevent the brain drain of specialists from public hospitals, they have been permitted to perform dual practice within the public hospital setting (DPH) since 2007. DPH allowed them to hold jobs in both public and private practices within the same public hospitals that they are affiliated to, permitting these specialists to treat public and private patients. Nevertheless, the information regarding DPH in Southeast Asia region is still limited. In Malaysia, public specialists are allowed to perform DPH, which is also known as Full Paying Patient (FPP) Service. FPP Service as DPH has been well-governed and regulated by the MOH while serving as a means to retain specialists in the public healthcare system by providing them with opportunities to obtain additional income. Such a policy has also reduced the financial burden of the government in subsidizing healthcare.
  • 588
  • 04 Nov 2022
Topic Review
Research Trends on Exercise-Induced Muscle Damage
Exercise-induced muscle damage (EIMD) is a phenomenon that occurs following novel or unaccustomed exercise, particularly if the exercise includes a high number of eccentric contractions. The damage process is normally accompanied by a temporary decrease in muscle function (both muscle force and range of motion), increased swelling of the involved muscle group, increased circulation of muscle-specific proteins, and delayed-onset muscle soreness (DOMS). Most of the symptoms and signs of EIMD are present immediately after the initial exercise bout and persist for up to 14 days. 
  • 549
  • 03 Nov 2022
Topic Review
Leveraging Reddit for Suicidal Ideation Detection
Suicide is a major public-health problem that exists in virtually every part of the world. Hundreds of thousands of people commit suicide every year. The early detection of suicidal ideation is critical for suicide prevention. However, there are challenges associated with conventional suicide-risk screening methods. At the same time, individuals contemplating suicide are increasingly turning to social media and online forums, such as Reddit, to express their feelings and share their struggles with suicidal thoughts. 
  • 1.2K
  • 02 Nov 2022
Topic Review
Eating Patterns in Attention Deficit Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood, affecting ~7% of children and adolescents worlwide. Case-control studies have shown that dietary patterns may influence the risk of ADHD. Non-healthy dietary patterns have been positively associated with this pathology, while healthy dietary patterns have been negatively associated.
  • 636
  • 01 Nov 2022
Topic Review
Long COVID
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was first detected in China in a group of patients suffering from pneumonia. It was established as the causative agent for COVID-19, the virus that led to the ongoing pandemic, and the recently raised threat of long COVID-19. Even though some cases can progress to life-threatening pneumonia, most individuals infected with the virus suffer from mild to moderate illness.
  • 420
  • 31 Oct 2022
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