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Topic Review
Multisystem Inflammatory Syndrome after COVID-19 Infection
Coronavirus disease 2019 (COVID-19) rapidly emerged as a global pandemic, placing imminent stress and burden on healthcare resources and workers worldwide. Many patients who present with a severe COVID-19 infection are at high risk of developing severe acute respiratory distress syndrome (ARDS), leading to a vast number of patients requiring mechanical ventilation and a high mortality rate. Similar to Middle East respiratory syndrome, COVID-19 demonstrates an initial viral replication phase that manifests as a variety of symptoms typically flu-like in nature, followed by a profound inflammatory response leading to rapid production of cytokines and uncontrolled inflammation. 
  • 330
  • 27 Apr 2023
Topic Review
Mendelian Susceptibility to Mycobacterial Disease
The diagnosis and treatment of patients with mendelian susceptibility to mycobacterial disease (MSMD) pose consistent challenges due to the diverse infection spectrum observed in this population. Common clinical manifestations include Bacillus Calmette-Guérin vaccine (BCG) complications in countries where routine BCG vaccination is practiced, while in non-BCG-vaccinating countries, Non-Tuberculous Mycobacteria (NTM) is prevalent. In tuberculosis-endemic regions, Mycobacterium tuberculosis (MTB) has a high prevalence, along with other intracellular organisms.
  • 331
  • 06 Mar 2024
Topic Review
Mild Cognitive Impairment in Rural Areas
Mild cognitive or neurocognitive impairment (MCI) may be more prevalent in rural areas. Differences between rural and urban MCI patients in terms of risk factors, course and prognosis are rarely reported. 
  • 329
  • 04 Aug 2022
Topic Review
Health in Chile’s Constitutional Process
Chile is a high-income country in Latin America that faces great socioeconomic inequality and a segmented–public and private–health system. In response to the serious political crisis which took place in 2019, Chile’s political parties came together to deliberate on an institutional solution, attending to the social demands of fairness around several issues, such as pensions, health, and education. The result was the elaboration of the “Agreement for Social Peace and the New Constitution’’. In the process towards elaborating a draft for a new constitution, different mechanisms of civil participation were enabled, including the Popular Initiatives for Norms, an online website where individuals or collectives could submit proposals to be considered.
  • 329
  • 03 Jan 2023
Topic Review
Spontaneous Osteonecrosis of the Knee
Osteonecrosis is a terrible condition that can cause advanced arthritis in a number of joints, including the knee. The three types of osteonecrosis that can affect the knee are secondary, post-arthroscopic, and spontaneous osteonecrosis of the knee (SPONK). Regardless of osteonecrosis classification, treatment for this condition seeks to prevent further development or postpone the onset of knee end-stage arthritis. Joint arthroplasty is the best course of action whenever there is significant joint surface collapse or there are signs of degenerative arthritis. The non-operative options for treatment at the moment include observation, nonsteroidal anti-inflammatory medications (NSAIDs), protective weight bearing, and analgesia if needed. Depending on the severity and type of the condition, operational procedures may include unilateral knee arthroplasty (UKA), total knee arthroplasty (TKA), or joint preservation surgery. Joint preservation techniques, such as arthroscopy, core decompression, osteochondral autograft, and bone grafting, are frequently used in precollapse and some postcollapse lesions, when the articular cartilage is typically unaffected and only the underlying subchondral bone is affected. In contrast, operations that try to save the joint following significant subchondral collapse are rarely successful and joint replacement is required to ease discomfort. 
  • 330
  • 12 Dec 2022
Topic Review
Isoniazid Preventive Therapy for Tuberculosis among HIV Patients
Tuberculosis (TB) is a major cause of morbidity and mortality in people living with HIV (PLWHIV). Isoniazid preventive therapy (IPT) prevents TB in PLWHIV, but estimates of its effects and actual implementation vary across countries. PLHIV who were on IPT, independently or simultaneously with ART, were less likely to develop TB than those without IPT. IPT interventions had a significant association with improved CD4 count and reduced all-cause mortality. IPT was less effective in people with advanced HIV infection. The major factors influencing IPT implementation and uptake were stock-outs, fear of developing isoniazid-resistant TB, patient’s refusal and non-adherence, and improper counseling and low commitment of HIV clinical care providers. IPT alone or in combination with ART significantly reduces the incidence of TB and mortality in PLHIV in Ethiopia than those without IPT. More research on safety is needed, especially on women with HIV who receive a combination of IPT and ART. 
  • 329
  • 19 Jan 2023
Topic Review
Health Policies Based on Patient Satisfaction
Healthcare decision-makers increasingly face a changing and ever-evolving landscape, forcing them to formulate public policies based on the results from different scientific investigations. This entry evaluates the field of research on patient satisfaction as a basis for health policies. The analysis was carried out with a sample of 621 articles published between 2000 and 2020 in the Scopus database.
  • 328
  • 22 Nov 2021
Topic Review
Human behaviour affected by COVID-19 lockdown
The Coronavirus disease 2019 (COVID-19) is a severe acute respiratory syndrome which is caused by the novel coronavirus SARS-CoV-2. Many governments around the world implemented a ‘lockdown’ strategy to manage and attempt to lower the number of new COVID-19 infections. There was a blanket prohibition on all mass gatherings, regardless of their nature. Numerous other restrictions were also imposed, including but not limited to the closure of public spaces such as restaurants, playgrounds and parks, and shopping centers, as well as an implementation of distance learning, mandatory quarantine for travelers entering the country, and limitations on the number of people that were allowed to go out from each household. 
  • 327
  • 17 Jan 2022
Topic Review
Rehabilitation of Motor Impairment in Stroke
Stroke is categorized as one of the most concerning global health issues as it is a serious and common disabling factor worldwide. Ageing and urbanization are two powerful drivers of stroke. The elderly population is at higher risk of experiencing a stroke, but stroke can be prevented to some extent by dealing with the modifiable menace factors such as physical inactivity, drugs, unhealthy diet, and tobacco so that problems such as hypertension, high blood pressure, and diabetes, which are the root causes of the epidemic, may be managed. Different therapies are described, such as functional electric stimulation (FES), noninvasive brain stimulation (NIBS) including transcranial direct current stimulation (t-DCS) and transcranial magnetic stimulation (t-MS), invasive epidural cortical stimulation, virtual reality (VR) rehabilitation, task-oriented therapy, robot-assisted training, tele rehabilitation, and cerebral plasticity for the rehabilitation of upper extremity motor impairment. New therapeutic rehabilitation techniques are also being investigated, such as VR. 
  • 327
  • 11 Feb 2022
Topic Review
Reminiscence Therapy
Reminiscence therapy (RT) consists of thinking about one’s own experiences through the presentation of memory-facilitating stimuli, and it has as its fundamental axis the activation of emotions. An innovative way of offering RT involves the use of technology-assisted applications, which must also satisfy the needs of the user.
  • 327
  • 20 May 2022
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