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Topic Review
Income Inequality and Race/Ethnicity Drive Obesity
Obesity is a major public health problem both globally and within the U.S. It varies by multiple factors, including but not limited to income and sex. After controlling for potential covariates, there is little evidence to determine the association between income and obesity and how obesity may be moderated by sex and family income. We examined the association between income and obesity in U.S. adults aged 20 years and older, and tested whether this relationship differs by race or ethnicity groups. For this analysis, we used data from the 1999–2016 National Health and Nutrition Examination Surveys (NHANES). Obesity was determined using Body Mass Index ≥ 30 kg/m2; the Gini coefficient (GC) was calculated to measure income inequality using the Poverty Income Ratio (PIR). We categorized the PIR into five quintiles to examine the relationship between income inequality and obesity. For the first set of analyses, we used a modified Poisson regression in a sample of 36,665 adults, with an almost equal number of men and women (women’s ratio was 50.6%), including 17,303 white non-Hispanics (WNH), 7475 black non-Hispanics (BNHs), and 6281 Mexican Americans. The models included age, racial/ethnic groups, marital status, education, health behaviors (smoking and drinking status and physical activities), health insurance coverage, self-reported health, and household structure (live alone and size of household). Adjusting for potential confounders, our findings showed that the association between PIR and obesity was positive and significant more frequently among WNH and BNH in middle and top PIR quintiles than among lower-PIR quintiles; this association was not significant in Mexican Americans (MAs). Results of GC in obese women showed that in comparison with WNHs (GC: 0.34, S.E.: 0.002), BNHs (GC: 0.38, S.E.: 0.004) and MAs (GC: 0.41, S.E.: 0.006) experienced higher income inequality, and that BNH obese men experienced the highest income inequality (GC: 0.45, S.E.: 0.011). The association between PIR and obesity was significant among WNHs and BNHs men in the 3rd, 4th and 5th PIR quintiles. The same association was not found for women. In treating obesity, policymakers should consider not only race/ethnicity and sex, but also strategies to reduce inequality in income. 
  • 471
  • 28 Oct 2021
Topic Review
Effect of PFAS Molecules for the Human Health
Per- and polyfluoroalkyl substances (PFAS) are a group of over 4700 heterogeneous compounds with amphipathic properties and exceptional stability to chemical and thermal degradation. The unique properties of PFAS compounds has been exploited for almost 60 years and has largely contributed to their wide applicability over a vast range of industrial, professional and non-professional uses. However, increasing evidence indicate that these compounds represent also a serious concern for both wildlife and human health as a result of their ubiquitous distribution, their extreme persistence and their bioaccumulative potential. In light of the adverse effects that have been already documented in biota and human populations or that might occur in absence of prompt interventions, the competent authorities in matter of health and environment protection, the industries as well as scientists are cooperating to identify the most appropriate regulatory measures, substitution plans and remediation technologies to mitigate PFAS impacts.
  • 471
  • 08 Feb 2022
Topic Review
Food of Pre-Hispanic Inhabitants from the Quito Plateau
In all of the different historical periods during its development, the pre-Hispanic inhabitants of the Quito plateau and its valleys used the flora and fauna for food and the development of their society. 
  • 470
  • 06 Dec 2022
Topic Review
HPV Vaccination among KA and Koreans
Koreans and Korean Americans (KAs) have limited HPV knowledge and awareness.
  • 471
  • 05 Jan 2022
Topic Review
Computer-Assisted Tissue Image Analysis in Minimally Invasive Surgery
Computer-assisted tissue image analysis (CATIA) enables an optical biopsy of human tissue during minimally invasive surgery and endoscopy. Thus far, it has been implemented in gastrointestinal, endometrial, and dermatologic examinations that use computational analysis and image texture feature systems.
  • 470
  • 21 Dec 2021
Topic Review
Periodontitis Classification, Clinical Features and Diagnosis
Periodontitis is a clinical condition where there is chronic inflammation of the periodontium, resulting in the loss of the periodontal ligament and damage to the surrounding alveolar bone. Various microorganisms have been linked to periodontitis. Chronic inflammation is responsible for various complications which are seen in periodontitis cases. For better treatment and diagnosis, it is important to understand the association of periodontitis with other systemic diseases.
  • 470
  • 31 Oct 2022
Topic Review
Epidemiology of Hepatitis E Virus
The hepatitis E virus (HEV) is a positive single-stranded, icosahedral, quasi-enveloped RNA virus in the genus Orthohepevirus of the family Hepeviridae. Orthohepevirus A is the most numerous species of the genus Orthohepevirus and consists of eight different HEV genotypes that can cause infection in humans. HEV is a pathogen transmitted via the fecal–oral route, most commonly by consuming fecally contaminated water. A particular danger is the HEV-1 genotype, which poses a very high risk of vertical transmission from the mother to the fetus.
  • 470
  • 23 Apr 2021
Topic Review
Prediction Models for Venous Thromboembolism
Venous thromboembolism (VTE) is a significant cause of mortality in patients with lung cancer. Despite the availability of a wide range of anticoagulants to help prevent thrombosis, thromboprophylaxis in ambulatory patients is a challenge due to its associated risk of haemorrhage. As a result, anticoagulation is only recommended in patients with a relatively high risk of VTE. Efforts have been made to develop predictive models for VTE risk assessment in cancer patients, but the availability of a reliable predictive model for ambulate patients with lung cancer is unclear. 
  • 469
  • 05 Jul 2021
Topic Review
Breast Density and Pre-Trained Convolutional Neural Network
Breast density describes the amount of fibrous and glandular tissue in a breast compared with the amount of fatty tissue. The breast density is assigned to one of four classes in the mammogram report based on the ACR BI-RADS standard. Convolutional Neural Network (CNN) are a type of artificial neural network usually used for classification and computer vision tasks. Therefore, CNNs are considered efficient tools for medical imaging classification.
  • 469
  • 21 Jun 2022
Topic Review
Common Misconceptions in Food Allergy
Food allergies are common, affecting 6–8% of children and 10.8% of adults, and are reported to be on the rise. The quality of life of children and their caregivers is known to be significantly affected. Food-allergic patients often worry about unintentional exposures and their consequences, especially anaphylaxis and life-threatening events. Patients face multiple dietary and psychosocial restrictions (such as exclusion from peer social activities, isolation and bullying). Optimal care for food allergies should be based on published evidence and national or international guidelines. Unfortunately, multiple misconceptions exist regarding prevention, diagnosis, management and burden resulting from food allergies. We also live in an era when patients have access to a multitude of medical information sources, not all of which are reliable or accurate.
  • 469
  • 06 Jul 2021
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