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Topic Review
Stability Modelling of mRNA Vaccine Quality
The vaccine distribution chains in several low- and middle-income countries are not adequate to facilitate the rapid delivery of high volumes of thermosensitive COVID-19 mRNA vaccines at the required low and ultra-low temperatures. COVID-19 mRNA vaccines are currently distributed along with temperature monitoring devices to track and identify deviations from predefined conditions throughout the distribution chain. These temperature readings can feed into computational models to quantify mRNA vaccine critical quality attributes (CQAs) and the remaining vaccine shelf life more accurately. Here, a kinetic modelling approach is proposed to quantify the stability-related CQAs and the remaining shelf life of mRNA vaccines. The CQA and shelf-life values can be computed based on the conditions under which the vaccines have been distributed from the manufacturing facilities via the distribution network to the vaccination centres.
  • 462
  • 28 Feb 2022
Topic Review
Virucidal Efficacy of Laundering
Viruses contribute significantly to the burden of infectious diseases worldwide. Although there are multiple infection routes associated with viruses, it is important to break the chain of infection and thus consider all possible transmission routes. Consequently, laundering can be a means to eliminate viruses from textiles, in clinical settings well as for domestic laundry procedures. Several factors influence the survival and inactivation of microorganisms, including viruses on hard surfaces and textiles. Therefore, textiles should be regarded as potential fomites. While in clinical and industrial settings laundry hygiene is ensured by standardized processes, temperatures of at least 60 °C and the use of oxidizing agents, domestic laundry is not well defined. Thus, the parameters affecting viral mitigation must be understood and prudently applied, especially in domestic laundering. Laundering can serve as a means to break the chain of infection for viral diseases by means of temperature, time, chemistry and mechanical action.
  • 462
  • 15 Nov 2022
Topic Review
Preventing Postpartum Hemorrhage
Maternal hemorrhage is linked to adverse effects, such as anemia, hypovolemic shock, disseminated intravascular coagulation, acute respiratory distress, renal failure, impaired breastfeeding, and the worsening of existing diseases in mothers, which compromises both physical and psychological health .
  • 464
  • 16 Jun 2021
Topic Review
The Current Green Economy Situations in European Union
Energy is undoubtedly one of the fundamental factors in the development of economies around the world. This is particularly evident during crises related to the reduction of supplies or the lack of energy sources. For example, the oil crisis of the 1970s of the twentieth century showed the problem of energy security, which has returned today and is one of the important topics of discussion in the European Union (EU) countries. Changes in the situation of the energy markets and geopolitical conditions show that the problem of energy security is fundamental for the functioning of modern economies. It directly influences economic development and other strategic areas, including the Lisbon Strategy for Growth and Jobs and the Millennium Development Goals.
  • 462
  • 22 Dec 2021
Topic Review
Sustainable Employability Based on the swAge-Model
Sustainable employability commonly refers to the ability of employees to participate in work and the labour market during their lifetimes. The swAge-model, a tool that helps us understand how to make working life more sustainable and healthier for all ages, can be the basis of sustainable employability.
  • 462
  • 29 Dec 2021
Topic Review
Necrotizing Enterocolitis (NEC)
Necrotizing enterocolitis (NEC) is a significant cause of mortality and morbidity in preterm infants. The pathogenesis of NEC is not completely understood; however, intestinal immaturity and excessive immunoreactivity of intestinal mucosa to intraluminal microbes and nutrients appear to have critical roles. 
  • 462
  • 06 Jan 2022
Topic Review
Macrolide Resistance in Bordetella pertussis
Pertussis is a highly contagious respiratory infection caused by Bordetella pertussis bacterium. The mainstay of treatment is macrolide antibiotics that reduce transmissibility, shorten the duration of symptoms and decrease mortality in infants. 
  • 462
  • 30 Nov 2022
Topic Review
Bioactive Mycocompounds of Selected Medicinal Mushrooms for HPV
Medicinal mushrooms have been used as a medicinal tool for many centuries and, nowadays, are used in the prevention and therapy of various diseases, including as an adjunct to cancer treatment. It is estimated that 14–16% of global cancer cases are caused by infectious events; one well-known infectious agent that leads to cancer is the human papillomavirus (HPV). HPV is responsible for more than 99.7% of cervical cancer cases and also may play a role in vaginal, vulvar, penile, anal, rectal, and oropharyngeal carcinogenesis. Coriolus versicolor, a basidiomycetes class mushroom, consists of glycoproteins called polysaccharide-K (PSK) and polysaccharopeptide (PSP), which are mainly responsible for its effectiveness in the fight against a variety of cancers. Its beneficial effect lies in its ability to arrest different phases of the cell cycle, immunomodulation or induction of apoptosis. Coriolus versicolor extractcan reduces BCL-2 expression or increases the expression of p53 tumour suppressor genes in breast tumour cell lines. Inhibition of proliferation was also demonstrated with HeLa cells, while cervical cytology abnormalities improved in patients who locally applied Coriolus versicolor-based vaginal gel. Coriolus versicolor extract itself, and also its combination with another medicinal mushroom, Ganoderma lucidum, leads to improved HPV clearance in HPV cervical or oral-positive patients. Medicinal mushrooms can also increase the effectiveness of vaccination.
  • 461
  • 11 Apr 2023
Topic Review
Hope in Nursing Care
Hope is a central concept within the nursing literature, which is crucial towards the development of nursing knowledge. Nursing teams play a crucial role in exploring the meaning of hope and promoting hope among patients and their families. 
  • 461
  • 25 Oct 2023
Topic Review
Palatal Rugae Pattern after Orthodontic Treatment
Palatal rugae are the irregular connective tissue also known as “plicae palatinae. These are anatomical folds located posterior to the incisive papilla in the palatal anterior third. These folds, which form as early as 3 months in utero, are largely attributed to the hardened connective tissue that covers the bone. Their orientation and pattern are formed in the fourth month of intrauterine life. Their uniqueness lies in the fact that they are stable and show post-mortem resistance until oral mucosal degeneration after death . Their anatomical location on the internal aspect of the oral cavity protects them from different environmental factors including rising temperature, palatal infections, trauma, and tooth exfoliation and eruption. They are considered suitable landmarks for forensic identification.
  • 461
  • 25 Feb 2022
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