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All Topic Review Biography
Topic Review
Ireland's Experience of Covid-19 and Eating Disorders
Irish society went into one of the most stringent lockdowns in March 2020 due to the COVID-19 pandemic, and barring a few weeks, remains highly restricted at time of writing. This has produced a wide range of challenges for those affected by eating disorders, as well as treatment services and Bodywhys, The Eating Disorders Association of Ireland. Current research indicates that COVID-19 has impacted across three key areas—the experience of those with an eating disorder, the experience of service provision, and the impact on the family situation.
  • 451
  • 29 Mar 2022
Topic Review
Impact of COVID-19 Infection on Cognitive Function
There is mounting evidence that patients with severe COVID-19 disease may have symptoms that continue beyond the acute phase, extending into the early chronic phase. This prolonged COVID-19 pathology is often referred to as ‘Long COVID’. Simultaneously, case investigations have shown that COVID-19 individuals might have a variety of neurological problems. The accurate and accessible assessment of cognitive function in patients post-COVID-19 infection is thus of increasingly high importance for both public and individual health.
  • 450
  • 06 Jul 2022
Topic Review
Healthy Eating in T2D
Type 2 diabetes (T2D) is a complex, multifaceted disease and its treatment involves lifestyle intervention (LI) programs that participants may find difficult to adopt and maintain. The objective of this study is to understand the lived experiences of participants with T2D regarding healthy eating behavior change, in order to identify and incorporate relevant information, skills, and educational approaches into LI programs. An explorative qualitative study was undertaken. Purposeful sampling was used to recruit 15 participants. One-on-one, semi-structured, open-ended, and in-depth interviews were conducted. An essentialist paradigm was adopted to accurately report the experiences, meaning, and reality of participants. An inductive approach was used to analyze the data. Participants reported that being diagnosed and living with T2D could be overwhelming, and their ability to manage was influenced by health care providers (HCP), family, and individual context. Many experienced a loop of “good–bad” eating behaviors. Participants expressed desires for future diabetes management that would include program content (nutrition, physical activity, mental health, foot care, and consequences of T2D), program features (understand context, explicit information, individualized, hands-on learning, applicable, realistic, incremental, and practical), program components (access to multidisciplinary team, set goals, track progress and be held accountable, one-on-one sessions, group support, maintenance/follow-up), and policy change. In conclusion, the results of this study indicate that T2D management requires more extensive, comprehensive, and ongoing support, guided by the individual participant. 
  • 450
  • 15 Jul 2021
Topic Review
Mercury and Prenatal Growth
The intrauterine environment is critical for healthy prenatal growth and affects neonatal survival and later health. Mercury is a toxic metal which can freely cross the placenta and disrupt a wide range of cellular processes. Many observational studies have investigated mercury exposure and prenatal growth, but no prior review has synthesised this evidence. Four relevant publication databases (Embase, MEDLINE/PubMed, PsycINFO, and Scopus) were systematically searched to identify studies of prenatal mercury exposure and birth weight, birth length, or head circumference. Study quality was assessed using the NIH Quality Assessment Tool, and results synthesised in a narrative review. Twenty-seven studies met the review criteria, these were in 17 countries and used 8 types of mercury biomarker. Studies of birth weight (total = 27) involving populations with high levels of mercury exposure, non-linear methods, or identified as high quality were more likely to report an association with mercury, but overall results were inconsistent. Most studies reported no strong evidence of association between mercury and birth length (n = 14) or head circumference (n = 14). 
  • 449
  • 07 Jul 2021
Topic Review
Lonomia obliqua Envenoming
The hemorrhagic syndrome is one of the most serious complications in patients who have  been in contact with the Lonomia caterpillar bristles. Although 26 species of the genus Lonomia (Saturniidae family) are distributed in the American continent, the most studied species are L. obliqua and L. achelous caterpillars; both are capable of inducing hemorrhagic effects in humans. Envenoming by L. obliqua caterpillars was considered a public health problem in southern Brazil. The hemostatic disturbances observed in the envenoming by L. obliqua caterpillars, result in a consumption coagulopathy, resembling a disseminated intravascular coagulation (DIC) and secondary fibrinolysis, which can lead to the hemorrhagic syndrome. The main complication of L. obliqua envenomation is acute renal failure, which can occur in up to 12% of the cases, being frequent in patients over 45 years old and in those with heavy bleeding. Besides that, some deaths related to hemorrhage and renal failure have been reported. However, the early diagnosis and proper treatment with  antilonomic serum (ALS), produced by the Butantan Institute (SP/Brazil), within 12 h of contact can prevent severe coagulopathy and hemorrhage events. 
  • 449
  • 22 Dec 2021
Topic Review
Hypersensitivity Reactions to Food Additives
Food additives (FAs) are commonly used in prosscessed foods, but hypersensitivity reactions to food additives (HFA) appears to be a rare phenomenon. Identification of the FA responsible for hypersensitivity and its treatment is difficult. Diagnosis is a challenge for the clinician and for the patient. A food diary is a helpful diagnostic tool. It allows diet therapy to be monitored based on the partial or complete elimination of products containing a harmful additive. An elimination diet must not be deficient, and symptomatic pharmacotherapy may be necessary if its application is ineffective.
  • 449
  • 21 Sep 2022
Topic Review
Ozone Therapy
ozone therapy can induce an adaptive antioxidant and anti-inflammatory response, which could be potentially useful in the management of chemotherapy-induced peripheral neuropathy. 
  • 449
  • 31 Jan 2022
Topic Review
Quality of Life and IBD
Inflammatory bowel diseases (IBDs) are chronic disabling conditions, characterized by an unpredictable course with flare-ups and periods of remission, that frequently affect young people and require lifelong medical follow-up and treatment. For years, the main endpoints of IBD treatment had been clinical remission and response, followed by biomarker normalization and mucosal healing. In the last decades, different therapies have been proved to be effective to treat IBD and the use of patient reported outcome (PRO) have become more relevant. Therefore, health-related quality of life (HRQoL) that has been defined as the value assigned to the duration of life influenced by physical and mental health, has been suggested as an important endpoint for IBD management since multiple studies have shown that IBD impairs it, both physically and psychologically. 
  • 449
  • 13 Jul 2021
Topic Review
The Corona Dashboard in Context (‘Dutchboard’)
The core corona dashboard depicts quantitative data—systemically decomposed—on key facts of the space and time spread of COVID-19 cases. There are three context-specific factors that determine the trajectory of the spread of the corona virus: (i) the degree of vaccination intensity in a given country; (ii) the policy stringency in coping with the virus; (iii) the degree of intensity of social contacts. 
  • 449
  • 04 Mar 2022
Topic Review
Metabolic Disease in the Offspring
Obesity incidence is rising worldwide, including women of reproductive age, contributing to increased gestations in which Maternal Obesity (MO) occurs. Offspring born to obese mothers present an increased predisposition to develop metabolic (e.g., obesity, diabetes) and cardiovascular disease (CVD). The developmental programming of the metabolic dysfunction in MO offspring can initiate in utero. The different availability of metabolic substrates, namely glucose, can modulate cellular growth, proliferation, and differentiation, resulting in different levels of tissue maturation and function.
  • 449
  • 14 Sep 2022
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