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Topic Review
Point-Of-Care or Point-Of-Need Diagnostic Tests
In the recent years, the progress of international trade and travel has led to an increased risk of emerging infections. Around 75 percent of the pathogens causing these infections are of animal origin. Point-of-care tests (POCT) and point-of-need tests (PONT) have been established in order to directly provide accurate and rapid diagnostics at field level, the patient bed-side or at the site of outbreaks. These assays can help physicians and decision makers to take the right action without delay. Typically, POCT and PONT rely on genomic identification of pathogens or track their immunological fingerprint. Recently, protocols for metagenomic diagnostics in the field have been developed.
  • 2.6K
  • 20 Apr 2021
Topic Review
Naturopathy
Naturopathy, or naturopathic medicine, is a form of alternative medicine. It employs an array of pseudoscientific practices branded as "natural", "non-invasive", or promoting "self-healing". The practices of naturopaths, the practitioners of naturopathic medicine, vary widely and are difficult to generalize. Treatments range from outright quackery, like homeopathy, to widely accepted practices like psychotherapy. The ideology and methods of naturopathy are based on vitalism and folk medicine rather than evidence-based medicine (EBM), although some practitioners may use techniques supported by EBM. Naturopathic practitioners commonly recommend against following modern medical practices, including but not limited to medical testing, drugs, vaccinations, and surgery. Instead, naturopathic practice relies on unscientific notions, often leading naturopaths to diagnoses and treatments that have no factual merit. Naturopathy is considered by the medical profession to be ineffective and harmful, raising ethical issues about its practice. In addition to condemnations and criticism from the medical community, such as the American Cancer Society, naturopaths have repeatedly been denounced as and accused of being charlatans and practicing quackery. Naturopaths are known for their frequent campaigning for legal recognition in the United States . It is illegal in two U.S. states and tightly regulated in many others. Some states have lax regulations, however, and may allow naturopaths to perform minor surgery or even prescribe drugs. While some schools exist for naturopaths, and some jurisdictions allow such practitioners to call themselves doctors, the lack of accreditation and scientific medical training means they lack the competency of true medical doctors.
  • 2.6K
  • 24 Oct 2022
Topic Review
Diagnosis of Epilepsy
Epilepsy is one of the most common neurological disorders, characterized by recurrent seizures, resulting from abnormally synchronized episodic neuronal discharges. 
  • 2.6K
  • 29 Nov 2021
Topic Review
Data Ownership in Healthcare
This section briefly discusses this issue of data ownership in the light of recent privacy laws. These laws have a very large impact on the topic of data sharing. It shows that these privacy laws provide rights to the patient, but they do not necessarily make clear who is the owner of the data. They only provide a legal framework for the handling of the data.
  • 2.6K
  • 05 Feb 2021
Topic Review
Stress
Stress, either physiological, biological or psychological, is an organism's response to a stressor such as an environmental condition. Stress is the body's method of reacting to a condition such as a threat, challenge or physical and psychological barrier. There are two hormones that an individual produces during a stressful situation, these are well known as adrenaline and cortisol. Stimuli that alter an organism's environment are responded to by multiple systems in the body. In humans and most mammals, the autonomic nervous system and hypothalamic-pituitary-adrenal (HPA) axis are the two major systems that respond to stress. The sympathoadrenal medullary (SAM) axis may activate the fight-or-flight response through the sympathetic nervous system, which dedicates energy to more relevant bodily systems to acute adaptation to stress, while the parasympathetic nervous system returadrenaliney to homeostasis. The second major physiological stress-response center, the HPA axis, regulates the release of cortisol, which influences many bodily functions such as metabolic, psychological and immunological functions. The SAM and HPA axes are regulated by several brain regions, including the limbic system, prefrontal cortex, amygdala, hypothalamus, and stria terminalis. Through these mechanisms, stress can alter memory functions, reward, immune function, metabolism and susceptibility to diseases. Disease risk is particularly pertinent to mental illnesses, whereby chronic or severe stress remains a common risk factor for several mental illnesses. One system suggests there are five types of stress labeled "acute time-limited stressors", "brief naturalistic stressors", "stressful event sequences", "chronic stressors", and "distant stressors". An acute time-limited stressor involves a short-term challenge, while a brief natural stressor involves an event that is normal but nevertheless challenging. A stressful event sequence is a stressor that occurs, and then continues to yield stress into the immediate future. A chronic stressor involves exposure to a long-term stressor, and a distant stressor is a stressor that is not immediate.
  • 2.5K
  • 28 Oct 2022
Topic Review
Essential-thrombocythemia and Acquired von-Willebrand Syndrome
Over the past decade, new insights have emerged on the pathophysiology of essential thrombocythemia (ET), its clinical management, and associated thrombohemostatic disturbances. Here, we review the latest diagnostic and risk stratification modalities of ET and its therapeutics. Moreover, we discuss the clinical evidence-based benefits, deriving from major clinical trials, of using cytoreductive therapy and antiplatelet agents to lower the risk of fatal vascular events. Also, we focus on the condition of extreme thrombocytosis (>1000 × 109/L) and bleeding risk, the development and pathogenesis of acquired von Willebrand syndrome, and the clinical approach to this paradoxical scenario in ET.
  • 2.5K
  • 20 Oct 2020
Topic Review
Neurotransmitter Dysfunction in IBS
Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder whose aetiology is still unknown. Most hypotheses point out the gut-brain axis as a key factor for IBS. The axis is composed of different anatomic and functional structures intercommunicated through neurotransmitters. 
  • 2.5K
  • 13 Aug 2021
Topic Review
Grandiosity
In the field of psychology, the term grandiosity refers to an unrealistic sense of superiority, characterized by a sustained view of one's self as better than others, which is expressed by disdainfully criticising them, overinflating one's own capability and belittling them as inferior; and refers to a sense of personal uniqueness, the belief that few other people have anything in common with oneself, and that one can only be understood by a few, very special people. The personality trait of grandiosity is principally associated with narcissistic personality disorder (NPD), but also is a feature in the occurrence and expression of antisocial personality disorder, and the manic and hypomanic episodes of bipolar disorder.
  • 2.5K
  • 25 Nov 2022
Topic Review
Fungal Pigments
Fungi can produce a large diversity of pigments. Based on their chemical structures, fungal pigments are broadly grouped into carotenoids, melanin, polyketides, and azaphilones etc. These pigments differ in many aspects, including colouration and physical and chemical properties such as molecular size, structure, hydrophobicity, reactivity and biological roles. While the same fungus may be able to produce different pigments, structurally similar pigments can be produced by fungi in evolutionarily divergent lineages. Some of these pigments play positive roles in human welfare, including vitamin precursors, antibiotics, immunomodulators and colourants. However, when present in human fungal pathogens, these pigments can also enhance the virulence and pathogenicity of these organisms. While significant progresses have been made for understanding fungal pigments, much remains unknown, including the structure-function relationships and the genes and metabolic pathways involved in their synthesis for the majority of fungal pigments.
  • 2.5K
  • 25 Nov 2020
Topic Review
Death Anxiety (Psychology)
Death anxiety is anxiety caused by thoughts of one's own death; it is also referred to as thanatophobia (fear of death). Death anxiety is different from necrophobia, the latter is the fear of others who are dead or dying, whereas the former concerns one's own death or dying. Popular psychotherapist Robert Langs proposed 3 different causes of death anxiety: Predatory, predator, and existential. In addition to his research, many theorists such as Sigmund Freud, Erik Erikson, Ernest Becker, and others have contemplated death and death anxiety and how it relates to human psychology. Death anxiety has been found to affect people of differing demographic groups as well; such as men versus women, young versus old, etc.    Additionally, there is anxiety caused by death-recent thought-content, which might be classified within a clinical setting by a psychiatrist as morbid and/or abnormal. This classification pre-necessitates a degree of anxiety which is persistent and interferes with everyday functioning. Lower ego integrity, more physical problems and more psychological problems are predictive of higher levels of death anxiety in elderly people perceiving themselves close to death. Death anxiety can cause extreme timidness with a person's attitude towards discussing anything to do with death. Findings from one systematic review demonstrated that death anxiety features across several mental health conditions. One meta-analysis of psychological interventions targeting death anxiety showed that death anxiety can be reduced using cognitive behavior therapy.
  • 2.5K
  • 20 Oct 2022
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