Global Issue Research Articles

Unveiling the Role of Climate and Environmental Dynamics in Shaping Forest Fire Patterns in Northern Zagros, Iran

Wildfires present a major global environmental issue, exacerbated by climate change. The Iranian Northern Zagros Forests, characterized by a Mediterranean climate, are particularly vulnerable to fires during hot, dry summers. This study investigates the impact of climate change on forest fires in these forests from 2006 to 2023. The analysis revealed significant year-to-year fluctuations, with notable fire occurrence in years 2007, 2010, 2021, and 2023. The largest burned area occurred in 2021, covering 2655.66 ha, while 2006 had the smallest burned area of 175.27 ha. Climate variables such as temperature, humidity, precipitation, wind speed, heat waves, and solar radiation were assessed for their effects on fire behavior. Strong correlations were found between higher average temperatures and larger burned areas, as well as between heat waves and increased fire frequency. Additionally, higher wind speeds were linked to larger burned areas, suggesting that increased wind speeds may enhance fire spread. Multiple linear regression models demonstrated high predictive accuracy, explaining 84% of the variance in burned areas and 69.6% in the variance in fire frequency. These findings document the growing wildfire risk in the Northern Zagros region due to climate change, highlighting the urgent need to integrate scientific research with policies to develop effective wildfire management strategies for sustainable forest management.

The application and reflection of emerging molecular detection technologies in Salmonella detection

Salmonella is an important foodborne pathogen and one of the main causes of diarrhea. Every year, about 550 million people suffer from diarrhea due to Salmonella infection, of which about 230 000 die. It has become a major global public safety issue. The application fields of Salmonella detection involve food safety, water quality monitoring, animal husbandry, public health monitoring, and medical diagnosis. The detection requirements mainly come from three aspects: pathogen identification, serotype identification, drug resistance and virulence identification. In recent years, the detection technology for Salmonella has made rapid progress, especially the emergence and development of emerging molecular detection technologies, providing new perspectives for Salmonella detection in different scenarios. However, due to the diversity of Salmonella serotypes and the complexity of detection scenarios, existing detection technologies still have some pain points (such as long detection time, cumbersome operation steps, low scene adaptability, etc.). This article will elaborate on the application of several emerging molecular detection technologies with distinct characteristics, such as CRISPR Cas technology, digital PCR technology, sequencing technology, and microfluidic technology, in Salmonella detection. It aims to provide a reference for the development and improvement of Salmonella detection technology and the establishment of infection warning and control systems.

Oral health in obese children common findings, prevention, treatment and outcome

Childhood obesity is a significant global public health issue, closely linked to various oral health challenges, including dental caries, periodontal disease, and malocclusion. Obese children are more prone to these dental problems due to dietary habits that include high sugar and carbohydrate intake, poor oral hygiene practices, and systemic inflammation. This review explores the common oral health issues faced by obese children and emphasizes the importance of preventive strategies and tailored treatment approaches. Preventive measures include promoting healthy dietary habits, improving oral hygiene practices, and ensuring regular dental check-ups. Dietary modifications, such as reducing the intake of sugary snacks and beverages, play a crucial role in preventing tooth decay and other dental problems. Educating children and caregivers about proper brushing and flossing techniques and the use of fluoride toothpaste and dental sealants further supports oral health. Regular dental visits allow for early detection and management of dental issues, with professional cleanings, fluoride treatments, and appropriate restorative and periodontal therapies being integral components of care. The outcomes of these comprehensive treatment strategies are generally positive, leading to improved oral health and overall quality of life for obese children. Multidisciplinary collaboration among healthcare providers, including dentists, pediatricians, and nutritionists, is essential to develop effective care plans that address both obesity and oral health. This integrated approach ensures that obese children receive holistic care that promotes lifelong healthy habits, reducing the risk of future dental and systemic health problems. The review underscores the necessity of a concerted effort to address the intertwined issues of obesity and oral health in children, highlighting the potential for significant health improvements through targeted prevention and treatment strategies.

Lifelong dietary protein restriction induces denervation and skeletal muscle atrophy in mice

As a widespread global issue, protein deficiency hinders development and optimal growth in offspring. Maternal low-protein diet influences the development of age-related diseases, including sarcopenia, by altering the epigenome and organ structure through potential increase in oxidative stress. However, the long-term effects of lactational protein restriction or postnatal lifelong protein restriction on the neuromuscular system have yet to be elucidated. Our results demonstrated that feeding a normal protein diet after lactational protein restriction did not have significant impacts on the neuromuscular system in later life. In contrast, a lifelong low-protein diet induced a denervation phenotype and led to demyelination in the sciatic nerve, along with an increase in the number of centralised nuclei and in the gene expression of atrogenes at 18 months of age, indicating an induced skeletal muscle atrophy. These changes were accompanied by an increase in proteasome activity in skeletal muscle, with no significant alterations in oxidative stress or mitochondrial dynamics markers in skeletal muscle later in life. Thus, lifelong protein restriction may induce skeletal muscle atrophy through changes in peripheral nerves and neuromuscular junctions, potentially contributing to the early onset or exaggeration of sarcopenia.

Global burden of benign prostatic hyperplasia in males aged 60–90 years from 1990 to 2019: results from the global burden of disease study 2019

BackgroundBenign prostatic hyperplasia (BPH) is a prevalent urological disease in elderly males. However, few studies have estimated the temporal and spatial distributions of the BPH burden in male adults aged 60 years and over at the global, national, and regional scales.MethodsLeveraging the Global Burden of Disease, Injuries, and Risk Factors Study, we estimated the global epidemiological trends in the prevalence, incidence, and disability-adjusted life-years (DALYs) of BPH in 204 countries and 21 regions and 5 sociodemographic index (SDI) regions in males aged 60 years and over between 1990 and 2019. The average annual percentage changes (AAPCs) in age-specific rates were estimated to quantify overall trends. We estimated the contribution of population aging and epidemiological alterations in disease burden via composition analysis.ResultsOver the past three decades, the global prevalent cases, incident cases and DALYs of BPH have increased, ranging from 118.78 to 121.22%. The global number of prevalent BPH cases reached 79 million in people aged 60 years and older in 2019. The prevalence, incidence, and DALYs rates gradually increased, with AAPCs of 0.02, 0.02, and 0.01, respectively. Low-middle, middle, and low SDI regions experienced rapid increases in the number of prevalent cases of BPH. In 2019, China, India, and United States of America bore the largest burden of prevalent cases among people aged 60 years and over. The three regions with the highest prevalence rates of BPH were Eastern Europe, Central Latin America, and Andean Latin America. The increased prevalence was attributed to population growth (94.93%), epidemiological changes (3.45%), and aging (1.62%), globally.ConclusionsBPH is a global health issue that imposes substantial economic burdens on most countries, particularly males aged 60 years and over. Effective health decisions are imperative for BPH prevention and treatment.

Synthesis and Biological Evaluation of Novel Furopyridone Derivatives as Potent Cytotoxic Agents against Esophageal Cancer.

Cancer continues to be a major global health issue, ranking among the top causes of death worldwide. To develop novel antitumor agents, this study focused on the synthesis of a series of 21 novel furanopyridinone derivatives through structural modifications and functional enhancements. The in vitro anti-tumor activities of these compounds were investigated through the cytotoxicity against KYSE70 and KYSE150 and led to the identification of compound 4c as the most potent compound. At a concentration of 20 µg/mL, compound 4c demonstrated a remarkable 99% inhibition of KYSE70 and KYSE150 cell growth after 48 h. IC50 was 0.655 µg/mL after 24 h. Additionally, potential anti-tumor cellular mechanisms were explored through molecular docking, which was used to predict the binding mode of 4c with METAP2 and EGFR, suggesting that the C=O part of the pyridone moiety likely played a crucial role in binding. This study provided valuable insights and guidance for the development of novel anticancer drugs with novel structural scaffolds.

Apoptotic vesicles (apoVs) derived from fibroblast-converted hepatocyte-like cells effectively ameliorate liver fibrosis

Liver fibrosis is a serious global health issue for which effective treatment remains elusive. Chemical-induced hepatocyte-like cells (ciHeps) have emerged as an appealing source for cell transplantation therapy, although they present several challenges such as the risk of lung thromboembolism or hemorrhage. Apoptotic vesicles (apoVs), small membrane vesicles generated during the apoptosis process, have gained attention for their role in regulating various physiological and pathological processes. In this study, we generated ciHep-derived apoVs (ciHep-apoVs) and investigated their therapeutic potential in alleviating liver fibrosis. Our findings revealed that ciHep-apoVs induced the transformation of macrophages into an anti-inflammatory phenotype, effectively suppressed the activity of activated hepatic stellate cells (aHSCs), and enhanced the survival of hepatocytes. When intravenously administered to mice with liver fibrosis, ciHep-apoVs were primarily engulfed by macrophages and myofibroblasts, leading to a reduction in liver inflammation and fibrosis. Proteomic and miRNA analyses showed that ciHep-apoVs were enriched in various functional molecules that modulate crucial cellular processes, including metabolism, signaling transduction, and ECM-receptor interactions. ciHep-apoVs effectively suppressed aHSCs activity through the synergistic inhibition of glycolysis, the PI3K/AKT/mTOR pathway, and epithelial-to-mesenchymal transition (EMT) cascades. These findings highlight the potential of ciHep-apoVs as multifunctional nanotherapeutics for liver fibrosis and provide insights into the treatment of other liver diseases and fibrosis in other organs.Graphical abstract

Breaking the cycle of reoccurring low back pain with integrated motivational interviewing and cognitive behavioural therapy to facilitate education and exercise advice: a superiority randomised controlled trial study protocol

BackgroundNon-specific low back pain is a common and costly global issue. Many people with low back pain live for years with ongoing symptom recurrence and disability, making it crucial to find effective prevention strategies. Motivational interviewing (MI) is an evidence-based patient-centred counselling style that helps motivate individuals to change their behaviours. In combination, MI and cognitive-behavioural therapy (MI-CBT) has the potential to yield long term improvements in pain and disability and reduce incidence of recurrence.MethodThis is a two-arm superiority randomised controlled trial comparing MI-CBT and Education (n = 83) with Education only (n = 83). Participants that have recovered from a recent episode of non-specific low back pain (7th consecutive day with pain ≤ 2 on a 0–10 numeric pain rating scale) will be eligible for inclusion into the study. Both groups will receive five 30-min sessions over a 10-week period as well as the Navigating Pain booklet, homework book and a standardised exercise programme. In the intervention group, MI-CBT techniques will be used to provide individualised support, identify beliefs, and increase engagement with the resources provided. Outcomes measures include pain (current and in the last 7 days) as rated on the numeric pain rating scale. This will be used to determine recurrence (number of participants who report back pain ≥ 3 out of 10 on the numeric pain rating scale). Furthermore, self-reported (1) pain intensity; (2) pain catastrophizing; (3) fear-avoidance beliefs; (4) pain self-efficacy; (5) depression and anxiety; (6) disability will be measured. All outcomes will be measured at baseline, and again at 3-, 6-, and 12-months post allocation.DiscussionThe effective delivery of self-management strategies to prevent recurrence of low back pain is an important aspect that requires urgent attention. This study will provide new information on the effectiveness of using an MI-CBT approach to facilitate self-management through education and exercise to improve low back pain outcomes. Evidence emerging from this trial has the potential to inform clinical practice and healthcare management of non-specific low back pain.Trial registrationProspectively registered with Australian New Zealand Clinical Trials Registry: ACTRN12623000746639 (10/07/2023).

Land degradation vulnerability mapping using geospatial techniques: a case study of Nandakini River basin, NW Himalaya, India

ABSTRACT Land degradation is a significant global environmental issue, and its prevention has become a serious concern of the twenty-first century, particularly in the context of anthropogenic impact and climate change. It is crucial to map and assess the grade of land degradation to determine vulnerable areas. The Indian Himalayan region faces heightened risks with its steep terrain, active tectonics, heavy precipitation, and human interventions. This study focuses on the Nandakini Watershed. Employing AHP technique, the study calculates the Land Degradation Vulnerability Index (LDVI) using slope, terrain ruggedness, rainfall, temperature, LULC, soil depth, and organic carbon content. The results indicate that the upper region is highly vulnerable, and a higher slope influences the runoff in the area, followed by factors like NDVI and rainfall, collectively contributing to 62% of the overall index. In this context, the upstream regions of the watershed display a high LDVI, while most of the area falls within the low LDVI category. This indicates that approximately 2.10% of the study area is highly susceptible to soil erosion. RUSLE-based estimates have been used to further validate the LDVI result. The integrated LDVI offers a valuable tool for prioritising soil conservation and disaster mitigation.

Biofortification in garden peas through multi-micronutrient formulations

Soil micronutrient deficiencies lead to crops with low essential element concentrations, affecting human health through micronutrient malnutrition. Effective practices, like foliar nutrient application, improve crop quality and reduce malnutrition. The garden pea (Pisum sativum L. var. hortense) is cultivated worldwide for its nutritional value and such nutrient-rich crops, through agronomic biofortification, offer a sustainable solution to global health issues by addressing micronutrient deficiencies. Four liquid micronutrient formulations [Treatment 1 (T1), Treatment 2 (T2), Treatment 3 (T3), and Treatment 4 (T4)] were prepared using either water or vermiwash as a carrier, with variations that included the presence or absence of plant growth regulators (GA3 + NAA)] and evaluated along with commercially available formulations [Arka Vegetable Special (T5) and ProKissan (T6)]. Micronutrient formulations, particularly T3, demonstrated notable effects on various parameters, including plant height, biomass, root characteristics, pod weight, and micronutrient contents in seeds of garden pea var. Kashi Nandini. T3 significantly outperformed other formulations in promoting plant growth, resulting in higher values for plant height, biomass, branches per plant, nodule mass, root biomass, surface area, volume, and density. Yield parameters such as pod length, weight, number of pods, and seeds per pod were also positively influenced by micronutrient treatments, with T3 leading to the highest overall yield, with a 24.09 % increase per plant and a 13.39 % increase per hectare compared to the control. Additionally, foliar application of micronutrients increased the concentration of copper, zinc, iron, and manganese in seeds, positively impacting seed quality. Quality parameters, including total soluble solids, protein, total phenol, and total flavonoid contents, were significantly improved by micronutrient treatments, with T3 showing the most favorable outcomes. Texture analysis indicated that peas treated with T3 had lower firmness values, suggesting maintained tenderness and sweetness. Correlation analysis revealed strong positive associations between various growth parameters, yield traits, and micronutrient contents. Overall, foliar micronutrient application proved to be a valuable biofortification strategy for enhancing the performance and quality of garden peas.

The mitigating role of social capital on the association between food insecurity and psychological distress among Chinese adults.

Food insecurity, a pervasive global issue exacerbated by the COVID-19 pandemic, has been linked to adverse mental health outcomes. However, the role of social capital in mitigating this relationship remains understudied, particularly in the Chinese context. This study investigated the associations between food insecurity and psychological distress (depressive and anxiety symptoms) and examined the potential moderating effects of bonding and bridging social capital among Chinese adults in Shanghai. This cross-sectional study included 3,220 Chinese adults (mean age: 34.45; 51.5% male) in Shanghai. Food insecurity was assessed using the modified Household Food Insecurity Access Scale, psychological distress was measured using the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and social capital was evaluated using the Revised Personal Social Capital Scale. Multivariable linear regression analyses revealed that food insecurity was significantly positively associated with both depressive (β = 0.449, SE = 0.024) and anxiety symptoms (β = 0.391, SE = 0.022), after adjusting for sociodemographic characteristics, health status, and COVID-19-related factors. Higher levels of bonding and bridging social capital were significantly associated with fewer depressive and anxiety symptoms. Significant interactions (p < .001) between bonding social capital and food insecurity indicated that the associations between food insecurity and psychological distress were less pronounced among adults with higher bonding social capital. These findings highlight the critical role of food insecurity as a risk factor for psychological distress and the importance of bonding social capital in mitigating its impact on mental health. Policies and interventions targeting food insecurity prevention and bonding social capital enhancement may promote better mental health outcomes among Chinese adults.

Time-variations of wave energy and forecasting power availability at a site in Fiji using time-series, regression and ANN techniques

ABSTRACT Recently, there has been a shift in the global energy landscape to move to reliable, clean, and eco-friendly renewable energy sources to address global issues such as climate change and greenhouse gas emissions. One such energy source is wave energy; researchers attempt to develop models that can accurately forecast the availability of wave energy as an alternative energy source. In this paper, an Artificial Neural Network (ANN) model along with statistical models such as time series models, and regression models are proposed for forecasting wave energy at a site in Fiji using the wave height and wave period as the independent variables. The performance of the proposed models developed is compared using Mean Squared Error (MSE), Root Mean Squared Error (RMSE), Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), and the goodness-of-fit ( R 2 ) value. The proposed model is then further benchmarked with the naïve model. The empirical results reveal that the proposed ANN model outclassed all the other models and was more efficient and accurate in forecasting wave energy than the regression and time series models. By accurate wave modelling and by incorporating impedance matching, maximum power generation can be achieved.

Thermally synthesized hematite (α-Fe2O3) nanoparticles as efficient photocatalyst for visible light dye degradation.

In recent years, water pollution has become a pressing global issue because of the continuous release of organic dyes from various industries. Therefore, finding an easy way to remove these harmful dyes from water has drawn the attention of researchers. This study investigates the removal of toxic Rose Bengal (RB) dye using hematite nanoparticles as a visible light photocatalyst without any additive. It is observed that by controlling particle size, quantity of the nanoparticles and reaction temperature, the dye degradation can be improved up to 95.33% with a half-life of 26 min. To understand photodegradation kinetic behavior, the Langmuir-Hinshelwood kinetic equation can be employed. The scavenger test indicated that the OH* radicals majorly led to the photodegradation process. The reaction rate values strongly depended on the size, quantity of the nanoparticles and reaction temperature. Controlling the optimizing condition, faster reaction rate (k = 0.027 min-1) can be achieved as compared to earlier reports. It is also noted that the change in the degradation efficiency of the reused catalyst is negligible when compared to the fresh one. Here, the dye degradation mechanism is discussed. Overall, this study reveals that hematite nanoparticles can be used as efficient photocatalyst for dye degradation applications by optimizing the controlling factors. These observations provide novel perspectives on the development of effective and sustainable photocatalytic technologies for pollution control and water treatment applications.

Muhammadiyah Goes International? Challenges and Opportunities

The idea of Muhammadiyah internationalization emerged as a response to the phenomenon of globalization, where Muhammadiyah tried to ensure that its da'wah movement was in line with the conditions of the times. This approach also includes global social issues such as the fate of workers, gender inequality, nuclear issues, and the environment. Muhammadiyah has a high commitment to the values of Pancasila and tries to contribute to achieving Indonesia's national ideals as stated in the Preamble to the 1945 Constitution. In the international context, Muhammadiyah not only plays a role as an Islamic movement but also as a socio-Islamic movement that tries to respond to various global issues. This article discusses how Muhammadiyah tries to develop the concept of peaceful Islamic da'wah amidst the complexity of the international world. Furthermore, it explains how Muhammadiyah's role in international relations involves active participation in conflict resolution, peacebuilding, and humanitarian activities in various countries. Muhammadiyah's internationalization strategy is explained through programs such as sending its best cadres abroad, establishing schools and charitable efforts in various countries, and participating in international forums. The author also discusses the concept of Muhammadiyah internationalization in three dimensions, namely ideas, roles, and movements. The idea of internationalization involves global socialization of the character of the Muhammadiyah movement and teachings. The role of internationalization includes increasing the role of Muhammadiyah in international forums, such as humanitarian missions, peace, and social activities. Meanwhile, the internationalization of the movement aims to make Muhammadiyah a model of Islamic practice that can be adopted globally. Furthermore, this article describes how Muhammadiyah, as an Islamic movement in Indonesia, is actively involved in the dynamics of the international world to encourage the transformation of the role of religions in overcoming global problems. Through internationalization, Muhammadiyah seeks to be part of a global movement that brings enlightenment, promotes Islam as a religion of peace, and contributes to the development of world civilization.

Assessing compliance with national guidelines in diabetes care: A study leveraging data from south Africa's National Health Laboratory Service (NHLS).

Diabetes is a major global health issue. We evaluated compliance to laboratory-based management guidelines for diabetes (type 1 and 2), essential for effective treatment and reducing diabetes-related morbidity and mortality. Our study utilized South Africa's National Health Laboratory Services (NHLS) data, focusing on patients from birth to age 80 years who underwent initial diabetes laboratory testing between January 1, 2012-January 1, 2016. Patients were categorized into type 1 (<30 years) or type 2 (≥30-80 years) diabetes based on age at first diabetes test. National diabetes guidelines recommend blood glucose to be checked every three-six months post laboratory-diagnosis. We employed a sharp regression discontinuity design to estimate the effect of a laboratory-diagnosis of diabetes on the likelihood of having a follow-up laboratory test 24 months post-diagnosis. Among patients with type 2 diabetes, the probability of a diabetes follow-up laboratory test within 24 months was 52.4% for patients presenting above the diabetes diagnosis threshold vs 31.1% for those presenting below. Although the likelihood of repeat testing rose with higher HbA1c and glucose levels, at the diagnostic threshold there was no clinically meaningful difference (risk difference: -2.2%, 95% CI: -3.3%, -1.2%). These results were consistent among patients with type 1 diabetes, those living with and without HIV, and healthcare setting. In a national laboratory cohort, diabetes laboratory-diagnosis did not lead to increased monitoring as recommended in national guidelines. Strategies to improve patient education, healthcare provider communication, and healthcare system support are essential to enhance guideline compliance and overall diabetes management.

NATURAL EXPOSURE TO ARSENIC-INDUCED GENOTOXIC EFFECTS IN DIABETIC AND NON-DIABETIC INDIVIDUALS

Arsenic contamination in drinking water is a global health issue linked to various adverse health outcomes, including genotoxic effects. Understanding these effects in different populations, including diabetic and non-diabetic individuals, is critical for developing targeted public health interventions. Objective: This study aimed to investigate the genotoxic effects of arsenic exposure in diabetic and non-diabetic individuals residing in arsenic-contaminated and control areas. Methods: In this cross-sectional study conducted from January to June 2024, 100 participants were recruited from areas with known differences in arsenic water contamination levels. Participants were divided equally between arsenic-contaminated and non-contaminated regions, with 15 diabetic and 20 non-diabetic individuals selected from each group. A standard questionnaire was administered to collect demographic data and medical history. Additionally, 12 water samples from the contaminated area were analyzed for arsenic concentration. Genotoxic effects were assessed using the comet assay, and DNA damage was quantified using an empirical numerical rating system. Results: Significant DNA damage was observed in the blood cells of individuals from the arsenic-contaminated area compared to those from the non-contaminated area. Diabetic individuals showed similar patterns of DNA damage to non-diabetics within the same exposure group. Even in the non-contaminated group, slight DNA damage was detected, suggesting potential contributions from other environmental factors. Conclusion: The findings demonstrate that arsenic exposure is associated with significant genotoxic effects in both diabetic and non-diabetic populations. DNA damage in non-contaminated areas also indicates a possible impact of other environmental factors. These results highlight the need for ongoing monitoring and mitigation strategies to address arsenic contamination and its health impacts.

Exploring the Role of Gut Microbiota Diversity in Early Childhood Stunting: A Multi-Center Longitudinal Study

Early childhood stunting is a significant global health issue with profound implications for children's physical, cognitive, and social-emotional development. While factors like nutrition, environment, and genetics have been extensively studied, the role of gut microbiota diversity in the mechanisms underlying stunting remains not well understood. This multi-center longitudinal study aimed to evaluate the relationship between gut microbiota diversity and the incidence of stunting in early childhood. The analysis of stool samples revealed that stunted children exhibited lower gut microbiota diversity compared to their non-stunted counterparts. Longitudinal growth tracking further demonstrated that children with higher initial gut microbiota diversity experienced more favorable growth trajectories. The study also found that gut microbiota diversity remained an independent predictor of stunting, even after accounting for socioeconomic, dietary, and environmental factors. These findings suggest that strategies to enhance gut microbiota diversity, such as probiotics or prebiotics, could be integrated into existing nutritional programs to combat stunting. The study's implications highlight the need for holistic approaches that consider the complex interplay between gut health and early childhood development.

Changing seroprevalence of schistosomiasis japonica in China from 1982 to 2020: A systematic review and spatial analysis.

Schistosomiasis is a global public health issue. In China, while the seroprevalence of Schistosomiasis japonica has currently reduced to a relatively low level, risk of infection still exists in certain areas. However, there has been a lack of comprehensive research on the long-term trends of national seroprevalence, changes across age groups, and characteristics in spatial distribution, which is crucial for effectively targeting interventions and achieving the goal of eliminating schistosomiasis by 2030. Our study aimed to address this gap by analyzing the long-term trends of Schistosomiasis japonica seroprevalence in China from 1982 to 2020 based on the data from diverse sources spanning a period of 39 years. Seroprevalence data were collected from literature databases and national schistosomiasis surveillance system. Meta-analysis was conducted to estimate the seroprevalence. Joinpoint model was used to identify changing trend and inflection point. Inverse distance weighted interpolation was used to determine the spatial distribution of seroprevalence. The seroprevalence decreased from 34.8% in 1982 to 2.4% in 2020 in China. Before 2006, the seroprevalence was higher in the middle age group, and a pattern of increasing with age was observed afterwards. The areas with high seroprevalence existed in Dongting Lake, Poyang Lake, Jianghan Plain, the Anhui branch of the Yangtze River and some localized mountainous regions in Sichuan and Yunnan provinces. There was a significant decline in the seroprevalence of Schistosomiasis japonica from 1982 to 2020 in China. Nevertheless, schistosomiasis has not been eradicated; thus, implementing precise and personalized monitoring measures is crucial for the elimination of schistosomiasis, especially in endemic areas and with a particular focus on the elderly.

Fermented fruits and legumes in Africa: production factors and health benefits

SummaryFermentation is an age‐long food processing tool used to preserve and develop functional foods and beverages. Fruits in particular have a very short shelf life due to their high water activity, favourable to microbial decomposition and spoilage, while legumes are protein‐rich crops that require improved protein digestibility. These are some standout reasons for applying this tool to develop fermented fruit‐ and legume‐based products. From multifarious fruit‐based beers, non‐alcoholic beverages and alcoholic drinks to legume‐based condiments and meals, fermentation has been used over time in Africa to enhance the food security, safety, nutrition, healthfulness and livelihoods of the people. As the nutrition and economic prospects of African fermented fruit‐ and legume‐based products are huge not only to the African continent but globally (as African diasporans and their interracial friends, spouses and relatives are notably consuming them), they are fraught with opportunities and challenges. This review describes the production factors (including raw material selection, processing techniques, environmental conditions and the role of microorganisms) and health benefits of these African fermented products. Safety concerns, fermentation challenges and other considerations are also discussed. Further studies targeting fermentation and production of novel, healthy and safer fruit‐ and legume‐based African food products are warranted due to their potential positive contribution to African and global hunger and malnutrition issues.

Postpartum Hemorrhage: A Diagnostic and Therapeutic Challenge

Postpartum hemorrhage (PPH) is a common, potentially life-threatening obstetric complication and a leading cause of maternal mortality worldwide, accounting for over a quarter of maternal deaths. Effective treatment largely depends on early recognition of hemorrhage and prompt medical intervention. Aim of the study: The aim of this study was to present current knowledge about PPH, predict its occurrence, and implement appropriate treatment. Analyzing current information, understanding risk factors, and recognizing PPH can prevent many maternal deaths in the future. Materials and methods: A systematic review of scientific and medical literature from the PubMed and Google Scholar databases was conducted. Results: PPH remains a serious global mortality issue. In recent years, many studies have described the challenges in diagnosing and treating PPH. Innovative treatment concepts have been presented, and knowledge of various novel methods can provide clinicians with alternatives that can be applied as a last resort in hemorrhage cases that do not respond to conventional methods. Conclusions: Postpartum hemorrhage (PPH) is still a serious obstetric complication. Innovative approaches and research on diagnostic and therapeutic methods allow for the refinement of guidelines, the establishment of international protocols, and actions that lead to quicker diagnoses and more appropriate responses.