Health-related Issues Research Articles

Reproductive and Metabolic Health Following Exposure to Environmental Chemicals: Mechanistic Insights from Mammalian Models

The decline in human reproductive and metabolic health over the past 50 years is associated with exposure to complex mixtures of anthropogenic environmental chemicals (ECs). Real-life EC exposure has varied over time and differs across geographical locations. Health-related issues include declining sperm quality, advanced puberty onset, premature ovarian insufficiency, cancer, obesity, and metabolic syndrome. Prospective animal studies with individual and limited EC mixtures support these observations and provide a means to investigate underlying physiological and molecular mechanisms. The greatest impacts of EC exposure are through programming of the developing embryo and/or fetus, with additional placental effects reported in eutherian mammals. Single-chemical effects and mechanistic studies, including transgenerational epigenetic inheritance, have been undertaken in rodents. Important translational models of human exposure are provided by companion animals, due to a shared environment, and sheep exposed to anthropogenic chemical mixtures present in pastures treated with sewage sludge (biosolids). Future animal research should prioritize EC mixtures that extend beyond a single developmental stage and/or generation. This would provide a more representative platform to investigate genetic and underlying mechanisms that explain sexually dimorphic and individual effects that could facilitate mitigation strategies.

The Link Between the Gut Microbiome and Bone Metastasis

The gut microbiome is essential for regulating host metabolism, defending against pathogens, and shaping the host’s immune system. Mounting evidence highlights that disruption in gut microbial communities significantly impacts cancer development and treatment. Moreover, tumor-associated microbiota, along with its metabolites and toxins, may contribute to cancer progression by promoting epithelial-to-mesenchymal transition, angiogenesis, and metastatic spread to distant organs. Bones, in particular, are common sites for metastasis due to a rich supply of growth and neovascularization factors and extensive blood flow, especially affecting patients with thyroid, prostate, breast, lung, and kidney cancers, where bone metastases severely reduce the quality of life. While the involvement of the gut microbiome in bone metastasis formation is still being explored, proposed mechanisms suggest that intestinal dysbiosis may alter the bone microenvironment via the gut-immune-bone axis, fostering a premetastatic niche and immunosuppressive milieu suitable for cancer cell colonization. Disruption in the delicate balance of bone modeling and remodeling may further create a favorable environment for metastatic growth. This review focuses on the link between beneficial or dysbiotic microbiome composition and bone homeostasis, as well as the role of the microbiome in bone metastasis development. It also provides an overview of clinical trials evaluating the impact of gut microbial community structure on bone parameters across various conditions or health-related issues. Dietary interventions and microbiota modulation via probiotics, prebiotics, and fecal microbiota transplantation help support bone health and might offer promising strategies for addressing bone-related complications in cancer.

Global Virtual Teams in Building Learner's Resilience: Evidence from a Four-Year Study of Pre- and During COVID Disruption

People worldwide have been grappling with unprecedented levels of stress and related mental health issues, increasing both in the workplace and on campuses before the pandemic, spiraling upward with reports by students and employees from all levels of socioeconomic backgrounds (APA 2023). Countries are lagging in addressing this rising trend (WHO 2022). Simultaneously, global virtual teams (GVTs) have grown in importance in the workplace and classroom. To examine how GVTs impact learners and learning environments, a longitudinal study pre pandemic (2018) lasting through the pandemic (2021) tested a model of resiliency based on the factors of discernment, resourcefulness, problem solving, consideration of future consequences (CFC), critical thinking, and culture. GVTs was used as an intervention comparing resiliency based on a sample of before the GVT experience (n=584) and after (n=399), with learners from seven universities across six cultures. Results show that GVTs can boost resilience but require discernment and resourcefulness. Students value critical thinking after GVTs and after controlling for the pandemic, GVTs did not affect resiliency, suggesting that redirecting learners to new factors can enhance resilience. Resilience helps employers, instructors, and individuals manage mental health issues while GVTs build resilience in students and employees for international business uncertainties.

Developing a multidimensional scale for presenteeism: A study on measurement and implications

Presenteeism is among the key factors that negatively affect employee efficiency and, therefore, company organi zational performance. The existing measurement tools for assessing presenteeism highlight health-related issues as the main reason behind this counterproductive behaviour. On the other hand, other factors that influence modern business life and pro cesses are omitted. The paper’s primary purpose is to develop a comprehensive measurement tool suitable for the individual and organizational multi-factor structure of presenteeism that accurately reflects the complex nature of today’s business world. Meth odologically, the research is shaped within the framework of grounded theory. In the study, mixed methods research combining qualitative and quantitative methods was utilized. In this context, firstly, the authors conducted a literature review and focus group interviews with experts in the field in order to reveal the conceptual structure. We analysed the data using content analysis and then moved on to writing 18 scale items. We performed exploratory factor analysis using the SPSS program and confirmatory factor analysis using the AMOS program. As a result, we develop a four-dimensional scale for presenteeism covering work focus, stress management, social loafing, and performance. The verified multidimensional scale fills a vacuum in the literature by offer ing a comprehensive and dependable instrument to gauge presenteeism on organizational and individual dimensions. Among the possible avenues for further research are testing the scale in different cultural contexts and addressing the organizational causes of presenteeism.

Sustainable management of rice by-products: Environmental challenges, industrial applications, and circular bio-economy innovations

The agricultural sector plays an essential role in both human and economic growth, offering sustenance, employment, income, raw materials, technological progress, and sustainability. The growing awareness of the necessity to enhance agricultural production is gaining attention, primarily driven by the imperative to adequately nourish the continuously expanding global population. Diverse agricultural practices are causing harmful environmental consequences, posing a significant risk to ecological stability through issues such as soil degradation, water pollution, habitat loss, and biodiversity decline. Timely and effective agricultural waste management has become essential for preventing adverse environmental and health impacts. Biomass from rice crop harvesting and processing has been found in abundance around the world. Because of the abundance of this biomass in nature, researchers are harnessing it for various objectives, including global energy requirements, while supporting environmental sustainability. Due to this rationale, within the frameworks of emerging sustainable and circular models, the prioritization of agricultural waste valorization has gained prominence as a pivotal strategy aimed at advancing sustainable management and circular economy. This review mainly emphasizes on the rice bio-waste, its environmental and health-related issues, policies to control stubble burning, reduce pollution in the air, and sustainable management of the bio-waste into wealth using different approaches worldwide. We also investigated the potential contribution of rice-by-products wastes to bioenergy production (bioethanol, biogas, and biofuel), enzymes, nanoparticles, construction materials, animal husbandry, bioplastics, and other value-added products. We recommend that proper management of rice by-products may produce innovative bio-ingredients and biodegradable materials, and enhance green growth and a circular bioeconomy.

Mineral pollutants and coliform contamination in groundwater pose health risks to consumers: a spatiotemporal study in a mining-impacted area

The presence of mineral pollutants, combined with bacterial contamination, has significantly impacted groundwater quality and led to various health-related issues in mining-impacted areas. Therefore, we measured the concentration of fluoride (F-), phosphate (PO43-), sulphate (SO42-), ammonium (NH4+), nitrate (NO3-), the total coliforms (TCs), and physiochemical characteristics in groundwater samples of South Khorasan, Eastern Iran. For this, we collected water samples from 100 wells in spring and autumn across this mining-impacted area. We then measured the concentrations of mineral pollutants and assessed their associated health risks to children and adults using the Environmental Protection Agency (EPA) models and spatiotemporal zoning maps in ArcGIS. The concentrations of PO43-, NH4+, SO42-, NO3-, and F- were 0.70 ± 0.34, 0.82 ± 0.9, 175.45 ± 123, 15.26 ± 9.41, and 0.53 ± 0.68 mg/L in spring, and 0.71 ± 3.18, 4.68 ± 31, 306.72 ± 615.80, 19.30 ± 15.61, and 0.72 ± 0.65 mg/L in autumn, respectively. PO43-, NH4+, and SO42- exceeded both the World Health Organization (WHO) and EPA, but NO3- exceeded only EPA standards. TCs in both seasons exceeded the standards set by the EPA and WHO. The hazard quotient (HQ) values indicated non-carcinogenic risks for F⁻ and NO3⁻, while posing no risks NH4⁺ and PO43⁻ in both adults and children during autumn and spring.Hazard index (HI) was greater than 1 for all minerals in both children and adults in autumn and spring. No correlation was observed between mineral compounds and TCs in the study area, yet the water samples were highly contaminated by coliform with a significant risk to adults and children. In essence, both mineral pollutants and TCs potentially pose serious risks to human, and more efforts are required to improve the quality of water in this area.

The Effect of an Educational Program on the Knowledge and Attitude of Medical Sciences Students About Social Determinants of Health in Iranian University Students: A Quasi-Experimental Study.

Given the importance of social determinants on health outcomes, training medical sciences students in addressing social determinants of health can enhance their effectiveness and social accountability. The aim of this study was to assess the effect of an educational program on the knowledge and attitude of medical sciences students regarding social determinants of health. Using a one-group pretest-posttest quasi-experimental design, this study selected 200 students from a medical university in Iran through simple random sampling. A tailored educational intervention, grounded in the conceptual framework for action on social determinants of health, was implemented. To assess the program's effect, data were collected using a validated questionnaire that measured the students' knowledge and attitudes towards social determinants of health both at baseline (pretest) and 1 month following the intervention (posttest). The application of the Wilcoxon Signed-Ranks Test revealed a significant increase in the median scores for knowledge and attitude postintervention. Specifically, the posttest median scores were significantly elevated compared to the pretest knowledge score (Z = -11.89, p < 0.001) and attitude score (Z = -11.60, p < 0.001). This indicates that the educational intervention significantly improved the students' knowledge and attitudes concerning social determinants of health. The study outcomes suggest that educational interventions focused on social determinants of health effectively improve students' knowledge and attitudes. We recommend integrating such programs into the medical sciences curriculum and experiential training. By doing so, we can better prepare future healthcare professionals to address social determinants of health-related issues. This approach has the potential to reduce health disparities and also addresses broader social challenges affecting population health.

Leisure education and parks programming to address stress, burnout, and coping in law enforcement officers: an exploratory study

ABSTRACT Law enforcement officers (LEOs) frequently experience occupational stress, which may lead to burnout. Without positive coping strategies, LEOs are at risk of a myriad of negative health-related issues. This exploratory study evaluated the impact of a leisure education and parks programme offered in the workplace on stress, burnout, and coping in LEOs. Ten LEOs enrolled in the six-week programme that offered group leisure education sessions supplemented by individual time spent in parks. Scores on the Operational Police Stress Questionnaire (PSQ-Op) and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) revealed lower stress and burnout scores for participants following the program, but the changes were not statistically significant. One subscale of the COPE Inventory, suppression of competing activities, revealed significantly higher scores post-programme (p =.04). The majority (77.78%) of the participants reported that they valued and were satisfied with the program. Findings provide initial support for leisure education and parks programming provided to LEOs in an effort to address their occupational health needs including stress, burnout, and coping.

Occurrence Of Obesity And Fat Accumulation Among Sedentary Female Teachers And Related Health Issues: -A Cross-Sectional Study

Occurrence Of Obesity And Fat Accumulation Among Sedentary Female Teachers And Related Health Issues: -A Cross-Sectional Study

Knowledge and Preventive Practice of Urinary Tract Infection among Bangladeshi Female Ready-made Garments Worker

Ready-made garments (RMG) are Bangladesh’s largest export earner sector, with 800,000 workers, including two-thirds of females. Female RMG workers suffer from various illnesses, including urinary tract infections (UTI), but data is scars related it in Bangladesh. Therefore, the study aimed to evaluate the knowledge and preventive practice of UTI among female RMG workers. Method: This cross-section survey was conducted to evaluate the knowledge and preventive practice of UTI among female RMG workers. Using convenient sampling technique, we collected 351 data between February to April 2021 from two RMG. Data were analysed by using Statistical Package Social Science (SPSS) software version 23. Descriptive statistics was conducted using frequencies and proportions. Chi-square test was used to determine the association between dependent and independent variables. Linear regression and Pearson co-relation was used to determine the association between knowledge and practice. Results: Of 351 participants, 22% had good knowledge and 33% were in good practice. The study found a statistically significant correlation between knowledge level of UTI and participants’ age, education, residence, family size, parents’ education and occupation (p&lt;0.05). Similarly, participants’ education, marital status, residence, family size, parents’ education and occupation were significantly correlated with practice level of female RMG workers towards UTI (p&lt;0.05). Furthermore, participants who received health-related training had good knowledge and practice of UTI. Conclusion: Female RMG workers’ sociodemographic variables were significantly correlated with their knowledge and practice of UTI. Training on health-related issues was significantly associated with good knowledge and practice of UTI. It’s urgent to keep female RMG workers aware of health-related issues and easily accessible health care. EWMCJ Vol. 12, No. 1&amp;2, January-July 2024: 50-59

A Multidisciplinary One Health Approach to Addressing Unsanitary Conditions: The Case of Cascais

Abstract Unsanitary conditions in domiciles often stem from complex social and health-related issues, involving the elderly and/or individuals with mental health problems. These situations typically lead to a decreased quality of life for those involved, directly and indirectly, and may pose a risk to public health depending on their magnitude. In Cascais municipality, identified cases of unsanitary conditions undergo a multidisciplinary analysis. It has been established a Local Technical Group for Domiciliary Unsanitary Situations, comprising various institutions such as local authorities, law enforcement agencies, civil protection, health and social security ministries, and the animal rescue center. This group operates under a One Health approach, encompassing human health, environmental health, and animal health. Interventions are determined by the working group, with the aim of promoting health and enhancing citizens’ quality of life. Cases of unsanitary conditions reported are subsequently discussed within the technical group, which has regular meetings, and may organize joint assessment visits and appropriate actions. This social and environmental initiative responds to the growing need to address unsanitary and cluttered living conditions, which significantly impact individuals’ physical, emotional, and social well-being. The objective is to restore housing conditions in homes by removing waste and unnecessary items, contributing to general individual well-being. While international studies suggest a correlation between unsanitary conditions and hoarding disorder, it’s crucial to differentiate between distinct and independent situations caused by various physical, psychological, and cognitive processes. The establishment of a Local Technical Group for Domiciliary Unsanitary Situations exemplifies a proactive approach to addressing complex health and social challenges, emphasizing collaboration, and holistic intervention strategies, always with a One Health approach. Key messages • Addressing unsanitary conditions is crucial for safeguarding public health, impacting physical, emotional, and social well-being. • The establishment of a Local Technical Group for Domiciliary Unsanitary Situations, under a One Health framework, reflects a collaborative approach to addressing complex health and social challenges.

Long-term care facilities: what do we know about multidrug-resistant organisms in this setting?

Abstract Background People with intellectual disabilities (ID) are an often overlooked high-risk group for health-related issues. In the Netherlands, people with ID may reside at home, in small communities, or within long-term care facilities. This diverse living arrangement challenges the healthcare system, with responsibilities spread among multiple formal and informal caregivers. During an outbreak with multidrug-resistant organisms (MDROs), coordinated efforts should be made to prevent further spread throughout all healthcare settings. Therefore, adequate infection prevention and control (IPC) practices, are required to improve or maintain individual health outcomes. To understand the complexity of MDROs in long-term care for people with ID, it is important to gain insight into knowledge, attitudes and perceptions of involved healthcare professionals and, investigate innovative strategies that could play a role in surveillance or monitoring an outbreak within this setting. Methods We conduct several studies in long-term care for people with ID, using a wide scale of methodologies including a cross-sectional survey study and innovative quantitative methods, such as wastewater surveillance. Results We have identified several challenges in long-term care for people with ID related to IPC and MDROs. First, while IPC and MDRO guidelines exist, they lack specific context and applicability to the long-term care setting. Second, proper use of hand gloves among healthcare professionals demands increased attention as knowledge about this preventive measure seems to be insufficient. Finally, given the challenges in sample collection for MDRO screening, non-invasive strategies are needed to offer insight during outbreaks, serving surveillance or outbreak management purposes. Conclusions Insights from these studies could inform future strategies to prevent or respond early in case of an MDRO outbreak within long-term care for people with ID.

Salt-related knowledge, attitudes, and practices and their relationship with 24-hour urinary sodium and potassium excretions among a group of healthy residents in the UAE: A cross-sectional study.

This study aimed to measure urinary sodium and potassium as a measure of sodium and potassium intake concerning the knowledge, attitude, and practice (KAP) toward sodium intake among a group of healthy residents in the UAE. A cross-sectional study on a sample of healthy adults in the UAE. In addition to the KAP questionnaire, sodium and potassium excretions, and food records were taken. The United Arab Emirates. A sample of 190 healthy individuals aged between 20-60 years. The mean (± SD) age of the sample was 38.6 (± 12.5) years and 50.5% were females. The mean urinary sodium and potassium intake were 2816.2± 675.7 mg /day and 2533.3± 615 mg/day, respectively. The means were significantly different compared to the World Health Organization (WHO) recommendation of sodium and potassium, (p < 0.001). About 65% of the participants exceeded the WHO recommendations for salt intake, and participants' knowledge classification for health-related issues was fair while food-related knowledge was poor (P=0.001). A two-stage stepwise multiple regression analysis revealed that KAP scores were negatively associated with urinary sodium excretion (r = -0.174; p = 0.017) and those older participants and females had lower urinary sodium excretion (p<0.001). These findings may suggest an increase in the risk of hypertension in the UAE population. Moreover, these findings emphasize the need to establish education and public awareness programs focusing on identifying the sodium contents of foods and establishing national regulations regarding food reformulation, particularly for staple foods such as bread.

Occupational Safety and Health of Riders Working for Digital Food Delivery Platforms in the City of Milan, Italy.

The rapid growth of the digital economy has transformed various labor markets, including the food sector. The transient nature and the peculiar work environments of food delivery workers raise concerns about occupational safety and health (OSH). This study aims to better understand these issues by conducting a comprehensive exploratory survey on OSH among food delivery riders in Milan, Italy. The study employed structured interviews based on a validated questionnaire developed through a literature review, expert interviews, and input from riders and health and safety professionals. The survey was performed from July to November 2022 by interviewing riders at their main gathering points. We interviewed 240 riders, 97% males, 81% less than 35 years old, and 83% with extra-European origin. Delivery was performed mainly by traditional bicycles (40%) and e-bikes (46%), with 44% working seven days per week and 23% working more than 8 hours daily. Road accidents were reported by 39% of riders, influenced by type of vehicle, fatigue, and number of daily deliveries. Physical and verbal assaults (12% and 28%, respectively) were reported, as well as health-related issues, particularly musculoskeletal disorders. The findings underscore food delivery riders' complex challenges, emphasizing the need for targeted interventions. The study calls for collaborative efforts between policymakers, employers, OSH professionals, and stakeholders to enhance OSH standards and promote decent working conditions, aligning with the 2030 Agenda for Sustainable Development.

Identification of immune traits associated with neurodevelopmental disorders by two-sample Mendelian randomization analysis

BackgroundOne of the main causes of health-related issues in children is neurodevelopmental disorders (NDDs), which include attention-deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and Tourette syndrome (TS). Nonetheless, there is relatively little prior research looking at the link between immunological inflammation and NDDs. Our work uses a two-sample Mendelian Randomization (MR) approach to provide a thorough evaluation of the causal effects of immune traits on ADHD, ASD, and TS.MethodsAs exposures, 731 immunological traits’ genetic associations were chosen, and the outcomes were genome-wide association data for ADHD, ASD, and TS. The inverse-variance weighted (IVW), weighted median (WM), and MR-Egger methods were used to conduct MR analysis. The results’ robustness, heterogeneity, and horizontal pleiotropy were confirmed using extensive sensitivity analysis.ResultsWith single-nucleotide polymorphisms serving as instruments and false discovery rate (FDR) correction applied, the study found that significantly higher expression of CD62L on CD62L+ myeloid DC (IVW, OR: 0.926, 95% CI 0.896~0.958, P = 9.42 × 10–6, FDR = 0.007) and suggestively higher absolute cell count (AC) of CD28 + DN (CD4-CD8-) (IVW, OR: 0.852, 95% CI = 0.780 ∼ 0.932, P-value = 4.65 × 10−4, FDR = 0.170) was associated with a lower risk of ADHD. There was no pleiotropy, and the causal relationships were strong according to sensitivity, leave-one-out, and MR-Steiger directionality tests. For ASD and TS, no harmful or protective immune traits were observed.ConclusionsThe results of the study lend credence to the theory that deficiency in CD62L on CD62L+ myeloid DC and CD28 + DN (CD4-CD8) AC may contribute to the onset of ADHD.

Effectiveness of Telemedicine in Managing Health-Related Issues in the Pediatric Population: A Systematic Review.

Healthcare delivery is made more convenient and effective via telemedicine, which enables physicians to conduct virtual consultations and evaluations with pediatric patients. The purpose of this systematic review was to evaluate the efficacy of telemedicine as compared to physical appointments in the pediatric population. We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search for the available literature using pre-specified inclusion and exclusion criteria. These databases provided 968 relevant research articles, which Endnote software screened for duplicates. Fourteen studies were considered relevant for full-text evaluation. After complete text evaluation, only 11 of these articles were found to be relevant. The Newcastle-Ottawa Scale (NOS) was used for the risk of bias assessment of all included studies. Eleven articles in all satisfied the requirements for inclusion and were added to the review. Every study was classified as either a cluster randomized trial (27%) or a randomized controlled trial (RCT) (73%). There were between 22 and 400 participants in each trial. Medical conditions evaluated included obesity (27%), mental health disorders (9%), asthma (18%), otitis media (9%), skin disorders (9%), type 1 diabetes (9%), attention deficit hyperactivity disorder (ADHD) (9%), and pancreatic insufficiency associated with cystic fibrosis (1/11). Telemedicine strategies employed included telemedicine-based screening visits (9%), smartphone-based therapies (27%), phone counseling (18%), and videoconferencing visits between patients and doctors (45%). The outcomes of the telemedicine procedures in every included study were on par with or superior to those of the control groups. Medication adherence, appointment completion rates, life satisfaction, symptom management, and disease progression were all outcomes associated with these findings. Although more research is needed, the evidence from this review suggests that telemedicine services for the general public and pediatric care are comparable to or better than in-person services. Patients, healthcare professionals, and caregivers may benefit from using both telemedicine services and traditional in-person healthcare services. To maximize the potential of telemedicine, future research should focus on improving patients' access to care, increasing the cost-effectiveness of telemedicine services, and eliminating barriers to telemedicine use.

Effect of exercise alone and in combination with time-restricted eating on cardiometabolic health in menopausal women

There is a need to investigate the effect of lifestyle modifications on cardiometabolic health-related issues that occur during menopause. The aim of this study was to compare the effect of resistance and endurance circuit training program alone (exercise group, n = 34) with the effect of time-restricted eating (16:8) combined with a training program (combination group, n = 28) on cardiometabolic health in 62 menopausal women (aged 51.3 ± 4.69 years). Testing was conducted before and after a 12-week period and included an assessment of body composition, glycemic control, lipid panel, blood pressure, and anthropometric measurements. Decreases in body mass index and systolic blood pressure were significantly greater in the combination group than in the exercise group (F(1,60) = 4.482, p = 0.038, η2 = 0.07; F(1,57) = 5.215, p = 0.026, η2 = 0.08, respectively, indicating moderate effects). There were significant decreases in fat mass (p = 0.001, r = 0.654), glucose level (p = 0.017, r = 0.459), insulin level (p = 0.013, r = 0.467), homeostatic model assessment for insulin resistance (p = 0.009, r = 0.499), waist circumference (p = 0.002, r = 0.596), and waist-to-height ratio (p = 0.003, r = 0.588) (indicating moderate effect) in the combination group, while there were no significant changes in the exercise group. There were no changes in lipid panel indicators in either group. This is the first study to investigate the effect of time-restricted eating combined with exercise in menopausal women. The results of the study provide evidence that the combination of time-restricted eating and exercise leads to a greater body mass index reduction than exercise alone in menopausal women.Trial registration: ClinicalTrials.gov, NCT06138015 registered 18 November 2023—Retrospectively registered, https://clinicaltrials.gov/study/NCT06138015.

Addressing Mental Health in Rural Settings: A Narrative Review of Blueberry Supplementation as a Natural Intervention.

Depression and anxiety are major public health issues; however, there is an unmet need for novel, effective, and accessible treatments, particularly in rural communities. Blueberries are an unexplored nutraceutical for these conditions due to their excellent nutritional profile, with particularly high levels of polyphenols and anthocyanins and benefits on mood, cognition, and health. Here, we present a narrative review of the literature concerning the etiology and treatments of major depressive disorder (MDD) and generalized anxiety disorder (GAD). In both animal and human studies, blueberry supplementation can ameliorate behavioral symptoms of both anxiety and depression. The mechanistic underpinnings of these behavioral improvements are not fully defined, but likely involve biochemical alterations in the gut-brain axis, including to inflammatory cytokines, reactive oxygen species, and growth factors. We also review the limitations of traditional therapies in rural settings. Finally, we assess the potential benefit of nutraceutical interventions, particularly blueberries, as novel therapeutics for these distinct, yet related mental health issues.

Aripiprazole, but Not Olanzapine, Alters the Response to Oxidative Stress in Fao Cells by Reducing the Activation of Mitogen-Activated Protein Kinases (MAPKs) and Promoting Cell Survival.

Prolonged use of atypical antipsychotics (AAPs) is commonly associated with increased cardiovascular disease risk. While weight gain and related health issues are generally considered the primary contributors to this risk, direct interference with mitochondrial bioenergetics, particularly in the liver where these drugs are metabolized, is emerging as an additional contributing factor. Here, we compared the effects of two AAPs with disparate metabolic profiles on the response of Fao hepatoma cells to oxidative stress: olanzapine (OLA), which is obesogenic, and aripiprazole (ARI), which is not. Results showed that cells treated with ARI exhibited resistance to H2O2-induced oxidative stress, while OLA treatment had the opposite effect. Despite enhanced survival, ARI-treated cells exhibited higher apoptotic rates than OLA-treated cells when exposed to H2O2. Gene expression analysis of pro- and anti-apoptotic factors revealed that ARI-treated cells had a generally blunted response to H2O2, contrasting with a heightened response in OLA-treated cells. This was further supported by the reduced activation of MAPKs and STAT3 in ARI-treated cells in response to H2O2, whereas OLA pre-treatment enhanced their activation. The loss of stress response in ARI-treated cells was consistent with the observed increase in the mitochondrial production of O2•-, a known desensitizing factor. The physiological relevance of O2•- in ARI-treated cells was demonstrated by the increase in mitophagy flux, likely related to mitochondrial damage. Notably, OLA treatment protected proteasome activity in Fao cells exposed to H2O2, possibly due to the better preservation of stress signaling and mitochondrial function. In conclusion, this study highlights the underlying changes in cell physiology and mitochondrial function by AAPs. ARI de-sensitizes Fao cells to stress signaling, while OLA has the opposite effect. These findings contribute to our understanding of the metabolic risks associated with prolonged AAP use and may inform future therapeutic strategies.

Mobility Assistive Technology (AT) for Children with Cerebral Palsy (CP): A Literature Review

This paper comprehensively reviews the use of mobility Assistive Technology (MAT) in children with Cerebral Palsy (CP). Currently, 9 million people are severely affected by CP, the most serious form of movement disability, characterized by deficits in movement, posture, and more, alongside cognitive and sensory deficits. These impairments restrict the child’s functionality in self-care, performing tasks associated with daily living, and socialization. The main purpose of this paper is to establish the role of MAT in supporting children with CP and assess its impact on their lives. This review describes a range of devices that enhance mobility in motor-disabled patients such as powered wheelchairs, robotic exoskeletons, ankle-foot orthoses (AFO), and gait trainers, and examines their effects on the psychosocial well-being and physical growth of children with CP. A methodical search performed within the PRISMA framework enabled us to analyze papers from 2010 to 2024, discussing the advantages and disadvantages of assistive technology (AT). It was noted that although ATs can improve independence, social involvement, and mobility, challenges remain such as high costs, poor design, and unavailability of these resources in underprivileged regions. New information technologies, including intelligent systems and virtual reality (VR) training tools, are effective in addressing health-related issues; however, the optimization of these techniques over a long period needs further study. This paper underscores the importance of a more child-centred design of AT devices and additional policy adjustments to enhance accessibility across different socio-economic strata. Through this review, we seek to advance the emerging understanding of the role of mobility AT in enhancing the lives of children with CP, focusing on identifying weaknesses in the existing research and suggesting possible advancements.