Health Problem In Terms Research Articles

Effect of patulin on the growth and nutrient composition of black soldier fly larvae

Abstract Black solider fly (BSF, Hermetia illucens) is a common insect in most part of North America, Europe, and Asia, and it is one of the most promising alternative protein sources for animal consumption. BSF can be fed on food waste and agricultural byproducts, which are usually contaminated with mycotoxins. Therefore, it is important to study the fate of mycotoxins in BSF and how mycotoxins will affect the growth and nutrient composition of BSF. Patulin is one of the major mycotoxins found in rotten fruits and consumption of patulin contaminated food can cause both long term and short-term health problems in both human and livestock. In this study clean and patulin spiked apple puree were provided to 50 three days old black soldier fly larvae (BSFL) for 3, 6, 9 and 17 days. Patulin bioaccumulation and degradation by BSFL, survival rate, weight gain and nutrient composition of BSFL were evaluated. During the treatment period, no patulin bioaccumulation was found in BSFL. BSFL was able to degrade patulin and convert patulin into (E)-ascladiol. By day 17, BSFL degraded 89.7% of patulin, 5.7% of patulin was converted into (E)-ascladiol, and 10.3% of patulin remained in its original form. While patulin treatment led to lower biomass and growth rate in BSFL, greater protein content and lower lipid content was observed in patulin treated BSFL. Thus, we conclude that BSFL do not accumulate patulin, and it is able to degrade patulin and converts patulin into its derivatives. The applied patulin negatively affects the development of BSLF resulting in lower biomass, growth rate and lipid content, but it induces higher protein content in BSFL.

Educational achievement and health during adolescence in second generation immigrants in Sweden

Abstract Background Over the last decades, immigration have increased markedly in Sweden. Educational achievement is essential for successful integration; however, second generation immigrants have been shown to lag behind. There is a complex intertwinement between educational attainment and health outcomes. Thus, schooling is crucial in terms of integration but also from a public health perspective. We aim to compare school performance and health in children of immigrant parents and children of parents born in Sweden. Methods In this population-based cohort study, 1723 children were followed from birth to age 20. Of these 246 (14.3%) had at least one parent born abroad. Logistic regression was performed controlling for gender, language spoken at home and sociodemographic data obtained at 3 months, 3-, 12- and 20 years. Outcome measures were school performance at age 12 (n = 984), grades from compulsory and upper secondary school (n = 1668) and register data on psychiatric diagnoses (n = 737). Self-response questionnaires on general health, long term health problems and psychiatric conditions were administered at age 20 (n = 731). Results There were no differences in reading (p = 0.676) or mathematics (p = 0.324) at age 12, eligibility to upper secondary school (p = 0.298) or university (p = 0.232) between second generation immigrants and children of native-born parents. No differences in frequency of psychiatric diagnoses (p = 0.112), presence of long-term health problems (p = 0.267) or self-reported health (p = 0.595) were shown. Conclusions The results indicate that young adults born in Sweden in the middle of the 1990’s with immigrant parents perform similarly in school compared to children of parents born in Sweden. They are not at increased risk for mental illness, long-term health conditions and report their general health equivalently to children of native-born. The comprehensive school system and child health programs used in Sweden are likely important factors to promote education and health. Key messages • In a birth-cohort of children followed into early adulthood, no difference in educational achievement or health was shown between second generation immigrants and children of parents born in Sweden. • International comparative studies are needed to highlight the importance of underlying structural and socio-cultural factors.

Long Term Health Problems and Associated Factors among COVID-19 Recovered Patients

A cross-sectional, descriptive study was conducted among 181 individuals recovered from COVID-19 infection and had been missing infection (negative rt-PCR test) or signs-symptoms for minimum three months. The study aims determine newly developed health problems in patients, which was conducted at Post-COVID Unit of Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh, between July 2021 and June 2022. Through convenient sampling, data were collected by face-to-face interview and history of signs/ symptoms during the infection were recorded from reviewing prescription and interview as well by using a semi-structured questionnaire. The mean age of the participants was 39.56±6.92 years and male-female ratio was 1.45:1. The mean monthly family income of the participants was 36,022.09±4130.56 BDT which represents lower middle to middle class family in terms of Bangladesh context. During COVID-19 infection most of the (97%) respondents had fever, and 87%, 79% of the patients had sore throat and cough respectively as common symptoms; in addition, more than one-third (34%) had diarrhea. Several constitutional symptoms also recorded during their course of illness like headache (74%) and malaise (54%). More than one-third (34%) of the respondents required admission in hospital. During the course of infection, 41%, 26% and 31% participants were suffered from mild, moderate and severe form of COVID-19 illness. Most of the respondents developed long term health problems following COVID infection and post-viral fatigue was the most prevalent (85%) among the post COVID individuals and this long-term health problem-post viral fatigue was found to be associated with monthly income and it was statistically significant (p<0.05). Others long term health problems including shortness of breath (74%), loss of memory (38%), difficulty in concentration (41%), loss of hair (30%), fast beating or pounding heart (33%) were also noticed. Insomnia (56%), persistent cough (35%), loss of taste (32%) and change of bowel habit (28%) were other health problems revealed in this study. Association between loss of memory and gender (p<0.0001), diabetes mellitus and severity of COVID-19 (p<0.05), sore throat, cough and severity of COVID-19 (P<0.05) were also found significant. diabetes mellitus (35%), hypertension (34%) and bronchial asthma (24%) were observed to be most common comorbidities. Shortness of breath – one of the post-COVID consequence was found significantly associated with diabetes mellitus and bronchial asthma (p<0.05). Our study found that persistence of various signs and symptoms from COVID-19 infection and newly yield complications in individual who recovered from COVID-19 infection are collectively comprise long term health problems of post-COVID patients. This long-term health problem of post-COVID people is a major public health concern. Fatigue, dyspnea, difficulty to concentrate, memory loss, persistent cough, fast beating or pounding heart, loss of smell, loss of taste, insomnia are the most common long term health problems in COVID-19 recovered people. Long-term follow up may be recommended to understand future consequences of COVID-19 patients and well-being for the post-COVID people. CBMJ 2024 July: vol. 13 no. 02 P: 158-168

Communication Strategy for Spald-T Development via YouTube in Haurwangi Village, Cianjur Regency

Domestic wastewater is a complex problem, but it is almost neglected and not managed, let alone a priority by the public and the government. This does not mean that there is no attention or treatment at all, but its management can still be identified as being carried out in inadequate achievements. This study aims to identify how the development communication strategy becomes an innovation that is beneficial for the surrounding community to solve a problem in terms of health that is packaged in development. The Centralized Domestic Wastewater Treatment System (SPALD-T) must begin with determining the right strategy, determined by considering the conditions of the planning area. This research method uses an approach technique with the results of an interview, observation, documentation and with the results obtained, namely the results of development and innovation that are obtained running smoothly. The results in this study that need to be taken are to seek onsite wastewater management because it is considered relevant, while to increase community participation in the development of domestic wastewater it needs to be coordinated by the KSM

CARE TRAJECTORIES AND WELLBEING OUTCOMES OF OLDER CARERS

Abstract The UN Decade of Healthy Ageing states that family carers should not be held responsible for care. Yet families continue to provide the majority of care to members with long term health problems and disabilities. Their contributions to the economy remain unrecognized; their costs noted but relegated to private family matters. The purpose of this presentation is to determine wellbeing outcomes of older Canadians with diverse life course trajectories of care. Data are from the 2018 Statistics Canada nationally representative survey on caregiving. Sample for this study is ≈3000 people 65+ with one or more care episodes across their life course. Based on earlier conceptual and empirical work, we recreated 5 care trajectories. Wellbeing was measured based on material, relational and subjective domains. We conducted multivariate analyses (OLS, logistic and ordered logistic regressions) appropriate to the nature of the dependent variable) to assess whether care trajectory type predicted later life wellbeing. Results show significant differences in wellbeing among trajectory types. Serial carers had longest years of care and most care episodes. They experienced the most negative wellbeing outcomes compared to carers with other trajectory types in material wellbeing (poorer physical and mental health, lower employment income), and subjective wellbeing (higher stress). There were no significant differences across care trajectory types in relational wellbeing (loneliness). We discuss the place of public policy in addressing patterns of cumulative disadvantage in life courses of family care; and call for the development of indicators of wellbeing domains that best reflect these outcomes.

P9: Clinical and Sociodemographic Factors Associated with Suicidal Risk in Older Adults in Latin America

Introduction:Suicidal behaviors represent a serious public health problem in terms of mortality, morbidity and social impact. Suicide in the elderly is a statistical reality little studied in the Latin American context. Method: It´s an observational study where we reviewed the records of the patients seen between January 2018 and December 2019 at the Psychogeriatrics Clinic of the Ramón de la Fuente Muñiz National Institute of Psychiatry; collecting sociodemographic, clinical information and evaluating the suicidal risk by the SAD PERSONS Scale. With the information obtained, we correlated variables with suicidal risk based on the Pearson and Spearman correlation indices.Results:A total of 404 files were reviewed, finding that in the last 5 years 1.4% of the patients had made a suicide attempt, what was directly related to a history of violence (r=0.256, p=0.011). Suicidal thoughts in the past year (15.4%) and increased suicidal risk were associated with PAS use (r=0.123, p=0.037) (r=0.207, p=0.001) and depressive disorder (r=0.148, p=0.012) (r=0.27, p=0.000).Conclusions:In the older adult population, some of the clinical and sociodemographic factors associated with suicidal risk described for the general population could continue to be considered risk factors, among them: being male, low level of education, diagnosis of depressive disorder, having medical comorbidities and the use of SPA.

Dietary acrylamide exposure and health risk assessment of pregnant women: A case study from Türkiye.

This study aimed to determine the acrylamide exposure of pregnant women resulting from the consumption of bread, coffee, and French fries and to evaluate it in terms of carcinogenic and non-carcinogenic health risks. Retrospective 24-h food consumption data of pregnant women (n = 487) was obtained using the Food Frequency Questionnaire (FFQ). Dietary acrylamide exposure was calculated according to a deterministic model, and the data were assessed by hazard index (HI) and carcinogenic risk (CR). The mean daily acrylamide exposure of pregnant women aged 18-30 and ≥31 years and in the 1st, 2nd, and 3rd trimesters was 31.4, 35.4, 38.7, 31.3, and 32.4 μg/day, respectively. The acrylamide exposure data were not significantly different among different age groups and pregnancy periods (p > .05). Dietary acrylamide exposure in pregnant women of different age groups and trimesters may cause significant and serious health problems in terms of carcinogenic risk. According to their level of contribution to average acrylamide exposure, the foods were ranked as follows: French fries> bread> coffee. There is a significant risk of cancer due to exposure to acrylamide from French fries and bread other than coffee. The findings suggest that pregnant women should avoid consuming French fries, bread, and coffee with high acrylamide levels for both their own health and their newborns' health.

The effect of direct-acting antivirals (DAA) on confirmed noninvasive fibrous parameters in chronic hepatitis C patients

Aims: Chronic hepatitis C (CHC) is an important public health problem in terms of the number of people it affects worldwide and the diseases it causes. The high sustained virological response (SVR) rates achieved by the use of direct-acting antiviral (DAA) drugs in the recent period have shown that a new era has begun in this disease. It was aimed to evaluate the effect of DAAs on confirmed noninvasive fibrous parameters together with their effectiveness.
 Methods: 75 patients who were started on DAA treatment for CHC were included in the study. In addition, laboratory parameters values at the beginning of the treatment, 12 and 24 weeks after the end of the treatment, hepatitis C virus ribonucleic acid (HCV RNA) results and Aminotransferase-to-Platelet Ratio Index (APRI), Fibrosis-4 (FIB-4) scores were compared.
 Results: The most common comorbidity in patients is hypertension (HT), and the most common source of transmission is surgical operations. Genotype 1b was the dominant genotype. The SVR rates of all patients 12 and 24 weeks after the end of treatment were 100%. The APRI and FIB-4 scores of the patients decreased significantly at the 12th and 24th weeks at the end of the treatment compared to the beginning of the treatment.
 Conclusion: The confirmed noninvasive fibrous parameters used in the treatment of CHC are useful in evaluating the results of the treatments applied.

Management of Foreign Bodies Crossing the Gastroesophageal Junction in Children.

Foreign body (FB) ingestion is a common problem in children and is an important public health problem in terms of causing serious complications. This study aims to evaluate the complication management and intervention rates of FBs crossing the gastroesophageal junction. The hospital records of all children who presented to our clinic because of ingestion of FB between August 2019 and August 2021 were retrospectively reviewed. Patients who had an FB crossing the esophagogastric junction on plain radiographs showing the entire gastrointestinal tract taken at the time of admission were included in this study. Patients who had an FB removed from the esophagus by endoscopy were excluded from this study. Of the 127 patients included in this study, 66 (52%) were male and 61 (48%) were female, with a mean age of 4.94 ± 3.15 years (3 months-17 years), and 59% (n = 75) of the patients were under 5 years of age. The most common type of FB was a coin (47%). The first pediatric cases in the literature were a clothespin discovered in the stomach and a Meckel's diverticulum perforated by a sunflower seed shell. Management included spontaneous passing (89%), endoscopy (7%), and open surgery (4%). Although FBs passing through the esophagogastric junction may be asymptomatic in most cases, the need for close monitoring and surgical intervention should be kept in mind in these patients.

Spatial Clustering Analysis Of Dengue Hemorrhagic Fever In The First 9-Monthsof 2023 In Ho Chi Minh City, Vietnam

Background: Dengue hemorrhagic fever is a notable vector-borne viral disease, currently becoming the most dreaded worldwide health problem in terms of the number of people affected. The objective of this study is to investigate spatial clustering of dengue hemorrhagic fever incidence in the first 9-months of 2023 in Ho Chi Minh city, Vietnam. Methods: the global Moran’s I statistic, Moran’s I scatterplot and local statistic were employed to spatial clusters (high-high and low-low) and spatial outliers (low-high and high-low) in the study area of Ho Chi Minh city. The first and third order of contiguity were used to constructe spatial weight matrix. Results: it was found from a case study of the first 9-months of 2023 in Ho Chi Minh city, a total of four high-high clusters, two low-low spatial clusters were detected in urban area and rural areas in the north and south of the Ho Chi Minh city, respectively when using the first order contiguity (statistically significance at the 0.05 level). For the case of using the third order of contiguity, a total of six high-low, two low-high spatial clusters and one low-low spatial cluster were successfully identified. Conclusions: the study results has proven the effective use of the global Moran’s I statistic, Moran’s I scatterplot and local Moran’s I statistic in the identification of spatial clustering of dengue hemorrhagic fever incidence.

Knowledge, attitude, and practices regarding sexually transmitted infections among students of Punjab university, Chandigarh

Background: Sexually Transmitted Infections are a major public health concern. Young adults have risk-taking behavior and casual attitude, engaging themselves in risky sexual activities thus contracting STIs. This study aimed at assessing knowledge, attitude, and practices regarding sexually transmitted infections among students of Panjab University, Chandigarh. Methods: A cross-sectional study was conducted among 252 students of Panjab University, Chandigarh, selected here through simple random sampling. A self- administered, semi structured and validated questionnaire was used for collecting data. The data was analysed using SPSS and presented as percentages, mean, standard deviation and ANOVA. Results: The current study had 125 (49.5%) males and 127 (50.4%) female students. 228 (90.5%) had correct knowledge that multiple partners can increase risk of STI. Around 171 (67.9%) responded that it is possible to get STI after having sex first time while 151 (59.9%) responded that STI can cause long term health problems. 217 (86.1%) of respondents agreed with statement "one should go for STI test”. While 96 (38.1%) respondents believed that prohibiting prostitution would control spread of STI. Majority of respondents (81.8%) opined for introducing sex education at schools. 65.9%of respondents were reluctant to disclose about multiple sexual partners. 179(71%) respondents felt comfortable discussing STIs with family members, friends, and co-workers. Conclusions: The current study found the need of introducing sexual health education among university students to fill gaps in existing knowledge which can further reduce the risk of STIs among them and ultimately help in achieving the targets of Sustainable Development Goals.

Transition between social protection systems for workers with long term health problems: A controlled retrospective cohort study

Many nations have established workers' compensation systems as a feature of their social protection system. These systems typically provide time-limited entitlements such as wage replacement benefits and funding for medical treatment. Entitlements may end for workers with long-term health conditions before they have returned to employment. We sought to determine the prevalence of transitions to alternative forms of social protection, specifically social security benefits, among injured workers with long-term disability, when workers' compensation benefits end. We linked Australian workers' compensation and social security data to examine receipt of social security payments one year before and after workers' compensation benefit cessation. Study groups included (1) injured workers whose workers' compensation benefits ceased due to reaching a 260-week limit introduced by legislative reform (N = 2761), (2) a control group of injured workers with at least 104 weeks workers compensation income support (N = 3890), and (3) a matched community control group (N = 10,114). Adjusted binary logistic regression examined the odds of transitions to social security in the injured worker groups relative to the community control group. Within 12 months of workers' compensation benefit cessation, 60% (N = 1669) of the exposed group received social security payments, of which 41% (N = 1120) received the unemployment allowance and 19% (N = 516) the disability pension. Among the work injured control group, 42% (N = 1676) received social security payments after workers compensation benefits ceased. Transitions to social security payments were significantly more common than community levels for both exposed (OR 25.0, 95%CI = 20.7, 30.1) and work injured control groups (OR 4.7, 95%CI = 4.2, 5.3). Many injured workers with long-term health problems transition to social security when their workers’ compensation benefits cease. Transitions were more common among workers whose claims ended due to legislative reform which time-limited benefits. Design and implementation of system level policy reform should consider the social and economic impacts of transitions between separate social protection systems.

Global incidence, risk factors and trends of vulvar cancer: A country-based analysis of cancer registries.

Vulvar cancer is an uncommon malignancy. Vulvar cancer alarmed the public health problem in terms of the cost of diagnostic and medical treatments and psychical health of females. Our study aims to provide a thorough analysis of the global disease burden, related risk factors and temporal incidence trends of vulvar cancer in population subgroups. Data from Global Cancer Observatory and the Cancer Incidence in Five Continents Plus were used for the vulvar cancer incidence. Age-standardized rates (ASR) were used to depict the incidence of vulvar cancer. The 10-year trend of incidence was assessed using joinpoint regression with average annual percentage change and 95% confidence intervals in various age groups, while its correlations with risk factors were investigated using linear regression. Higher ASR were found in Western Europe (2.4), Northern America (1.9), Northern Europe (1.9), Australia and New Zealand (1.8) and Eastern Africa (1.4). The associated risk factors of higher vulvar cancer incidence were gross domestic product per capita, Human Development Index, higher prevalence of smoking, alcohol drinking, unsafe sex and human immunodeficiency virus infection. The overall trend of vulvar cancer incidence was increasing. An increasing trend was found in older females while a mixed trend was observed in younger females. The disease burden of vulvar cancer follows a bimodal pattern according to its two histologic pathways, affecting women in both developed and developing regions. Smoking cessation, sex education and human papillomavirus vaccination programs should be promoted among the general population. Subsequent studies can be done to explore the reasons behind the increasing trend of vulvar cancer.

Y chromosome polymorphism in Turkish patients with reproductive problems: a genetic centre experience

Objectives: Male infertility is a large and unexplored global health problem in terms of prevalence. Chromosomal polymorphisms may be associated with infertility and recurrent spontaneous abortions. Non-protein coding and frequently repetitive satellite DNA sequences are found in these regions. Methods: This study aims to present a genetic laboratory experience in the evaluation of frequency, type and significance of Y chromosome polymorphism of Turkish patients with reproductive system problems. The study included 435 patients aged 18-60 years with a documented clinical diagnosis of infertility. Results: In our study, 435 individuals were analyzed cytogenetically and 75 of them (17.24%) were found to carry chromosomally polymorphic variants in Y chromosome. We detected increased heterochromatin structure in the long arm of chromosome Y (Yqh+) as a common variant in our patient group. The frequency of chromosomal polymorphism Yqh- is % 11.26. The rate of chromosomal polymorphism we detected is close to those reported in the literature (10-15%) and statistically significant (p < 0.001), twice that found in the normal population (2-5%). Conclusions: Findings support that Y chromosome polymorphisms may be associated with infertility risk and may play an important role in the development of infertility. More research combining genome studies and other fields is needed to clarify the relationship of Y chromosome polymorphisms with and to infertility.

A Herbal Approach towards Skin Diseases: An Updated Review

Skin is both the biggest organ and the first line of defense of the human body, which covers the outside of the body. Worldwide, 34% of occupational disorders have been identified as skin diseases. The most prevalent type of illness that affects people of all ages is skin disease. Both developed and developing nations are significantly burdened by skin problems in terms of health. Skin disorders that damage the skin, such cancer, herpes, eczema, psoriasis, and cellulite, can strike a large number of people. These disorders are frequently treated using certain wild plants and their components. It has been shown time and time again that plants and other forms of traditional medicine are essential in the treatment of skin disorders. They have been used to treat skin diseases in many countries across the globe, where they play an important role in basic healthcare. Even though modern medicine has come a long way in recent decades, plants still play an important part in healthcare. Our most successful medicine source has historically been natural products. Most skin diseases are treated using a variety of herbal herbs. Natural medicine is believed to be cheap and secure. Some potent therapeutic herbs can totally cure or significantly lessen infections and dermatological conditions. The study's primary objective is to recommend treatments for human skin disorders, but it also seeks to highlight the need of doing in-depth research on medicinal plants in order to discover potential treatments. This review emphasized the function and value of specific medicinal herbs in treating various skin conditions.

Non-Traumatic Abdominal Surgical Emergencies in the Field of HIV: A Series of 22 Cases in the Visceral and Digestive Surgery Department of the Siguiri Prefectural Hospital

Introduction: This study aimed to describe the epidemiological-clinical and therapeutic aspects of abdominal surgical emergencies on the ground of HIV in the department of visceral and digestive surgery of the prefectural hospital of Siguiri. Method: This was a descriptive prospective study which concerned patients operated on for abdominal surgical emergencies in the field of HIV, carried out in the visceral and digestive surgery department of the Siguiri prefectural hospital. Results: Out of a total of 88 cases of abdominal surgical emergencies operated on during our study, we collected 22 cases on HIV ground, i.e. 25%. The female sex dominated, including 14 women against 8 men, i.e. a sex ratio of 0.6 with an average age of 35 years. Miners were the most affected socio-professional layer, i.e. 31.80%, followed by traders and housewives, i.e. 27.30% each. HIV type I affected 77.27% against 22.73%. There were 41% of our patients who knew their serological status among which 66.66% were on ARV treatment and 33.33% were not on ARV treatment. The symptomatology was dominated by abdominal pain in 100% followed by fever in 77.27%. Appendicitis accounted for 40.09% followed by generalized acute peritonitis in 31.82%. The management was medico-surgical with pre-operative, intra-operative and post-operative resuscitation. The average length of hospitalization was 7 days. The postoperative course was favorable in 45.45%, we recorded 36.36% parietal suppuration and the mortality rate was 13.64%. Conclusion: Abdominal surgical emergencies in the field of HIV remain a major health problem in terms of care. The clinical pictures are dominated by acute appendicitis and generalized acute peritonitis.

Waste Plastic and Rubber in Concrete and Cement Mortar: A Tertiary Literature Review

In recent years, the addition of plastic and rubber waste to construction materials has been widely studied by the research community. This great interest can mainly be attributed to the achievable potential environmental and economic benefits, mainly deriving from the reduction of incinerated or landfilled wastes and the decrease of used raw materials. Several reviews have been published on the addition of polymeric waste materials in concrete and cement mortar mixtures, discussing properties, environmental and cost implications. However, there are not available studies that organize and analyses the knowledge presented in this review. For the scope, in this paper we present a tertiary study of previous relevant review articles from peer-reviewed journals, with the aim to provide an overview of the state of the evidence related to this topic and to highlight the main critical aspects and open issues. The overview provides conclusions drawn from the 33 included reviews finding different open issues on the theme regarding environmental performance, cost savings and impacts on the supply chain as well as long term health problem related to the use of waste plastic and rubber in concrete and cement mortar. For each open issue further research proposals are also suggested.

Benefits, Facilitators and Barrier Reductions in Physical Activity Programmes for People with Severe Mental Disorder: A Systematic Review.

The current high prevalence of people with Severe Mental Disorder and the high impact the latter has on their quality of life is one of the main problems in terms of health, as it affects both physical and mental health. One of the lines of action to intervene in these factors is the practice of physical activity, as this usually has a low level of participation due to different barriers. However, there are several facilitators that improve adherence to these practices. The main objectives of this work were (1) to conduct a systematic review of the scientific literature on the possible benefits obtained by people with SMD from their participation in physical activity programmes; (2) to identify the characteristics of physical activity programmes and determine the barriers to their implementation that have been considered and (3) the facilitators incorporated. To meet these objectives, the SCOPUS, Web of Science, PubMed, Dialnet and Elsevier online databases were consulted and, following the PRISMA statement, 17 articles were finally selected. Their analysis has revealed various physical, psychological and social benefits, as well as the barriers that appear in the intervention programmes, mostly related to personal factors and the programme itself, and those factors that facilitate their adherence or development, the most common being the carrying out of the activities outdoors, the inclusion of social components and the possibility of adapting the activities. In this way, the results obtained have made it possible to highlight the characteristics that should be taken into account when planning this type of intervention.

PUBLIC OPINION TOWARDS ADOLESCENT PREGNANCIES AND EXPECTATIONS FROM HEALTHCARE PROFESSIONALS

Objectives: Complications arising from pregnancies during adolescence bring along very important health problems in terms of both women's health and babies' health. Therefore, society's perspective on adolescent pregnancies and expectations from healthcare professionals will guide the measures to be taken to protect maternal health under the age of 18. This study aims to identify the determinants of society’s point of view regarding adolescent pregnancies and to determine expectations from healthcare workers. Methods: This descriptive cross-sectional study enrolled randomly selected 980 subjects who volunteered to join the study, and answered a questionnaire composed of 39 questions. The questionnaire was consulted by multi-disciplinary to confirm the accuracy of the questions. Results: The mean age was 41.0 (range: 19-64, Male-Female ratio 1:1.15) and 71.6% were married. The majority (80.3%) argued that girls under the age of 19 should not have children, and this is significantly affected by income level and education. It has been observed that the view that reducing adolescent pregnancies will positively affect maternal and neonatal mortality rates is related to the education and income level of the participants. (p=0.001 and p=0.024). 66.1% of the respondents stated that adolescent pregnancies could be reduced by providing adequate information from primary healthcare institutions rather than other sources. In addition, primary healthcare institutions were shown as the primary center in the follow-up of these pregnancies by .66.1% of the participants. Conclusion: It is important to inform society about this issue in the prevention of adolescent pregnancies, which have significant risks for maternal and infant health. Society believes that the solution to this problem can be provided by primary health care services.

The Usefulness of Nanotechnology in Improving the Prognosis of Lung Cancer

Lung cancer remains a major public health problem both in terms of incidence and specific mortality despite recent developments in terms of prevention, such as smoking reduction policies and clinical management advances. Better lung cancer prognosis could be achieved by early and accurate diagnosis and improved therapeutic interventions. Nanotechnology is a dynamic and fast-developing field; various medical applications have been developed and deployed, and more exist as proofs of concepts or experimental models. We aim to summarize current knowledge relevant to the use of nanotechnology in lung cancer management. Starting from the chemical structure-based classification of nanoparticles, we identify and review various practical implementations roughly organized as diagnostic or therapeutic in scope, ranging from innovative contrast agents to targeted drug carriers. Available data are presented starting with standards of practice and moving to highly experimental methods and proofs of concept; particularities, advantages, limits and future directions are explored, focusing on the potential impact on lung cancer clinical prognosis.