Dengue and human health: A global scenario of its occurrence,diagnosis and therapeutics

Dengue is one of the highest and rapidly spreading vector-borne viral diseases with high mortality rates. The infection causes acute febrile illness, a major public health concern in the tropics and subtropics globally. The disease is caused by an RNA virus that belongs to the Flaviviridae family. The virus is transferred to humans by the mosquito vector called Aedvrves aegypti, which is the cause of new prevalent sicknesses worldwide. These vector-borne viral diseases spread very fast and pose public health and economic challenges that deemed various prevention and control techniques. The Flavivirus genus consists of five different types of viruses starting from DENV-1 to DENV-5. Thus, the present review focuses on the origin of the virus, how the Dengue virus can be detected, infection, the morphology of the virus, its classifications as proposed by ICTV, the replication and genome of the dengue virus, translation, receptor binding, and some vaccine trial volunteers. In addition, it highlights the current challenges and limitations of effective dengue treatment.     

EPIDEMIOLOGY IN THE SOCIAL SCIENCES

The techniques and principles of epidemiology, so successfully utilized in the study and control of communicable diseases, should be applied to other mass phenomena in the community.The local health officer should apply them in his “diagnosis” of the sicknesses of his organized community.Epidemiological methods have been used to study mental diseases as well as chronic diseases, and an experiment in using epidemiological methods on the county level to study psychosocial disorders has been carried out.The impact of psychosocial episodes on somatic diseases is now generally accepted and well documented. Individual practitioners of medicine are becoming more interested in the significance of social tensions on the health of their patients.Public health physicians, specialists in preventive medicine, are the best equipped by training and experience to take the leadership in the application of epidemiological methods to sociomedical problems and are in a unique position to assist their colleagues in the private practice of medicine in providing modern helpful and meaningful health protection to their patients.Organized medicine might well become more cognizant of the sociological changes taking place in the nation as they relate to health and assume the responsibility for aggressive leadership in the anticipation of and the solution of these problems.     

The Primacy of Moringa (<i>Moringa oleifera</i> Lam.) in Boosting Nutrition Status and Immunity Defence Amidst the COVID-19 Catastrophe: A Perspective

A severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) led novel coronavirus disease (COVID-19) outbreak spread through China has become the biggest global public health challenge today. The virus upon several mutations has led to the resurgence of more infectious and lethal variants infecting over 298 million people with more than 5.46 million deaths worldwide by the end of December, 2021. Though vaccines are available, various preventive measures particularly a high body immunity is still extremely important which determines the likelihood of disease severity and subsequent recovery in the current and future pandemics. This review acknowledges the potentiality of miraculous Moringa oleifera Lam. against recently evolved novel coronavirus and accompanying health complications. Moringa a well-proven super-food, densely packed with an abundant quantity of 92 minerals, several vitamins, 46 antioxidants, and numerous bioactive compounds, thus own a massive therapeutic potential for healing all levels of nutritional deficiencies and poor immunities and cure above 300 diseases. Moringa acts as anti-asthmatic, anti-cancerous, anti-diabetic, anti-inflammatory, hypotensive, hepatic, renal and cardio-protective, and anti-viral in nature. Thus it may reduce the severity of COVID-19 infections and associated serious medical emergencies. In addition, self-isolation at home or the workplace has put people at increased risk of physical and mental sicknesses, which could be simply addressed by integrating this wonderful plant into everyday diet. Furthermore, the immune-modulatory properties and viral inhibiting nature of moringa contribute to reduced risk of COVID-19 infection and quicker recovery from its symptoms. As per the existing pieces of literature, it is a great time to harness the esteemed moringa for safeguarding people from the terrible ongoing COVID-19 situation and other future pandemics.     

Medicinal plants in southwestern Saudi Arabia

Folk medicine practiced in southwestern Saudi Arabia has helped people prevent and cure various diseases and sicknesses such as rheumatism, asthma, diabetes, stomach problems, constipation, eye and ear problems, colds, fever, measles, bladder and urinary diseases, toothache, epilepsy, and skin allergy. The most common medicinal plants found in the region belong to the Leguminosae, Labiatae, Compositae, and Euphorbiaceae.     

高校心理健康教育的问题及对策思考

当前,高校心理健康教育基本上已进入一个快速发展之后的平台期。虽然高校心理健康教育取得了显著的成绩,但还存在着一定的问题。其根源在于学生认同度不高、全员参与性不够、课堂渗透不多和师资队伍不强,这些使高校心理健康教育工作陷于困境,严重制约高校心理健康教育深入开展。本文提出了走出高校心理健康教育困境的四项对策。     

Multidrug resistance in parasites: ABC transporters, P-glycoproteins and molecular modelling

Parasitic diseases, caused by protozoa, helminths and arthropods, rank among the most important problems in human and veterinary medicine, and in agriculture, leading to debilitating sicknesses and loss of life. In the absence of vaccines and with the general failure of vector eradication programs, drugs are the main line of defence, but the newest drugs are being tracked by the emergence of resistance in parasites, sharing ominous parallels with multidrug resistance in bacterial pathogens. Any of a number of mechanisms will elicit a drug resistance phenotype in parasites, including: active efflux, reduced uptake, target modification, drug modification, drug sequestration, by-pass shunting, or substrate competition. The role of ABC transporters in parasitic multidrug resistance mechanisms is being subjected to more scrutiny, due in part to the established roles of certain ABC transporters in human diseases, and also to an increasing portfolio of ABC transporters from parasite genome sequencing projects. For example, over 100 ABC transporters have been identified in the Escherichia coli genome, but to date only about 65 in all parasitic genomes. Long established laboratory investigations are now being assisted by molecular biology, bioinformatics, and computational modelling, and it is in these areas that the role of ABC transporters in parasitic multidrug resistance mechanisms may be defined and put in perspective with that of other proteins. We discuss ABC transporters in parasites, and conclude with an example of molecular modelling that identifies a new interaction between the structural domains of a parasite P-glycoprotein.     

Rhodiola crenulata extract suppresses hepatic gluconeogenesis via activation of the AMPK pathway

BackgroundRhodiola, a popular herb, has been used for treating high altitude sicknesses, depression, fatigue, and diabetes. However, the detailed mechanisms by which Rhodiola crenulata functions in the liver need further clarification.PurposeThe current study was designed to examine the effects of Rhodiola crenulata root extract (RCE) on hepatic glucose production.MethodsHuman hepatoma HepG2 cells were treated with RCE for 6 h. Glucose production, the expression level of p-AMPK, and the expression of key gluconeogenic genes were measured. The effects of RCE were also studied in Sprague–Dawley (SD) rats. The efficacy and underlying mechanism of RCE in the liver were examined.ResultsRCE significantly suppressed glucose production and gluconeogenic gene expression in HepG2 cells while activating the AMPK signaling pathway. Interestingly, RCE-suppressed hepatic gluconeogenesis was eliminated by an AMPK-specific inhibitor, but not by the PI3K/AKT-specific inhibitor. In addition, oral administration of RCE significantly increased phosphorylated AMPK levels and inhibited gluconeogenic gene expression in the rat liver. Furthermore, RCE treatment also decreased plasma glucose concentration in rats.ConclusionWe present in vitro and in vivo evidence that RCE might exert the glucose-lowering effect partly by inhibiting hepatic gluconeogenesis through activating the AMPK signaling pathway. These findings provide evidence that Rhodiola crenulata may be helpful for the management of type II diabetes.     

Responsibility amid the social determinants of health

It is natural to think that there is a tight connection between whether someone is responsible for some outcome and whether it is appropriate to hold her accountable for that outcome. And this natural thought naturally extends to health: if someone is responsible for her health, then, all else being equal, she is accountable for it. Given this, some have thought that responsibility for health has an important role to play in distributing the benefits and burdens of healthcare. But there is a reason for caution. That health is influenced by social, economic, and environmental factors is a matter of consensus. And some have argued that in light of these social determinants of health, individuals are not typically responsible for their health, rendering inappropriate policies that employ a responsibility‐for‐health criterion. This debate implicates a number of overlapping concepts and questions that are often difficult to pull apart. And I worry that those who maintain that social determinants undermine responsibility for health have latched on to the wrong target. The social determinants of health are relevant to such policies, but, I argue, not by globally undermining responsibility. Rather, social determinants are sometimes responsibility‐undermining, sometimes responsibility‐preserving, and often relevant to whether we should hold individuals accountable for their health regardless of their responsibility. This calls for a more nuanced appraisal of the ways in which the social determinants of health are relevant to such policies. And here I attempt to provide one.     

Actions to alleviate the mental health impact of the economic crisis

The current global economic crisis is expected to produce adverse mental health effects that may increase suicide and alcohol-related death rates in affected countries. In nations with greater social safety nets, the health impacts of the economic downturn may be less pronounced. Research indicates that the mental health impact of the economic crisis can be offset by various policy measures. This paper aims to outline how countries can safeguard and support mental health in times of economic downturn. It indicates that good mental health cannot be achieved by the health sector alone. The determinants of mental health often lie outside of the remits of the health system, and all sectors of society have to be involved in the promotion of mental health. Accessible and responsive primary care services support people at risk and can prevent mental health consequences. Any austerity measures imposed on mental health services need to be geared to support the modernization of mental health care provision. Social welfare supports and active labour market programmes aiming at helping people retain or re-gain jobs can counteract the mental health effects of the economic crisis. Family support programmes can also make a difference. Alcohol pricing and restrictions of alcohol availability reduce alcohol harms and save lives. Support to tackle unmanageable debt will also help to reduce the mental health impact of the crisis. While the current economic crisis may have a major impact on mental health and increase mortality due to suicides and alcohol-related disorders, it is also a window of opportunity to reform mental health care and promote a mentally healthy lifestyle.     

State of environment indicators of 'river health': exploring the metaphor

1. Indicators are crucial to many socio-political schemes for portraying environmental influences of society. For example, the OECD model for State of the Environment Reporting uses three different sorts of indicators (pressure, condition, response) to differentiate the present condition of the environment from the anthropogenic pressures upon it and from any societal responses made to alleviate those pressures (thereby improving aspects of the overall condition). 2. These sorts of indicators have a fundamental technical basis in the science supporting their exposition and usage. However, the criteria used in interpreting the indicator values are likely to be set by considerations that go beyond scientific grounds. That is, indicators are socially determined in the end. However, many scientists find it difficult to involve the public in such reporting. 3. Scientists who are uncomfortable with this non-technical use of their indicator constructs should recognize that it is merely another manifestation of the overall broadening of environmental concern termed ‘ecosystem health’. The emerging field of ecosystem health seeks to take our technical understanding of how the environment functions and combine it with socio-economic goals, using a human health metaphor and an ethical underpinning. 4. River health might be better served by adopting a veterinary approach rather than the model of human health. This is because, like animals, riverine environments come in many different forms and cannot complain of ill health. Desirable interventions will vary with the uses to which we wish to put a river and our reasons for being concerned about a river’s health. A framework for this diagnostic approach is presented. 5. An enormous challenge lies ahead in integrating the various measurements of riverine attributes that might together constitute ‘river health’. We need ways to cater for the pluralism of modern societies, and we need more dynamic assessments of river condition, possibly founded on studies of key ecological processes.     

Feeding the world healthily: the challenge of measuring the effects of agriculture on health

Agricultural production, food systems and population health are intimately linked. While there is a strong evidence base to inform our knowledge of what constitutes a healthy human diet, we know little about actual food production or consumption in many populations and how developments in the food and agricultural system will affect dietary intake patterns and health. The paucity of information on food production and consumption is arguably most acute in low- and middle-income countries, where it is most urgently needed to monitor levels of under-nutrition, the health impacts of rapid dietary transition and the increasing ‘double burden’ of nutrition-related disease. Food availability statistics based on food commodity production data are currently widely used as a proxy measure of national-level food consumption, but using data from the UK and Mexico we highlight the potential pitfalls of this approach. Despite limited resources for data collection, better systems of measurement are possible. Important drivers to improve collection systems may include efforts to meet international development goals and partnership with the private sector. A clearer understanding of the links between the agriculture and food system and population health will ensure that health becomes a critical driver of agricultural change.     

A Morphological Hessian Based Approach for Retinal Blood Vessels Segmentation and Denoising Using Region Based Otsu Thresholding

Diabetic Retinopathy (DR) harm retinal blood vessels in the eye causing visual deficiency. The appearance and structure of blood vessels in retinal images play an essential part in the diagnoses of an eye sicknesses. We proposed a less computational unsupervised automated technique with promising results for detection of retinal vasculature by using morphological hessian based approach and region based Otsu thresholding. Contrast Limited Adaptive Histogram Equalization (CLAHE) and morphological filters have been used for enhancement and to remove low frequency noise or geometrical objects, respectively. The hessian matrix and eigenvalues approach used has been in a modified form at two different scales to extract wide and thin vessel enhanced images separately. Otsu thresholding has been further applied in a novel way to classify vessel and non-vessel pixels from both enhanced images. Finally, postprocessing steps has been used to eliminate the unwanted region/segment, non-vessel pixels, disease abnormalities and noise, to obtain a final segmented image. The proposed technique has been analyzed on the openly accessible DRIVE (Digital Retinal Images for Vessel Extraction) and STARE (STructured Analysis of the REtina) databases along with the ground truth data that has been precisely marked by the experts.     

Saving the young before the old -- a reply to John Harris

For a distribution of health care resources to be fair, it should consider the consequences for the whole lives of the affected persons and not just how badly off they are at the present moment. Since, other things being equal, a person is worse off if he dies young than if he dies old, it is fair to give scarce vital health care resources to young rather than to old persons. In the paper this ageist view is restated and defended against a number of objections raised by John Harris. According to Harris' so-called anti-ageist argument the only relevant consideration in the distribution of vital health care resources is people's desire to go on living. On reflection, this is highly counterintuitive. Instead, it is argued that both present desires to go on living and possible future happiness should weigh together with considerations of fairness. Both fairness and possible future happiness will in most cases speak in favour of saving the young before the old. A number of other problems for the ageist view are discussed, and solutions are suggested.     

Parent-offspring conflict and the cultural ecology of breast-feeding

Lactation constitutes a major focus for research in international health because of its dramatic impact on child survival; evolutionary biology has investigated lactation as an important aspect of parenting strategy, with implications for understanding parent-offspring conflict. These perspectives are brought together in an attempt to develop integrated models for an issue of key international health concern: the duration of exclusive breast-feeding and the timing of weaning. This analysis highlights the relevance of evolutionary theory for practical problems in public health, and it suggests the utility of public health outcomes for addressing evolutionary questions. Thomas McDade received his Ph.D. degree in anthropology from Emory University in 1999 and is currently an assistant professor in the anthropology department at Northwestern University. His research interests include biocultural perspectives on issues related to health and human development, with current attention focused on the cultural and evolutionary ecology of human immune function.     

21世纪初农业生态系统健康研究方向

农业生态系统健康是指农业生态系统免受发生“失调综合症”,处理胁迫的状态和满足持续生产农产品的能力,目前,农业生态系统健康研究范围主要涉及农业生态系统健康评价方法,土壤质量和水质与农业生态系统健康的联系,农业生态系统健康与人类健康的关系,害虫生态管理对农业生态系统健康的贡献,杂草综合管理在农业生态系统健康中的作用,从生态病理学到农业生态系统健康,线虫群落作为农业生态系统健康指示生物的研究,转基因作物对农业生态系统健康的生态影响评价,农业投入政策对农业生态系统健康的影响,景观生态学在农业生态系统健康评价中的应用,农业生态系统健康与绿色食品开发等,首先论述了农业生态系统健康研究的现状,介绍了农业生态系统健康研究实例-土壤健康的生物指标,最后提出了今后农业生态系统健康的研究方向,为保障农产品安全和增进人类健康提供依据。     

Public Reform and the Privatisation of Poverty: Some Institutional Determinants of Health Seeking Behaviour in Southern Tanzania

This paper explores the changing institutional context of health servicedelivery in rural Tanzania through an anthropological analysis of thekinds of healing strategies pursued by men and women when they are ill.In some rural districts popular dissatisfaction with state medicalprovision is not manifested in a rejection of the allopathic medicinewith which it is associated, but in increased reliance on an emerginginformal sector of private medical provision. Although this sectorprovides a valued and accessible service to certain categories ofclients it delivers poor quality treatment, serving to reinforce thecyclical relationship between poverty and ill health. Despite the bestintentions of major public sector reforms neither government nor otheragencies are able to meet rural demand for health services. Reliance onthe parallel market for medical provision is likely to continue, atleast in the short term, with negative consequences for health.     

The incompatibility of the United Nations' goals and conventionalist ethical relativism

The Universal Draft Declaration on Bioethics and Human Rights seeks to provide moral direction to nations and their citizens on a series of bioethical concerns. In articulating principles, it ranks respect for human rights, human dignity and fundamental freedoms ahead of respect for cultural diversity and pluralism. This ranking is controversial because it entails the rejection of the popular theory, conventionalist ethical relativism. If consistently defended, this theory also undercuts other United Nations activities that assume member states and people around the world can reach trans-cultural judgments having moral authority about health, pollution, aggression, rights, slavery, and so on. To illustrate problems with conventionalist ethical relativism and the importance of rejecting it for reasons of health, human rights, human dignity and fundamental freedoms, the widespread practice of female genital circumcision or cutting is discussed. These surgeries are virtually a test case for conventionalist ethical relativism since they are widely supported within these cultures as religious and health practices and widely condemned outside them, including by the United Nations.     

Adjusting the focus: A public health ethics approach to data research

This paper contends that a research ethics approach to the regulation of health data research is unhelpful in the era of population‐level research and big data because it results in a primary focus on consent (meta‐, broad, dynamic and/or specific consent). Two recent guidelines – the 2016 WMA Declaration of Taipei on ethical considerations regarding health databases and biobanks and the revised CIOMS International ethical guidelines for health‐related research involving humans – both focus on the growing reliance on health data for research. But as research ethics documents, they remain (to varying degrees) focused on consent and individual control of data use. Many current and future uses of health data make individual consent impractical, if not impossible. Many of the risks of secondary data use apply to communities and stakeholders rather than individual data subjects. Shifting from a research ethics perspective to a public health lens brings a different set of issues into view: how are the benefits and burdens of data use distributed, how can data research empower communities, who has legitimate decision‐making capacity? I propose that a public health ethics framework – based on public benefit, proportionality, equity, trust and accountability – provides more appropriate tools for assessing the ethical uses of health data. The main advantage of a public health approach for data research is that it is more likely to foster debate about power, justice and equity and to highlight the complexity of deciding when data use is in the public interest.