scholarly journals Benefits and Limitations of Non-Transgenic Micronutrient Biofortification Approaches

Agronomy ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 464
Author(s):  
Edward Marques ◽  
Heather M. Darby ◽  
Jana Kraft
Keyword(s):  
Current Literature ◽  
The State ◽  
World Health ◽  
Micronutrient Deficiencies ◽  
Conventional Breeding ◽  
The World ◽  
Primary Focus

Increasing the amount of micronutrients in diets across the world is crucial to improving world health. Numerous methods can accomplish this such as the biofortification of food through biotechnology, conventional breeding, and agronomic approaches. Of these, biofortification methods, conventional breeding, and agronomic approaches are currently globally accepted and, therefore, should be the primary focus of research efforts. This review synthesizes the current literature regarding the state of biofortified foods through conventional breeding and agronomic approaches for crops. Additionally, the benefits and limitations for all described approaches are discussed, allowing us to identify key areas of research that are still required to increase the efficacy of these methods. The information provided here should provide a basal knowledge for global efforts that are combating micronutrient deficiencies.

scholarly journals Are Countries of the Eastern Mediterranean Region on Track towards Meeting the World Health Assembly Target for Anemia? A Review of Evidence

2021 ◽  
Vol 18 (5) ◽  
pp. 2449
Author(s):  
Ayoub Al-Jawaldeh ◽  
Mandy Taktouk ◽  
Radhouene Doggui ◽  
Zahra Abdollahi ◽  
Baseer Achakzai ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Reproductive Age ◽  
World Health ◽  
Deficiency Anemia ◽  
Micronutrient Deficiencies ◽  
World Health Assembly ◽  
The World

Anemia is a multifactorial condition, with a complex etiology that involves nutritional and non-nutritional factors. The misconception that iron deficiency is equivalent to anemia may mask the need to address other potential causative factors. This review paper aims to (1) assess the burden of anemia vs. iron deficiency anemia (IDA) amongst women of reproductive age (WRA), pregnant women (PW), and children under five years old (underfive children, U5C) in the Eastern Mediterranean region (EMR); (2) evaluate trends in anemia prevalence and whether countries are on track towards meeting the World Health Assembly (WHA) target for 2025; and (3) characterize anemia reduction efforts and provide a road map for future programs. A search of pertinent literature and databases was conducted. Anemia prevalence in the EMR ranged between 22.6% and 63% amongst PW, 27% and 69.6% amongst WRA, and 23.8% and 83.5% amongst U5C. Data showed that the EMR is not on course towards meeting the WHA target. The contribution of IDA to anemia was found to be less than half. Other potential contributors to anemia in the region were identified, including micronutrient deficiencies, parasitic infestations, and poor sanitation. A framework of action was proposed as a roadmap to meet the targets set by the WHA.

State Actor Dynamics in Brunei’s Healthcare Policies

2020 ◽  
Vol 5 ◽  
Author(s):  
Syazana Fauzi
Keyword(s):  
Medical Ethics ◽  
Crucial Role ◽  
World Health Organisation ◽  
The State ◽  
World Health ◽  
Top Down ◽  
The World ◽  
Prevention And Treatment ◽  
State Actor ◽  
State Actors

This study seeks to ascertain the state actor dynamics in Brunei’s healthcare policies from the perspectives of an Islamic system of governance, by first identifying the state actors, or institutions, involved in influencing, formulating and implementing Brunei’s healthcare policies. The ‘IGC Matrix’ is employed to establish the Islamic health ‘sets of expectations’ (SoEs), particularly in terms of prevention and treatment, and medical ethics, primarily derived from the Qur’ān and Prophet Muhammadﷺ’s Sunnah, in order to construct for this study a framework of reference. The SoEs are then compared against Brunei’s healthcare policies and activities to determine how much of the Islamic health SoEs are met. This study reveals that Brunei’s healthcare policies are largely motivated by non-Islamic inspirations, specifically by the World Health Organisation (WHO), but with numerous overlaps with Islamic demands. In other words, Brunei’s healthcare policies may be stemmed from a non-Islamic influence, but it does not necessarily mean that they are un-Islamic. And most, if not all, of Brunei’s healthcare policies demonstrate a top-down approach, where the state actors play a crucial role in shaping Brunei’s dynamical SoEs.

Legal Aspects of Protecting the State Border of the Republic of Poland during Pandemics

2020 ◽  
Vol 75 ◽  
pp. 189-204
Author(s):  
Robert Socha
Keyword(s):  
Public Health ◽  
Legal Aspects ◽  
The State ◽  
World Health ◽  
Border Control ◽  
Legal Regulations ◽  
The European Union ◽  
The World ◽  
The Republic ◽  
International Threat

The problems raised in this article focus on the issues related to the solutions adopted by the Polish legislator as to the protection of the state border in the context of an international threat. The author presents the legal conditions related to the probability of temporary reintroduction of border control for persons crossing the state border regarded as an internal border of the European Union in the event of a threat to public health. The background for these considerations are legal regulations concerning the change in the organization of the protection of the state border of the Republic of Poland, as introduced due to the World Health Organization’s announcement of the pandemic caused by the SARS-CoV-2 coronavirus leading to the COVID-19 disease.

scholarly journals Long-Term Consequences of the Fetoplacental Insufficiency Influence on the State and Functioning of Different Body Systems in Descendants (Literature Review and Own Research)

2020 ◽  
Vol 5 (6) ◽  
pp. 362-369
Author(s):  
N. Yu. Seliukova ◽  
◽  
Keyword(s):  
Literature Review ◽  
Reproductive System ◽  
The State ◽  
Placental Insufficiency ◽  
Reproductive Age ◽  
World Health ◽  
Elastic Fibers ◽  
Pathological State ◽  
The World

The literature review presents the results of processing literature data on one of the topical issues of obstetrics and reproductive medicine - placental insufficiency. According to the World Health Organization, the number of infertile couples is gradually increasing in the world every year. In Ukraine, the frequency of infertile marriages among persons of reproductive age ranges from 12 to 18%. The state of the reproductive system of an adult female is influenced by many factors, from embryonic development to the lifestyle of an adult woman. With an inadequate effect of harmful factors on the fetus, the fetoplacental complex may not react properly, and this is how the symptom complex of disorders arises both on the part of the mother and on the part of the fetus, which is called placental insufficiency, it negatively affects the condition and quality of pregnancy and childbirth. Numerous studies have proven the existence of a connection between the effect of certain factors during pregnancy on the state and functionality of various body systems already in adulthood. It was shown that children who were born from mothers with placental insufficiency suffering from cardiovascular diseases have fewer elastic fibers in the arteries, nephrons in the kidneys. In addition, the pancreas has fewer insulin-producing β-cells and reduced vascularization, as well as altered structure and maturation of the brain, lungs (respiratory distress syndrome) and liver, joint dysplasia, and an imbalance of the immune system. When studying the long-term effects of placental insufficiency, various disorders of physical and mental development are observed, as well as increased somatic and infectious morbidity of newborns and children in the first year of life, in the future it may be the cause of the development of diseases such as arterial hypertension, diabetes mellitus, metabolic syndrome, etc. Conclusion. Our studies have shown the negative impact of placental insufficiency on the reproductive system of adult offspring of rats of two sexes who were born to mothers of two age groups. In particular, the level of testosterone in female offspring was increased against the background of the altered structure of the estrous cycle and the pathological state of ovarian histology. In the male offspring, on the contrary, the total testosterone level decreased, but the histology of the testes and the functional state of the sperm remained unchanged

scholarly journals Coronavirus (COVID-19) and Possibilities for Criminal Law Reaction in Europe: A Review

2020 ◽  
Author(s):  
Veljko TURANJANIN ◽  
Darko RADULOVIĆ
Keyword(s):  
Public Health ◽  
European Union ◽  
World Health Organization ◽  
Criminal Law ◽  
The State ◽  
World Health ◽  
Criminal Offence ◽  
Contagious Disease ◽  
The World ◽  
Health Organization

Coronavirus (COVID-19) is the newest dangerous contagious disease in the world, emerged at the end of 2019 and the beginning of 2020. World Health Organization at the daily level publishes numbers of infected patients as well as several dead people around the world and in every region particularly. However, public health and criminal law are inevitably linked. National criminal laws in Europe mainly prescribe criminal offences for transmitting a dangerous contagious disease. Numerous states have closed their borders, quarantining their nationals that entering in the state. Strangers cannot enter in European Union. However, many do not abide by the restrictions, and people who have become ill with coronavirus walking the streets and committing a criminal offence. The authors in the work, in the first place, explain the connection between public health and criminal law and then elaborate criminal jurisdictions in Europe.

scholarly journals Covid-19 and dental emergencies: reflections on teledentistry

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Alberto Gasparoni ◽  
Michael J Kanellis
Keyword(s):  
The State ◽  
World Health ◽  
Phone Call ◽  
University Of Iowa ◽  
Emergency Patients ◽  
Dental Procedures ◽  
The World ◽  
Iowa College ◽  
The University ◽  
Dental Emergency

Early in 2020, the COVID-19 virus spread throughout the world. On March 11, 2020 the World Health Organization declared COVID-19 a pandemic due to the level of spread and the severity of the disease. In efforts to control the spread of COVID-19 and reduce the number of new infections and deaths, people around the world took steps that had not been taken in modern history. As countries and locales issued “shelter in place edicts” the economic and social impact on businesses and professions was dramatic. The field of dentistry was similarly affected as edicts were made by governmental officials that elective dental procedures be stopped. In the state of Iowa, Governor Kim Reynolds issued a proclamation mandating that effective March 27, 2020 all dentists and their staff refrain from performing “elective dental procedures and nonessential or elective surgeries”. With this turn of events, dental practices across the state were effectively shut down, only being allowed to treat emergency patients. Prior to the COVID-19 pandemic, the Iowa Dental Board, Delta Dental of Iowa, and the University of Iowa College of Dentistry shared an interest in exploring telehealth as a means of improving access to dental care for vulnerable populations. While steady progress was being made prior to the Pandemic, once the practice of dentistry in Iowa was restricted, the interest in telehealth, or “Teledentistry” soared. At the University Of Iowa College Of Dentistry, procedures were put in place to allow all emergency patients to be triaged through Teledentistry prior to being appointed in the Clinic. Using synchronous Teledentistry systems, “e-visits” prior to emergency care became the “new normal”. Patients calling in for an emergency appointment were offered a menu of options for these e-visits including: 1) phone call; 2) phone call and sharing of images; or 3) a ZOOM meeting. All e-visits were provided by Dental faculty members at the University of Iowa with experience overseeing patient care in the Dental Emergency Clinic ranging from three to ten years. Final decisions on appointing patients were made by the provider based on existing records (when available), subjective symptoms (pain), objective findings (visible swelling), patients distress level, expectations and availability. During the initial 8-weeks following closure of our dental clinics (March 16-May 15), a total of 491 patients were seen in our dental emergency clinics, all of whom had been triaged by phone calls or e-visits. Most Patients reported overall satisfaction about the procedure. Based on our experience, Teledentistry (e-visits) are a useful tool to help in prioritizing dental emergencies.KeywordsTeledentistry; E-visits; Zoom visits.

The Provision of Palliative Care for Noncancer Patients With Advanced Disease: Equity Does Matter

2019 ◽  
Vol 36 (10) ◽  
pp. 932-933
Author(s):  
Abbas Heydari ◽  
Hassan Sharifi ◽  
Ahmad Bagheri Moghaddam
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Clinical Guideline ◽  
Advanced Disease ◽  
World Health ◽  
The World ◽  
Primary Focus ◽  
Health Organization ◽  
Cancer Diseases

According to the World Health Organization, the main mission of palliative care is to optimize the quality of life of patients with serious chronic disease, as well as their caregivers, by providing biopsychosociospiritual care. However, historically, the primary focus of palliative care is on providing care only for cancer diseases. Based on the current literature, it is assumed that palliative care is not provided for many chronic diseases on a regular basis and in many cases, a clinical guideline does not exist for providing palliative care.

Surviving the Future: Mexican Health Policies and Deceitfulness of Universal Coverage in the State of Puebla, México

2014 ◽  
Vol 13 (1-2) ◽  
pp. 197-208
Author(s):  
Luis Berruecos
Keyword(s):  
Total Population ◽  
Universal Coverage ◽  
Indigenous Communities ◽  
The State ◽  
Health Policies ◽  
World Health ◽  
Mexican State ◽  
The World ◽  
The Future ◽  
Health Organization

Abstract Two years ago, the Governor of the Mexican State of Puebla declared that his State was fully covered by health services, which is not true. According to the World Health Organization (WHO) and the Mexican Constitution, health is one of the most important human rights for every citizen. However, according to our statistics, many indigenous communities of that State are still waiting for those services, even though the budget designated for that purpose has been incremented ten times in the last seven years. Since I have been working for years in the highlands of the northern part of the State, I will prove that medical services are not covering the total population, which means that the future survival of these people is rather grim.

scholarly journals Combating Hidden Hunger: The Role of International Agencies

2003 ◽  
Vol 24 (4_suppl_1) ◽  
pp. S69-S77 ◽  
Author(s):  
Nita Dalmiya ◽  
Werner Schultink
Keyword(s):  
Vitamin A ◽  
Critical Role ◽  
World Health ◽  
Deficiency Anemia ◽  
Micronutrient Deficiencies ◽  
World Summit ◽  
International Agencies ◽  
Hidden Hunger ◽  
The World

The importance of micronutrient deficiencies or “hidden hunger” was clearly emphasized by the inclusion of specific goals on iron, vitamin A, and iodine deficiency at the 1990 World Summit for Children and other major international nutrition conferences. Significant progress has since been made toward eliminating vitamin A and iodine deficiencies, with less progress made toward reducing the burden of iron-deficiency anemia. The role of international agencies, such as the World Health Organization, United Nations Children's Fund, Food and Agricultural Organization, and World Bank in assisting countries to make progress toward the World Summit for Children goals has been very important. International agencies have played a critical role in advocating for and raising awareness of these issues at the international, regional, and national levels among policymakers and the general population. Using a rights-based approach, UNICEF and other agencies have been instrumental in elevating to the highest political level the discussion of every child's right to adequate nutrition. International agencies have also been very supportive at the national level in providing technical guidance for programs, including monitoring and evaluation. These agencies have played a critical role in engaging the cooperation of other partners, including bilateral donors, non-governmental organizations, and the private sector for micronutrient programs. Furthermore, international agencies provide financial and material support for micronutrient programs. In the future, such agencies must continue to be heavily involved in programs to achieve the newly confirmed goals for 2010. The present paper focuses on the role of international agencies in combating micronutrient deficiencies, drawing on the lessons learned over the last decade. The first section of the paper summarizes the progress achieved since 1990, and the second section describes the specific role of international agencies in contributing to that progress.

scholarly journals Evaluation of Antibiotic Use in Kazakhstan for the Period 2017–2019 Based on WHO Access, Watch and Reserve Classification (AWaRe 2019)

Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 58
Author(s):  
Gulzira Zhussupova ◽  
Dinara Utepova ◽  
Galiya Orazova ◽  
Saule Zhaldybayeva ◽  
Galina Skvirskaya ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
World Health Organization ◽  
Antibiotic Use ◽  
The State ◽  
World Health ◽  
Defined Daily Dose ◽  
Upward Trend ◽  
The World ◽  
Daily Dose ◽  
Health Organization

The purpose of this study is to conduct a comparative analysis of the consumption of antibiotics for systemic use reimbursed by the state in Kazakhstan for 2017–2019 with the Access, Watch, and Reserve classification (AWaRe 2019) of the World Health Organization (WHO). The evaluation of the consumption of antibiotics for systemic use in Kazakhstan for 2017–2019 was carried out using the ATC/DDD methodology in accordance with the WHO AWaRe classification. The study used data on all antibiotics that were centrally purchased by a single purchaser during the study period. To understand how often Access group antibiotics are taken in Kazakhstan, the top-10 most consumed antibiotics were additionally studied. The results of a comparative analysis of the antibiotics for systemic use consumption for 2017–2019 by the Access, Watch, and Reserve groups showed a negative trend of a decrease in the consumption of Access group drugs from 1.17 defined daily dose (DDDs) per 1000 inhabitants per day (DID) (39%) in 2017 to 0.59 DID (30%) in 2019. There is an increase in consumption of Watch group antibiotics from 1.84 DID (61%) in 2017 to 1.37 DID (68%) in 2019, as well as an increase in consumption of Reserve antibiotics from 0.001 DID (0.03%) to 0.4 DID (2.11%). In recent years in Kazakhstan, there has been a decrease in the consumption of Access group antibiotics. In addition, the Watch group antibiotics are widely consumed with a certain upward trend. In 2019, one Reserve antibiotic was included in the top-10 most commonly consumed antibiotics. There is a predominant consumption of parenteral forms of antibiotics for systemic use in the country.

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