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Lakshminarayanan S, Aboobacker M, Brar A, Manoj MP, Elsaid Ismail Elnimer MM, Marepalli A, Shukla KJ, Yousaf MS, Taqveem A, Hassan MJ. Advancing Perioperative Neurocognitive Health: A Critical Review of Predictive Tools, Diagnostic Methods, and Interventional Strategies. Cureus 2024; 16:e59436. [PMID: 38826940 PMCID: PMC11140540 DOI: 10.7759/cureus.59436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2024] [Indexed: 06/04/2024] Open
Abstract
Perioperative neurocognitive disorders (PNDs) affect a large percentage of people who undergo surgeries that need general anesthesia. There is an increased risk of death and a major disruption to postoperative self-care as a result of this. This study compiles all the relevant materials that the authors have found to investigate postnatal depression and its causes, as well as the methods used to determine the probability and severity of PNDs and how to reduce their risk before surgery. Postnatal depression can have many causes, and this text explores some of them. These include a history of alcohol or opiate use, immunological dysregulation, advanced age, educational background, infections, neurocognitive impairment, and pre-existing chronic inflammatory disorders. It also delves into various methods used to gauge the likelihood and severity of postpartum depression. The following assessment tools were covered: the Clock Drawing Test, Domain-Specific Tests, the Mini-Mental State Examination, and the Montreal Cognitive Assessment. In addition to biochemical markers, neuroimaging techniques play an important role in diagnosis. The Frailty Fried assessment, which measures inertia, sluggishness, lack of physical activity, fatigue, and unintentional weight loss, is a key prognostic sign that is highlighted. There is strong evidence that the index, which is derived from these five characteristics, may accurately predict the likelihood of PNDs. Risk mitigation strategies are also covered in this research. Preoperative brain plasticity-based therapies, such as physical exercise and intensive cognitive training, can significantly reduce the incidence and severity of postoperative neurocognitive disorders. A peripheral nerve block, monitoring cerebral oxygen saturation, dexmedetomidine, and a reduction in anesthesia depth are all ways to improve anesthetic procedures. Methods that lower blood pressure should be avoided, the body temperature should be kept down during surgery, or the time without liquids should be lengthened; all of these raise the risk of postoperative nausea and vomiting and make it worse. Potential approaches include a Mediterranean diet, physical activity, cognitive stimulation, smoking cessation, alcohol reduction, avoidance of anticholinergic medications, and non-steroidal anti-inflammatory drug stewardship, although there is no definitive evidence for successful postoperative neurocognitive rehabilitation procedures. More standardized diagnostic criteria, evaluation methods, and PND classification are urgently needed, according to this study. Different cases of PNDs are characterized by different combinations of tests, cutoff values, and methods because there is a broad variety of diagnostic tests used to make the diagnosis. Until now, PNDs and pre-existing neurocognitive disorders have been diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). With an aging population comes an increase in the occurrence and prevalence of PNDs, which calls for a specific way to classify and describe the condition.
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Affiliation(s)
| | - Mohazin Aboobacker
- Neurosurgery, Jubilee Mission Medical College and Research Institute, Thrissur, IND
| | - Anureet Brar
- Neurology, Sri Guru Ramdas Institute of Medical Sciences and Research, Amritsar, IND
| | | | | | | | - Krutarth Jay Shukla
- Medicine, Gujarat Cancer Society Medical College Hospital and Research Centre, Ahmedabad, IND
| | | | - Ahsen Taqveem
- Microbiology, Government College University Faisalabad, Faisalabad, PAK
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Hanach N, Radwan H, Bani Issa W, Saqan R, de Vries N. The perceived mental health experiences and needs of postpartum mothers living in the United Arab Emirates : A focus group study. Midwifery 2024; 132:103977. [PMID: 38518436 DOI: 10.1016/j.midw.2024.103977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 02/06/2024] [Accepted: 03/16/2024] [Indexed: 03/24/2024]
Abstract
BACKGROUND After childbirth, mothers are particularly vulnerable to mental health problems including anxiety and depression, which often remain undetected and untreated. In the United Arab Emirates (UAE), recent figures revealed a substantial prevalence of postpartum depression. However, postpartum mental health remains largely understudied in the country's clinical and research settings. Therefore, given the paucity of literature in the UAE and building upon previous epidemiological findings, this study aimed to explore the perceived mental health experiences and needs of mothers during the postpartum period to guide the development of targeted interventions that address mothers' unique mental health challenges. METHODOLOGY Four focus groups were conducted, involving a total of 27 Emirati and multicultural expatriate mothers aged 32.47 ± 4.56 years old, living in the UAE and within their first year postpartum. Descriptive interpretive thematic analysis was employed to analyze the data. ANALYSIS Six themes were generated that capture the mothers postpartum experiences and mental health needs: (1) distinct postpartum experiences of primiparous and multiparous mothers, (2) experiences of emotional distress in the initial postpartum stage, (3) multifaceted challenges in breastfeeding, (4) multifactorial influences on postpartum mental health, (5) postpartum social support resources and providers, and (6) the need for formal and informal resources. CONCLUSIONS The findings highlight the importance of considering the unique cultural and societal factors that impact maternal mental health in the UAE, given its diverse population. A collaborative multidisciplinary approach, integrating culture sensitivity, is vital to address the mental health needs of postpartum mothers and to guide the development of tailored evidence-based interventions.
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Affiliation(s)
- Nivine Hanach
- Faculty of Health, Medicine, and Life Sciences, Care and Publica Health Research Institute, Maastricht University, Maastricht, the Netherlands.
| | - Hadia Radwan
- Clinical Nutrition and Dietetics Dept., College of Health Sciences, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Wegdan Bani Issa
- Nursing Dept., College of Health Sciences, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Roba Saqan
- Health Promotion Group, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Nanne de Vries
- Faculty of Health, Medicine, and Life Sciences, Care and Publica Health Research Institute, Maastricht University, Maastricht, the Netherlands
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Miranda Theme Filha M, Baldisserotto ML, Leite TH, Mesenburg MA, Fraga ACSA, Bastos MP, Domingues RMSM, Gama SGND, Bittencourt SA, Nakamura-Pereira M, Esteves-Pereira AP, Leal MDC. Birth in Brazil II: a postpartum maternal, paternal and child health research protocol. CAD SAUDE PUBLICA 2024; 40:e00249622. [PMID: 38695463 PMCID: PMC11057484 DOI: 10.1590/0102-311xpt249622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 03/16/2023] [Accepted: 03/23/2023] [Indexed: 05/06/2024] Open
Abstract
Pregnancy, parturition and birth bring major changes to the lives of mothers and fathers. This article presents a research protocol for estimating the prevalence of postpartum mental health outcomes in mothers and fathers, abuse and satisfaction in delivery/abortion care, and the correlations between them and socioeconomic, obstetric, and child health factors. As a 2-component research, it consists of a prospective cohort study with all postpartum women interviewed in the 465 maternity hospitals included at the Birth in Brazil II baseline survey conducted from 2021 to 2023, and a cross-sectional study with the newborns' fathers/partners. Interviews will be conducted via telephone or self-completion link sent by WhatsApp with the mother at 2 and 4 months after delivery/abortion. Partners will be approached three months after birth (excluding abortions, stillbirths and newborn death) using the telephone number informed by the mother at the maternity ward. Postpartum women will be inquired about symptoms of depression, anxiety and post-traumatic stress disorder, abuse during maternity care and quality of the mother-newborn bond. Maternal and neonatal morbidity, use of postnatal services, and satisfaction with maternity care are also investigated. Fathers will be asked to report on symptoms of depression and anxiety, and the quality of the relationship with the partner and the newborn. The information collected in this research stage may help to plan and improve care aimed at the postpartum health of the mother-father-child triad.
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Affiliation(s)
| | | | | | | | | | - Maria Pappaterra Bastos
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | - Marcos Nakamura-Pereira
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Maria do Carmo Leal
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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Constable R, Price S, Mallan KM. Paternal postnatal depression and parenting behaviours in the first year of life. Child Care Health Dev 2024; 50:e13219. [PMID: 38265141 DOI: 10.1111/cch.13219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 08/04/2023] [Accepted: 12/03/2023] [Indexed: 01/25/2024]
Abstract
BACKGROUND Paternal postnatal depression (PPD) symptomology has been positively associated with poorer outcomes for children. One mechanism by which PPD is thought to influence child outcomes is through parenting. The current study investigated the association between paternal postnatal depressive symptoms and parenting behaviours. METHOD Fathers (N = 213) with an infant (mean age = 7 months, 46% female) between 2 and 12 months old were recruited through community and social media advertisements, as well as a paid survey recruitment website. Fathers completed a questionnaire on their symptoms of PPD and how they care for and raise their child (parental warmth, irritability, engagement in enrichment, play and safety behaviours). RESULTS Fathers experiencing greater levels of PPD symptomatology self-reported higher irritability, lower warmth and fewer safe parenting behaviours but did not report lower enrichment or play with their infants. CONCLUSION Overall, findings suggest that PPD symptomology may impact negatively on aspects of fathers' parenting behaviours. Further research using larger and more diverse samples is needed to assess the generalisability of these findings.
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Affiliation(s)
- Remy Constable
- School of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, Victoria, Australia
| | - Shelby Price
- School of Behavioural and Health Sciences, Australian Catholic University, Banyo, Queensland, Australia
| | - Kimberley M Mallan
- School of Behavioural and Health Sciences, Australian Catholic University, Banyo, Queensland, Australia
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Senn M, Stadelmann C, Forster F, Nussbeck FW, Bodenmann G. Parental stress mediates the effects of parental risk factors on dysfunctional parenting in first-time parents: A dyadic longitudinal study. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2023; 40:4335-4358. [PMID: 38058532 PMCID: PMC10695745 DOI: 10.1177/02654075231165340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
Both parental psychological well-being (e.g., depressive symptoms) and parental relationship functioning (e.g., negative communication) are common parental risk factors for dysfunctional parenting. The spillover process from these parental characteristics to dysfunctional parenting is assumed to be amplified by parental stress, which is particularly common among mothers and fathers of young children. However, few studies have examined dyadic spillover processes from parental risk factors and parental stress on parenting in early childhood. In the current study, we first examined direct actor and partner effects of parents' depressive symptoms and negative communication at 10 months postpartum on dysfunctional parenting at 48 months postpartum in 168 primiparous mixed-gender couples. Second, we analyzed indirect effects via one's own and the partner's parental stress at 36 months postpartum using Actor-Partner Interdependence Mediation Models (APIMeM). We found direct actor effects for mothers' depressive symptoms and negative communication on their dysfunctional parenting. Additionally, indirect actor effects were found for depressive symptoms and negative communication among mothers and fathers. Specifically, mediating effects of depressive symptoms and negative communication on one's dysfunctional parenting through one's parental stress were found. There were no indirect partner effects through parental stress. These findings highlight the important role of parental stress in early childhood as a mediator between both individual and relationship parental risk factors and dysfunctional parenting. These results further underscore the importance of longitudinal dyadic analyses in providing early and tailored interventions for both mothers and fathers of young children.
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Affiliation(s)
- Mirjam Senn
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | | | - Fabienne Forster
- Gynaeco-Psychiatry, Cantonal Psychiatric Clinic, St. Gallen, Switzerland
| | | | - Guy Bodenmann
- Department of Psychology, University of Zurich, Zurich, Switzerland
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Wedajo LF, Alemu SS, Tola MA, Teferi SM. Paternal postnatal depression and associated factors: Community-based cross-sectional study. SAGE Open Med 2023; 11:20503121231208265. [PMID: 37915842 PMCID: PMC10617258 DOI: 10.1177/20503121231208265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 09/29/2023] [Indexed: 11/03/2023] Open
Abstract
Introduction Paternal postnatal depression is a type of depression that occurs among male partners after childbirth. Although the problem has a multidimensional impact, there is limited data in low-income countries, including Ethiopia. Therefore, this study aimed to uncover this problem in the study setting. Objective To assess paternal postnatal depression and associated factors. Method and study period A community-based cross-sectional study was employed from April 1 to 30, 2023, among 423 fathers in Mattu Town, Southwest Ethiopia. A face-to-face interviewer administered a structured questionnaire prepared by the Open Data Kit tool. The study participants were selected by simple random sampling techniques. A binary and multivariable logistic regression analysis was used. Both crude and adjusted odds ratios with a 95% confidence interval were calculated, and a p-value of less than 0.05 was used. Result Among 423 fathers, 412 participated, making the response rate 97.40%. The prevalence of paternal postnatal depression was 29.37% (95% confidence interval: 24.95%, 31.25). The poor wealth index (adjusted odds ratio (AOR): 1.67; 95% confidence interval: 1.88, 3.14), loneliness (AOR: 1.81; 95% confidence interval: 1.20, 3.20), poor social support (AOR: 6.08; 95% confidence interval: 2.55, 14.48), feeling of family income stress (AOR: 3.22; 95% confidence interval: 1.89, 5.50), and history of adverse pregnancy outcome (AOR: 3.00; 95% confidence interval: 1.62, 0.59) were significant associated factors at p-value less than 0.05. Conclusions The study identified nearly 3 in 10 fathers suffering from paternal postnatal depression. Therefore, the Ministry of Health and other concerned bodies should focus on this population group to alleviate it. In addition, health professionals and extension workers should provide evidence-based care plans based on the identified factors.
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Affiliation(s)
- Lema Fikadu Wedajo
- Department of Midwifery, Mattu University College Health Sciences, Mattu, Ethiopia
| | - Solomon Seyife Alemu
- Department of Midwifery, Madda Walabu University College of Medicine and Health Sciences, Sheshemene, Ethiopia
| | - Melese Adugna Tola
- Department of Midwifery, Mattu University College Health Sciences, Mattu, Ethiopia
| | - Shelema Mengistu Teferi
- Department of Midwifery, Madda Walabu University College of Medicine and Health Sciences, Robe, Ethiopia
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Kosiva A, Xydias EM, Ziogas AC, Tsakos E, Thanasas I, Lykeridou A. Evaluation of Postpartum Midwifery Care in Greece Based on Patient-Reported Outcomes Using the MMAYpostpartum Questionnaire: A Cross-Sectional Study. Cureus 2023; 15:e46129. [PMID: 37779677 PMCID: PMC10537349 DOI: 10.7759/cureus.46129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2023] [Indexed: 10/03/2023] Open
Abstract
Background The midwife's role throughout pregnancy and delivery management is essential, with multiple healthcare systems even following a midwife-led model of care. Of particular interest is the improvement and optimisation of midwifery postpartum care, which in Greece is empirically known to have decreased in quality, both due to the economic crisis and the recent pandemic. Aims To collect patient-reported outcomes with regard to the quality of midwifery services in Greece, ascertain baseline patient characteristics that may affect quality assessment, identify key areas for improvement, and propose patient subgroups who would most benefit from more specialized care. Setting and design A prospective, cross-sectional, questionnaire-based survey using the Measurement of Midwifery quality postpartum (MMAYpostpartum) questionnaire was conducted in public and private postpartum care centers in Greece. Methods The MMAYpostpartum questionnaire was distributed to 316 eligible women who received postpartum midwifery care in a healthcare center in Greece during the past three years. Multivariate linear regression was performed to examine significant correlations between baseline parameters and questionnaire scores. Results Ultimately, 204 answers were collected and analyzed. The patient's mean age was 35.5 years, and the mean body mass index (BMI) was 23.5. Overall, submitted scores were lower than those observed in the literature. A statistically significant correlation between older age, delivery at a public hospital, a history of hospitalization during pregnancy, and a lower midwifery service score was demonstrated. No other factors had a statistically significant effect on the quality score. Conclusions Delivery at public healthcare centers, older maternal age, and a history of hospitalization during pregnancy are significant predictors of a lower perceived quality of midwifery care. Thus, such patient subgroups may constitute potential targets for more meticulous midwifery care when resource setting prohibits the overall improvement of quality. Further research is required to collect additional data on patient insight and to test the present observations in a clinical setting.
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Affiliation(s)
- Alexandra Kosiva
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC
| | - Emmanouil M Xydias
- Department of Obstetrics and Gynaecology, EmbryoClinic IVF, Thessaloniki, GRC
- Department of Medicine, University of Thessaly, School of Health Sciences, Larissa, GRC
| | - Apostolos C Ziogas
- Department of Medicine, University of Thessaly, School of Health Sciences, Larissa, GRC
| | - Elias Tsakos
- Department of Obstetrics and Gynaecology, EmbryoClinic IVF, Thessaloniki, GRC
| | - Ioannis Thanasas
- Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC
| | - Aikaterini Lykeridou
- Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC
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Qi W, Wang Y, Li C, He K, Wang Y, Huang S, Li C, Guo Q, Hu J. Predictive models for predicting the risk of maternal postpartum depression: A systematic review and evaluation. J Affect Disord 2023; 333:107-120. [PMID: 37084958 DOI: 10.1016/j.jad.2023.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 03/21/2023] [Accepted: 04/14/2023] [Indexed: 04/23/2023]
Abstract
OBJECTIVES Clinical prediction models have been widely used to screen and diagnose postpartum depression (PPD). This study systematically reviews and evaluates the risk of bias and the applicability of PPD prediction models. METHODS A systematic search was performed in eight databases from inception to June 1, 2022. The literature was independently screened, and data were extracted by two investigators using the checklist for critical appraisal and data extraction for systematic reviews of prediction modeling studies (CHARMS). The risk of bias and applicability was assessed using the Prediction Model Risk of Bias Assessment Tool (PROBAST). RESULTS After the screening, 12 studies of PPD risk prediction models were included, with the area under the ROC curve of the models ranging from 0.611 to 0.937. The most-reported predictors of PPD included several aspects, including prenatal mood disorders, endocrine and hormonal influences, psychosocial aspects, the influence of family factors, and somatic illness factors. The applicability of all studies was good. However, there was some bias, mainly due to inadequate outcome events, missing data not appropriately handled, lack of model performance assessment, and overfitting of the models. CONCLUSIONS This systematic review and evaluation indicate that most present PPD prediction models have a high risk of bias during development and validation. Despite some models' predictive solid performance, the models' clinical practice rate is low. Therefore, future research should develop predictive models with excellent performance in all aspects and clinical applicability to better inform maternal medical decisions.
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Affiliation(s)
- Weijing Qi
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Yongjian Wang
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Caixia Li
- Shijiazhuang Obstetrics and Gynecology Hospital, 206 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Ke He
- Shijiazhuang Obstetrics and Gynecology Hospital, 206 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Yipeng Wang
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Sha Huang
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Cong Li
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China
| | - Qing Guo
- Shijiazhuang Obstetrics and Gynecology Hospital, 206 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China.
| | - Jie Hu
- Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang 050017, Hebei Province, China.
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Gedzyk-Nieman SA, McMillian-Bohler J. Inclusive Care for Birthing Transgender Men: A Review of the Literature. J Midwifery Womens Health 2022; 67:561-568. [PMID: 35861269 DOI: 10.1111/jmwh.13397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 05/09/2022] [Accepted: 06/20/2022] [Indexed: 11/29/2022]
Abstract
We conducted a review of literature to examine the experiences of transgender men (transmen) seeking pregnancy care. Our review revealed that transmen and cisgender persons desire pregnancy at similar rates; however, transmen experience discrimination from health care systems and providers. Additionally, pregnant transmen may experience unique psychological needs and require support for postpartum contraception and lactation. Based on a synthesis of the available literature, we offer strategies for providing inclusive care for birthing transmen and resources for further professional development related to transgender health issues.
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Schomburg L. Selenium Deficiency in COVID-19-A Possible Long-Lasting Toxic Relationship. Nutrients 2022; 14:283. [PMID: 35057464 PMCID: PMC8781157 DOI: 10.3390/nu14020283] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 12/30/2021] [Accepted: 01/04/2022] [Indexed: 12/24/2022] Open
Abstract
In the last two years, there has been a surge in the number of publications on the trace element selenium (Se) and selenocysteine-containing selenoproteins in human health, largely due to the pandemic and the multiple roles that this micronutrient and Se-dependent selenoproteins play in various aspects of the disease [...].
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Affiliation(s)
- Lutz Schomburg
- Institute for Experimental Endocrinology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10115 Berlin, Germany
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